HomeMy WebLinkAbout0119096-Plumbing (water heater)
e CITY OF OSHKOSH No 119096
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 306 WISCONSIN ST Owner TDM PROPERTIES LLC Create Date 04/25/2006
Contractor KOCH PLUMBING Category 411 - Residential-Water Heaters Plan
Bathtub 0 Shower ~ WaterSoftner 0 Wai!.S!. 0 Shamp Sink 0 Coffee Maker -...2
Whirlpool 0 Floor Drain ~ Local Waste 0 Ice Chest 0 FlrlWst Sink 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 ~ 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
of Work
I"~" m=" .,~, "~~, """~ 'Œ""" .~", ~
Size
Material
Type
#
0
0
0
0
0
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0103130000
Valuation
$600.00
Plan Approval ~$O.OO
Permit Fees
$20.00 D Permit Voided I
Issued By
Date 04/25/2006
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 approvais 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.
Apr 24 06 03:22p
Clarence Koch
(920) 235-0282
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2JS Ch=hAvenue
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O,W<o,11 WI 54903-1130
Offi« 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
,'SEcFff-r:: e ¿E:(;-'j2. Ie Co.
(Electrical Contractor Name)
C)CjZO CöùM)lJÐI pWf'¡tþtœ ¡2t>, W ¡,J {Va.Ofll¡J6 Wi
(Address) (City) (State)
Sfig¿,
(Zip Code)
have been contracted to perform electric installation work for pCH P LVj\1 tiN ("
(Name of party contracted to)
at the following address:
3010 (j1J/~DrJS IIJ kpr #-:3
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
'-
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
-X 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 permanently wired
appliances / fixtures.
- New circuit for the addition of AlC 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 $ I Z-5.D<:J
I hereby verify tbis work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
-di èF~'
(Signature of Company Officer)
I>lkrJP f,., SEZ-I~
(Print Name of Officer)
4- -2tJ -Ole,
(Date)
5/02