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HomeMy WebLinkAbout0123253-Plumbing (water heater) .'. 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 $25.00 0 Permit Voided I Permit Fees Plan Approval Issued By ~ In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Address 525 BUTLER ST Agent/Owner DE PERE WI 54115 - 1201 Telephone Number (920) 371-0570 Date 01/22/2007 Date To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. FROM : CO~~c~1 SERVICeS FAX ~O. : 920-336-8697 M.:lr. 18 212103 03: 811-'t'l rl -::-...., 'f.: f'-" . . ,~A /0" ({ (. C' d :'XJI ." <.:)(J ~' 4, ~ Ol85Q!H 01, lWI W 12 City of (),;l>lco:<l. Divi$ion of lnspectiOll ~tvi~~ ),l'iChll",h"'~"" PO .Box 1130 o.ldc=bWI 549Q3.lt30 arr.... !l2~216-S050 fa); ~2()'2j6-5QS4 Electric Installation Verification S- 4 1/ 5'"" (State) <Zip Code) \ . 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\(~.3 . (Electrical Contractor Name) 1JelkRe J I (CitY) , I Y)c., r (We) H wi .5'7 wi at the following address: (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) ~ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser. ~~.. Reconnection or new circuit for replacement Electric Water Heater or power vt.'ntcd watCT' heater. Reconnection of the Service Entrance Cable, Meter Box. alterations to receptacles and lighting fixmre~ due to sidine J soffit installation. Note: New Service Entrance Cables will require a separate permit. - Reconnection or new circuIt foX'the replacement of other permanently wired appliances / fixtures. New circuit for the additiop- of NC to an individual dwelling unit (house or the indi vidual systems in. a dl.lplex or condominium), including required service electrical outlets..... . . ... .._ ..._._......_,___.....___-...... ...,.... Other The value ofthi!; work is $ JOO.GO . .1 hereby verify this work will be pcrfonned by an employc~ of this company and further verify the reconncction I installation win be:- done in compliance with manufacturer.and Blc.ctric code n::quircments. . Q~ (Signa1.ure of Comp<my Officer) J)Av;d. JJJRou (Print Name of Officer) , . \ \ \ \'\ \) ~ (Date) t . d 02SL SEE r02S) 'J'~ ~ 'u~~eaH s,ue^ eEO=ll LO 81 uer~ \I" II, I j, L. V V r I I , L. I/"IIVI I II ~ ~ ~ \; l I V II ~ e I V I (; e ~ IVO.V/1Y r, 1 (f) o{ti~Ql8 .. 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 ~V\ (jl. Of"""'~')l 11 · ~ Q \\ (U ~ ~crl U\ \Uv~..ttA J;f jM)uJJ t\ ;1dlJ q S'J- ~vm t "1l.~S-' ~ \0\ \\ rq.?J.;? I 11/0(; '2> ld- Material Type # Conn. Type Use I Nature of Work Sanitary Sewer Storm Sewer ~~ Lt..LPnd: ~ ~ I - ~ V... ;;>(ftu- A (] .iC~ . ~ [)~'(L:>~