HomeMy WebLinkAbout0123301-Plumbing
o
OSHKOSH
ON THE WATER
Job Address 560 W LINWOOD AVE
CITY OF OSHKOSH
No
123301
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner DALE R KING REV TRUST Create Date 01/24/2007
Category 440 - Industrial-Interior 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 Ftri RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash 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 SOPER PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
OMM (MULTI-FAMILY) APT #201/INSTALL ELECTRIC WATER HEATER, EIV PROVIDED BY REMEDY ELECTRIC **debt acct
Size
#
Conn. Type
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1221620000
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation ~ $600L:.J Plan Approval
Issued By ~
Date 01/25/2007
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
Agent/Owner
Address 2225 BURNWOOD DR
OSHKOSH
WI 54902 - 0000 Telephone Number 426-2151
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.
~
OfHKOfH
ON THE WATER
I (We)
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
R~m~ V
.
UCC~(~
(Electrical Contractor Name)
to 60>( ;:]5'&3 ()3/II(o:A tu (5/90 I
,,__~_~_~(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for Sf' eR.. Pi tJ In 6 / ,d &- ,
(Name of party contracted to)
at the following address:
.500 W' LlfJW6CJD ,~T #201
(Address where work will be performed)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
X-
Reconnectionor new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofthe 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), incl~~~e~ervice
electrical outlets. If\.l: \-, IV ED
Other
JAN 2 5 (W,!
4"\ DEPAR I MENT OF
COMMUNITY DEVELOPMENT
The value of this work is $ _Z:::;[) ,~
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection/ installation will be done in compliancewitI1 manufacturer and Electric code
requirements.
~ )#Q1b") ( 1~!:x> N
(Print Name of Officer)
1-- ~- 07
(Date)
5/02