HomeMy WebLinkAbout0118759-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 256 N CAMPBELL RD #A
CITY OF OSHKOSH
No
118759
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CAROL A HERT
Contractor J RASMUSSEN PLUMBING INC
Category 411 - Residential-Water Heaters
Create Date 04/03/2006
Plan
Bathtub 0 Shower 0 WaterSoftner 0 Wait St. 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature REPLACE ELECTRIC WATER HEATER NO EIV FORM ATTACHED "DEBIT ACCT
of Work
Coffee Maker ---.2
Int Grease Trap ---.2
Ext Grease Trap ---.2
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs ---.2
Deduct Meters 0
Wtr Usage Mtrs 0
'---
Size
Material
Type
#
0
0
0
0
0
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$600.00
Plan Approval
$0.00
Permit Fees
0
0
0
0
0
$20.00 0 Permit Voided I
Parcelld #
0608040223
Issued By
Date 04/03/2006
in the performance of this work. I agree to perform ail 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
Agent/Owner
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.
04/01/2006 13: 08
2336747
J RASMUSSEN
PAGE 02/02
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Electric InstaIIation Verification
nE"c.T~IÇ..
(Ell:Ctriçal Contractor Name)
l/q Ci (!j'( «0 pp- PI(.¡<err W.:x', ~qf., 1./
(Addrc!lS) (City) eSlale) (Zip Code)
have been cootJ'actcd to perlbrrn elc<:tric installation work [or eolSmos.ft."'tJ Pf 0¡,..6;., x.... , ,
(Name ofpany contracted t~)
at thc following addre&1;: .;¡ S"~ A ~~~ ¿1M;)
(Address where work will be porfonncd)
'(We)
D(LçxLr;-r<.
The nature of the wod consists of: (Check One or DI)ScrJbe the Nature of Work)
R¡:Çonneetîon ~r new circuit for rcplacelUcnt Heating Plant and/or AlC Condenser.
~ Reconn¡;~tion or I1I1W circuit for replacement Electric Water H~alcr or power vomtcd
watr:r heater.
-- Recol111ection of the Service Entrance Cable, Metar Box, altf:r"<ltions to receptacles
and lighting fixlures due to .¡ding I soffit inS1a!latlon. Note: New Service
Entrance Cables wíJ! require a Scpa:rdlc permit.
Rec:onnect.ion or new circuil for the replacement of olheT pcrJ11al1en!1y wired
apþliançes / fixtures.
- New cÚ"qtit for th~ ~dition oJ: AlC to an individual dwelling wrii (house or the
indiviJLI¡"¡ S:yst..atS iI! a ci.upiox or col1òolninium), inciuciing r('.q¡¡íred s"Tvice
electrical outlets.
- Other
Thev~ueoftlñswo~is$
!~. .e...
I hereby verify this work win be perfol1I1ed by an employee oftbis company and further verify
the rec:onnection / installation wllJ he done in compliance with manufacturer and Electric code
requirements.
~U..LIf' D, V.t-.If\({.ae
(Print Name of Officer)
3 - , -°10-
(Date)
5102
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