HomeMy WebLinkAbout0116728 P
e CITY OF OSHKOSH No 116728
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 17401750 LOMBARD AVE Owner 1740/1750 LOMBARD AVENUE LLC Create Date 10/11/2005
Contractor J RASMOSSEN PLUMBING INC Category 441 - Industrial-Water Heaters Plan
Bathtub 0 Shower 0 Water Sollner 0 Wai!.S!. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZValve 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 Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
MULTI FAMILY, 1740/ REPLACE WATER HEATER' EIV SECKAR ELECTRIC
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 Parcel Id #
0 1611220100
$20.00 D Permit Voided I
Valuation
$3.000.00
Plan Approval
$0.00
Permit Fees
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 tile 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 inspections 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 05: 52
2335747
J RASMUSSEN
PAGE 02/02
FROM :
FAX NO. : 9205824909
Apr. 25 2005 02:5i1<M Pi
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Electric ID~taUation Verification
I (We) SEc..t~ aer--¡y¿.I~ CON/tIJY 7 ~c,..
(E1cc1rlca1 Contraetor Nam~)
SO¡ZO GOI,)~ PLVfr¡{I'¡~ /lJINNf"tDtJfI}(? "", ßI{"(£,G,
(Adc!teao) (City)' (Smte) (Zip Code)
bavo been conll'act«! to perform eledricin¡¡m!1at;on wcrkr.:J' f!~¡n,JS,SI;;;ì\J rWfro.R://ltG:.
(Nllltle of party ~mracœd to)
at Ihe foUow!ng address: nY-a Lf)þt ~#-D
(Address wb= Work wiD be perfi;mned)
Thenatare oftbeworlc comIÎ!l'! oe (Cheek Û!\.eorDeserr""be lheNatœe of Work)
- :RI'ÇO,I I ~ion Of liei1/" eireuiL for replacemmt HcatmgPWlt and/or Ale CoIIdanJer.
....x RecOlllle~tiQl1 or l1oW cåcuil fat replaoQlnent Electric: Water Hea1er or power VS11ed
'Wilier beater.
- .II.O:COMOCtfon of'1he Service El1lrancc Cable, Mi:Icr Box, a1œratiowc to =q>Iac1es
8Dd IightiIIg fixll1l'Πdue to1:iding I soffil installatiOOL Note: New SeMI!/!
Eatrmce Cables win reqijire ilscparatepcmit,
- .Reconnect/Oil or lIew circuit for the replacem!ml of other pmmanl!ftlly wiT'ðð
~1!ance:g I r"'lures.
- New circuit for the addiliQ11 of NC to àn individtml dow;l¡;r¡g WIlt (house or the
individual systems in a dnplcx or condominium). mclnding recraired seMce
electrical outlets.
- OIbcr
The vMlue ofthiswotk is $ /00- 0 0
I hereby verify tbis work win be per1ònned by an employee of this comp3llY :md fùrtber verify
tile reoimnectiolJ I mSlallation will be done in ço¡¡¡plJance with manufacturer 821d Eleetric: c¡¡de
requirements.
DrAJJ1,; {ê., SÈl~ ~. 2-"1 2006
(Prillt. Nom" of Officer) (Date)
j.!)¡