HomeMy WebLinkAbout0118826 P
0 CITY OF OSHKOSH No 118826
OSHKOSH PLUMBING PERMIT. APPLICATION AND RECORD
ON THE WATER
Job Address 1012 S OAKWOOD RD Owner HAROLD E WOLLER Create Date 04/06/2006
Contractor SAMMONS PLUMBING - Category 411 - Residential-Water Heaters Plan
Bathtub 0 Shower 0 Water softner 0 Wai!.s!. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWstsink 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 RPZ Valve 0
Res. Sink 0 Dishwasher 0 Beer Tap 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
Root Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
otWork
Valuation
Issued By
REPLACE ELECTRIC WATER HEATER EiV SLIM'S ELECTRIC"DEBiT ACCT
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 1311970103
$550.00
$0.00
$20.00 0 Permit Voided I
Plan Approval
Permit Fees
Date 04/06/2006
in the performance of this work, I agree to perform ail work pursuant to rules governing the described construction.
Whiie the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfonm the work
described in this penmit application within an easement, the City strongly urges the permit applicant to contact the
easement hoider(s) and to secure any necessary approvals before starting such activity.
Signature
Address 522 W. MURDOCK AVE
Date
AgenUOwner
OSHKOSH
WI 54901 - 2298
Telephone Number 231-9880
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type ot
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.
FROM: SAMMONS PLUMB I NG
FAX NO. : 9202318485
Apr. 03 2006 03:57PM P6
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Electric Installation Verification
(I) (We)
& I"" Of .Ê ¿,¿r<:;r.æ" c- ,,//-' G
(Electrical Contractor Name)
Þ-f 'sY'3.6 ;).
(State) (Zip Code)
have been contracted to perfotTO electric installation work for .5',q .rl'1_,/A J ~ ,wf,
(Name of party contracted to)
/6/2 C/(J¡)Cv..-t>PP ;eJ
(Address where work will be perfOtTDed)
-. Z.£...oY_Cìl::J:JÆ V:.()" pC, 12 c¿r»J?oJ~
(Address) (City)
.'
at the following address:
--
11le nature of the work consists of: (Check One or Describe the Nature of Work)
- Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
-2. Reconnection or new circuit for replacement EJectric Water Heater.
- ReconneclÌon of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtUres due to siding / soffit instaUation. Note: New Service Entrance
Cables will require a separate pemlit.
- Reconoection or new circuit for other permanently wired appliances / fixtures..
Other
The value ofmis work is $
OÓ
hO.
I hereby verify trus work will be perfonned by an employee of this company and further verify the
recòrmection I installation will be done in compliance with manufacturer and Electric code
requirements.
J>/lÞ¡¡:/4 Yt>¿;;v¡;'Þ'/Æ:TII
(Print Name of Officer)
.3/2'7/0&
--------
(Date)