HomeMy WebLinkAbout0117906-Plumbing (water heater)
~~
OSHKOSH
ON THE WATER
Job Address 728730 WISCONSIN ST
CITY OF OSHKOSH
No
117906
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BLUE STAR INVESTMENTS INC
Create Date 01/18/2006
Category 411 - Residential-Water Heaters
Plan
Contractor KOCH PLUMBING
Bathtub 0 .Shower 0 Water Softner 0 Walt. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap ---.2
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 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 Dip Well 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
ofWork
eplace electric water heater- EIV Seckar Electric ""debit acet
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 0500030000
$20.00 0 Permit Voided I
$150.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
Date 01/18/2006
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 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 0000
Telephone Number
920-231-6661 or 235
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.
~
Jan 17 06 10:50a
Clarence Koch
(920) 235-02B2
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CilvofOshkosh
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215 Chucch ,'von'"
PO Box ]130
o,hkosh WI 54903.1130
on.... 920-236-5050
'ox 920-236,,5084
Electric Installation Verification
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(Electrical Contractor Name)
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(Address)
(City)
(State) (Zip Code)
tOCt! ?C.,.11è!I\..(;,
(Name of party contracted to)
have been contracted to perfonn electric installation work for
at the following address:
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(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
;.</ Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater,
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other pennanentIy wired
appliances I fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ 7> c-¡;
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requiremenls,
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(Signature aCCompany Officer)
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(Print Name of Officer)
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(Date)
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