HomeMy WebLinkAbout0116945-Plumbing (water heater)
10/24/2005 03: 23
920- 733-2713
WATTERS PLUMBING
PAGE 03/03
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Oshkosh InSpections
920-235-5084
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Electric Installat'ion Verlfication
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(Elecnical Con1bcto~Name)
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(Address) (City) (State) (Zip Code)
have 'been contracted to perlbrm electric installation work f,,; '¿64f~ ~ "":""
(Name of ' tracted to)
at the following a.dðxess: /./72'": #~.~W-ÆJt:., ' ~ ðài ;
(Address wJ:lere worl<: wiU be per:!ì>rme -
The nature of the woxk consists of: (Ch"ck One or-Describe the Nature ofWolk}
, Reconnection or MW circuit for repJicement Heating Plant !IJIdIœ- AilC Condøaser,
@: Recœnection or )ew circuit for ~¡aoementElectric Wmm-Heme:J." '3r power vented,
water heater, '
. Reco!:l1>eøtÌo9il of the Service Entrance Cable, Meter Box, ahe.-ations to :reçeptacles
and lighting fixtures due to siding I semt inst1:Illatían. Nota: NeW Service
EDtrance Cable!J wi1J require a separate permit.
Recoooection or new circuit fur the rtplacement of other pexmanenl¡illy wired
appliances I ;fixtures. ,
New circuit for the addition of AlC td an Í'ndtvitJ:uol dwelling unit (h~ ór the
indiviàuaJ syster;ru; in a d1Jplex or condominium), Ú1cludin¡¡ requited service .
..., electriçaJ outlets,
~ Other '
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The value oft'his work is $
J hereby 'Verjfy this work will be pe:rfonneð by S11 employee of this <:ompany and furtbil>r verify
tbe,reconnec¡tion j installation wiIJ be done in compliance with manufacturer and E1ectric code
requirements,
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. Signature (¡¡fCompany Officer) ,
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(print Næne of Officer)
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