HomeMy WebLinkAbout2006-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1800 S KOELLER ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MIDWEST HERITAGE INN OF OSHKOSH
Contractor SAMMONS PLUMBING
Category 441 - Industrial-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
No 120911
Create Date 08/02/2006
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Replace NG water heater. Power vented damper. EIV provided by Slim's Electric*'DEBIT ACCT'*
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1307440108
Valuation
Issued By
$800.00 Plan Approval
{t4-/
$0.00
$25.00 D Permit Voided I
Date 08/02/2006
Permit Fees
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
AgenUOwner
OSHKOSH
WI 54901 - 2298 Telephone Number 231-9880
Address 522 W. MURDOCK AVE
Date
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.
FRDl'1 : 'SAMMONS PLUMB I NG
FAX NO. :9202318485
Aug. 02 2006 01:21PM P2
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Electric Installation Verification
I (We) --.2 U >?:?,~.__ r .?~.2=~~~_:!.!:::: ~_____.
(Ek,ctrical Contra~tor Name)
~~~<f C%I~f;60..__G :> e
-- (A,ddr.ess), _.. _n_,
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----..----.-~---_.._L
. (City.)._.. .. , ._..(Stat.e) , . .(Zi.p CQ,qe)
have beell contracted to perform e1ectric installation work for ~.>>7 6P7" !:.-,_dk2!i.::....-.__,
(Name of party contracted to)
2.t the follow5ng address: _LBo 12.__ 5, Y D u llt;Jy- L/ ,
(Address where work will be performed)
The I:alli.re of the work consists of: (Check One or Describe the Nature of Work)
--.~
Reconn~ction OrlleW circwt for replacement Heating Plant andlor Ale Condenser,
ReCOnllcction or new circuit for replacement Electric Water Heater or power vented
water hc:J'ater.
Reconnection of the Service Entrance Cab to.::) Meter Box) alte-rations to receptacles
and lighting t1x.tures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reco.tmection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of Ale to an indIvidual dwelling unit(house or the
individual systems in a duplex or condominium), including required serviCt:
electrical outlets.
Other
Tht: value of this work is $_,~ tJ
r hert:hy verify this work will be performed by an employee of this company and further verify
r.1"1<.: reconnection I installation will be done in compliance with manufacturer and Electric code
l):Ji
(Sigpalure of Co .
~i/);? /J ~~dv c t- ~'(?-v-l9'..rl ~ .Z_9_:0?
(Print Name of Officer) (Date)
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