HomeMy WebLinkAbout0116727-Plumbing (water heater)
G CITY OF OSHKOSH No 116727
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 232 236N CAMPBELL RD Owner RIVERWATCH LLC Create Date 10/11/2005
Contractor J RASMUSSEN PLUMBING INC Category 411 - Residential-Water Heaters Plan
Bathtub 0 Shower 0 WaterSoftner 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap ~
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtra 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
ofWork
320/ REPLACE ELECTRIC WATER HEATER' EIV CUMINGS ELECTRIC INC
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 0608040000
Valuation
$500.00
Plan Approval
$0.00
Permit Fees
$20.00 0 Permit Voided I
Issued By
Date 10/11/2005
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
1914 GREENBRIAR TRL
AgenUOwner
OSHKOSH
WI 54904 - 0000
Telephone Number
920-233-6747
To schedule inspec1ions please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10/11/2005
06: 47
2336747
J RASMUSSEN
PAGE
02/02
~
( )1~~4:J
""y""""'"
"'~'~'('-"""""""
mtb"",'^~~
ron.."",
O","M'WI ¡""',\-I".
""'" ""","-.\O'O
1'>,'><>-2""""
Electric InstaHatioo Verification
I (We)
CUMINGS EI,EC!!UC ¡NC.
(Elce1ric:al Contractor Name)
1414 COIWT'l RD J J. NEENA!t. WI 54957-0749
(Address) (City)
(State)
(Zip Code)
have been contracted to pcrfomJ electric installatioll work for TERRY BISCII.
(Name of party contracted to)
at the following address;
232 D CAMPBELL RD.
(Address where work will be peifonned)
The nature of the work consists of: (Check One Or Describe the Nature of Work)
-11.-
Rceonnection or new circuit for replacement Heating Plant and/or NC Condenser.
Reconncctiol1 or new circuit for r"Placement Electric Waler Heater or þow"," vented
water heat",-.
Reo-onnection of the Service Entrance Cable. Meler Box, alterations to receptacli:$
and Hshling iÏxtums due to siding I soffit instaJ1ation. Note; New Service
Entrance Cabl"s will reqr,1Îfe a separa.te permit.
Reconncction or :new circuit for the r\.'placcmcnt of other perm3IIenlly wired
appliances 1 fixtures.
New circuit for the addition of AlC to an individual dwelling ""it (house or the
individual systems in a duplex or condominium). including required service
elect,rical outlets.
Other
~, '..
Thcl!alucofthisworkis$ 75.00
J hereby verify this work win he performed by an employee ofthis company and further verify
OlC reconnection / installatio" will he dOlI" ill compliance with rnanulheturer and Electric code
requircmenl",
($;.~n;tur~'~)fCo":'p:my Ómccr)-
R 1 cu¡,,1tD ,! Wf;¡>lZEI.
(Print Name orom.or)
9/27105
-----..,
(Date)
<102
I' a
69LO Z2L DZ6
I3J
<>£I:LD gO £0 ~OD