HomeMy WebLinkAbout0118161-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 715STARBOARDCTWEST
CITY OF OSHKOSH
No
118161
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor PERDUE, STEVE
Owner BLACK WOLF INVESTMENTS LLC
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res, Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Create Date 02/10/2006
Category 411 - Residential-Water Heaters
0
0
0
0
0
0
1
0
0
0
Water Softner
Local Waste
Clothes Wshr
0
0
0
0
0
0
0
0
0
WaitSt
Ice Chest
0 Shamp Sink 0
0 Flr/Wst Sink 0
0 Catch Basin 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ex! Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
WtrSewerMtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Shower
Floor Drain
~
~
0
0
~
0
0
~
0
Dip Well
Drink Ftn
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
REPLACE ELECTRIC WATER HEATER "UNIT A", EIV BOWMAN 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 Parcelld #
0 1524901400
Use/Nature
ofWork
Valuation
Issued By
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Bidet
Beer Tap
Lab Sink
Sterilizer
Permit Fees
$20.00 0 Permit Voided I
Date 02/10/2006
Breakrm Sink
Ejector/Grind
$350.00
$0.00
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) an to ecure any necessary approvals before starting such activity.
Signature
Plan Approval
Address 6764 LEE HARBOR LN
Agent/Owner
OSHKOSH
WI 54902 - 0000
Date
;;?-(c---.>c
Telephone Number
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.
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CityofO,hko,h
Div~ioo on"'p"tion S""""
215 Choreh Avoo",
PO 50xl 130
O,hko,hWI 54903.1130
om" 920-236-5050
F.x 920.236-5084
I (We)
Electric Installation Verification
BovyY\~", ~! e<.-tn c
(print homeowner(s) name)
116 It. <;'1ø.,-Í;¡ow-J Lt-, (ßI~vk.vD\.ç. TV1V~,~"",,~h)
(address where work is to be performed)
the homeowner(s) of
accept the responsibility for performing the electrical work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
..x..
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofthe 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 permanently wired
appliances / fixtures,
New circuit for the addition of AlC to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
The value ofilis work is $
50
I hereby verify ilis work will be performed by me and further verify the reconnection I
installation will be done in compliance with manufacturer and Electric code requirements.
æ!-
Homeowner(s) Signature
2/9þ(P
(Date)
5/02