HomeMy WebLinkAbout0122957-Water Heater
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OSHKOSH
ON THE WATER
Job Address 139 HIGH AVE
CITY OF OSHKOSH
No
122957
PLUMBING PERMIT - APPLICATION AND RECORD
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
Owner KLRR INC Create Date 12/20/2006
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal EyeWash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor J RASMUSSEN PLUMBING INC
Multifamily/ #139 AA - Replace electric water heater. EIV provided by Schaefer Electric. **DEBIT ACCT**.
.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0101050000
Issued By
$600.00 Plan Approval
(t/}11/O
$0.00
Permit Fees
$25.00 D Permit Voided I
Valuation
Date 12/20/2006
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 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.
12/20/2006 07:38
~,
OJH/<Q; 1
ON TH~ WATSR
kFf(We) __ .'
~&t; ,
(. \ c:
have been cc r
at the followi ['J
The nature or t c
-- t'
-f.:
The/value 0 r 1
I hereby ver 1 I
reconnectiOJ I I;
requirement: :.
2336747
J RASMUSSEN
PAGE 02/02
Ciry of Osh~t\~h
Divi!lloll ofrll3]X!ction Servir.es
:us Cllun:h Avenue
I'O~x 1130
O~hkosh WI 54902-1130
OfficI! 920.2~6--~050
FBX l/20-2J6-S0M
Electric Installation Verification
.l-f.- ~~Ji;:.. kL
(Electrical Contractor Name)
~ ~,t ~
s)
'J1."'4!4A.
(City)
I{/~
(State)
.sy?~~
(Zip Code)
:d to perfu"" electric installation work for ~-.....~. ~~
(Name of party contract to)
ress:
'-3-!LA,f ~ ff.
(Address where work will be perfo:imed)
lrk.consists of: (Check One or Describe the Namre of Work)
econnection or new circuit for replacement Heating Plant and/or Ale Condenser.
~connectjon or new circuit for replacement Electric Water Heater.
~connection 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.
iconnection Or new circuit for other permanently wired appliances / fixtures.
her
lork is $ ~f) -1llV
work will be perfonned by an employee of this Company and further verify the
lllationwiIl be done in compliance with manufacturer and Electric code
.t;l;t-->l.M ~ ~:
(Signature o~ A:. any Officer)
_~7'e'~. Sl'Ji.,-f4r- .
(Print Name of Officer)
-L1.ls:..:.IL-_
(Date)
:-:
~
r
12/20/2006 07:38 2336747
J RAS~1USSEN
01/02
PAGE
City of Oshko It
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P 080:1( lno
Oshkosh. wr : jl r" ,30
Phone: (920) : .~
Fl1x: (920) 2.31 i. Ii
(I)
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i bereby l1Pl,1 Y )1
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R!:Il. Sink
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Electric ( ~~ l~1
Use I Natr
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(\, 81:0011 S(..'W~"
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Plumbing Permit Application
et1l,it IQ do and install t:he [ollowi.,S plumbing aU the proll1;I;lCS heTdM:(ter describt!ld, the work, to confom1l:o tIle
te 'Plul11b;l\gCodc, In ~h". pcrl~~'1na.n<:c, ofwhioh an partie~ hcret/l agree 1:0 and lire hoamd by said statt.n:efi,
.nd fl!\e($) c.an he brought t.o City B,atl, Room. 2.05 or mailed 10 lnspcd:ion Services, PO :Box 1 t ?.~,
;90~H L'-R (',()mmC11c~ng w()rk withmlt per1'l.11t(s) wj\t r~sult in fee5 being doubled or $1. o.O.\')Q plus tbe
ee, which ever i$ grearer, ,/""
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