HomeMy WebLinkAbout0123253-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 234 NEAGLE ST
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 123253
Owner MARY ROWE Create Date 01/18/2007
Plan
Contractor VAN'S PLUMBING INC
Category 411 - Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Gri nd Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFRI Replace electric water heater. EIV provided by Concept Services.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0612960000
Valuation
$1,000.00
$0.00
$25.00 0 Permit Voided I
Permit Fees
Plan Approval
Issued By
~
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 525 BUTLER ST
Agent/Owner
DE PERE
WI 54115 - 1201 Telephone Number (920) 371-0570
Date 01/22/2007
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
FROM : CO~~c~1 SERVICeS
FAX ~O. : 920-336-8697
M.:lr. 18 212103 03: 811-'t'l rl
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City of (),;l>lco:<l.
Divi$ion of lnspectiOll ~tvi~~
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PO .Box 1130
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Electric Installation Verification
S- 4 1/ 5'""
(State) <Zip Code)
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have been contracted to perform electric instalhtion work for.. V/t!J.3 JjpiJ-f,'.A. 9 .f. ('(pL~i/l3
(Name of party contracted to)
4035
(Address)
C'()Vl C (?j)f ~5efv\(~.3
. (Electrical Contractor Name)
1JelkRe J
I (CitY) ,
I Y)c.,
r (We)
H wi .5'7
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at the following address:
(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.
~~.. Reconnection or new circuit for replacement Electric Water Heater or power vt.'ntcd
watCT' heater.
Reconnection of the Service Entrance Cable, Meter Box. alterations to receptacles
and lighting fixmre~ due to sidine J soffit installation. Note: New Service
Entrance Cables will require a separate permit. -
Reconnection or new circuIt foX'the replacement of other permanently wired
appliances / fixtures.
New circuit for the additiop- of NC to an individual dwelling unit (house or the
indi vidual systems in. a dl.lplex or condominium), including required service
electrical outlets..... . . ... .._ ..._._......_,___.....___-...... ...,....
Other
The value ofthi!; work is $ JOO.GO .
.1 hereby verify this work will be pcrfonned by an employc~ of this company and further verify
the reconncction I installation win be:- done in compliance with manufacturer.and Blc.ctric code
n::quircments. .
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(Signa1.ure of Comp<my Officer)
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(Print Name of Officer)
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(Date)
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City of Oshkosh
l:nApection Services Division
POBox 1130
Oshkosh, WI 5490J-I130
Phone: (920) 236.5050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the
Wisconsin State Plumbing Code, in the perfonnaDce of which all parties hereto agree to and are bound by said statutes.
. Application(s) and fec(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshlcosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a conrractnr parliciDatinr in the Permit Fee Account SV$tem and have adequate funds. check here
if YOU want this. l1r{)ces~'ed throUih your account n
JObAddr...d~ 10 ~~lL val..(.,_'''''''''.....~.,.).~ ' D.te~
Own.r ~ve h D\!1 ~ Conlraetor \0...0:;) . ~
lilsingle Family Onuple.x ulti-Family DRentaJ DCommercial []Industrial
Number of Fixtures:
aatlttub
Whirlpool
Lavltmy
Toilet
R~s, Sink
Bar Sink
Water Healer
U ellS 0 Elec,T!.PwrYflt
Sh~wcr
F!oQT l>lain
tJlcIry 'fray
Lab Sink
Plastel' Sink
Sterilizer
Misc.
Fixl\Ircs
Disposal Drinkfltn Calrh Ba~in
Di~hwa~her W.k $L WllSl1 I'm
Sump Pump lee Chest Urinal
F.jeolur/Crilld Exam Sink Gar Drain
Waler Sunnet Sculry Sink Soda Disp
J.ocal WU$lt Hand !;;ink Cofil:c M llkcr
Clothe. W.hr P Prep Sink Comm. Ice Maker
Bide! Scrv Sink Site Drain
Beer Tap lnt Grease Trop Roof Dr:dn
Clasmn Sink Ex! (irea;/! Trap SI.nop Rec
$urgeDII~ Sillk R.P.Z;. Valve Eye Wash Stn
Rreaknn Sink Shamp Sink Wlr Sewtr MtrS
nip Well Flt/WSl Sink Deduct MeleT1l
Hose aibi Wit Usage MtrS
Electric Contractor
Size
QB . DElectric Installation Verification form attached
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Material
Type
#
Conn. Type
Use I Nature of Work
Sanitary Sewer
Storm Sewer
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