HomeMy WebLinkAbout0123776-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 205 E LINCOLN AVE
CITY OF OSHKOSH
No
123776
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner CHRISTOPHER E WALKER Create Date 03/13/2007
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 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 D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Multifamily (lower units) / Replace electric water heater. EIV provided by My Electric.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1000630000
$875.00 Plan Approval
r....
/ I......",'" ./'1
I ;(/' IT ,1./.-
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 03/13/2007
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) a secure necessary approvals before starting such activity.
Signature Date :?!tJ,!t)'\
Agent/Owner
Address
OSHKOSH
WI 54904 - 6873 Telephone Number 920-589-4014
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.
r'lAR"-13-2(J[J? 06: 4D
;"'\' ELECTR: C CORP.
P.01
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FdOC ~6-5(lEt!
Electric lDstallation Verification
! (We) MY Ela.'tri.c Corp. _
(Electrical COt'ltr'a(.1or Name)
1512 ~by St.
(Address)
Osh\cash
(City)
WI
(State)
54902
(Zip Code)
have been contracted to perform eledric installation work for I).R. Ql~e Plumbing ~,
(Name of party contracted to)
at t.he following address: 205 Lincl()'f1 A~.__._
(Address where work will be performed)
The nature oftbe work consists of: (Check One or Describe tbe Nature of Work)
Reconnection or new ciJ'l.."Uitfur replacement Heating Plant and/or Ale Condenser.
-X- Recon:nection or new circuit :fur replacement E.le:ct:ric Water Heater or power vented
water beater.
Reconnection Qfthe Ser"ice F...ntrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will reqw.re a separate permit.
Reconnection Of Dew" cirt."Ult for the replacement of other permanently wired
appliances I fi.xtu:res.
New circuit for the addition of Ale t.o an individ".ml dwelling unit (house or the
individual systems in a. duplex or condominiuni), inclu.ding requited service
electrical outlets.
Other
----,-~...,.
--------------
The value oftbis work. is ~99.00
I hereby verifY this work will be performed by an employee of this c,ompany and further verify
the recomection I installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature aCCompany Officel)
Eric y.s;umgbauer
(Print Name of Officer)
~ 13, 2007
(Date)
TOTi-iL P.Ol
Cily of Oshkosh
luSJ)CChOl\ s.:r'"iccs Ot'l,jsloK .
POBox JJ30
{khkosh. wt 5.tl)(11-1130
Phon<:: (920) 236.5Q;O
hlX: (920) 136.508,.
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Plumbing Permit Application
I bereby apply for.a pemlit 10 do and instalJ die fDiJowi ng plumbing on JllC prcmlSC!o hcrdnaflcr described the work 10 comaln! to !ll(:
Wist.X)JWtl SUIte Plumbing Code. in the perfonnance of which aU pa1lies aen::to agree 10 and arc bound b~ said statute5
. AppIication(s) and feefs) can be brought to Cily HaR Room 20S or mailed to Inspection Services. PO Box f 128.
Oshkosh wr 54903.1128. Commencing work without pcmtil{s) wilt result in fucs being doubled or $ WO,OO plus dtc
nomu.l ptnll i1 fee, which ever is. greater.
OR
!fyQII are (J COfllrQ(;[r)/' participi11il'lf( in lite ee~/tIil Fer! ,1rC()"!,1-,\V~Lf.!!L.l!!lJf have ade(flUlfe furu.f.'f.L~~uk here
If. VOJl tn;flI thi,~ pToce.!::.ed through ,",ollr ui:Cpuhl 0
Job AddJ"f!5 2C.C ~~Y L.Af"t"'r.,uJ Ave Value fjla.:WlIgl_tramlmall:rillt..) .f~7.s-~
~.'E- C[A~ f~
ORelltal DCommenial
Da,te ~/(2{A:c:r1
()wner CftR'J-;Of+(~ UAt..f(~
OSingle FaMily DDuple~
c.bft\l"lIlfttn
[BM'ulti-Ii'amily
Olndustrial
Num~r of Fi~tures:
LWhlub
\\.'bwl"ool
l~
JJi~h"''I'alJ'ho;r
I)nnl J.)..
W-tlic ~'1
m \:'1>1......
r.l\=m ~i,...
~;ulF)' Sink
JJaoo Sink
jo'~Smk
~r" Sin"
Catch JJason
W l\AA F!~!
\ ~.~\
Toilet
':\rmnp ~
1'.j..l;furf("rrlnd
\Val"," SIlHuer
Tl:A'\o.~
Sht'W~T
Flil,nr nfllil1
L,'''1I1 Wa.~
Cludtos w*
m~1d
&'cltTnl'l
c~Sink
Surg<.'U1'I1l Sink
BI\.>aknn Sil1.
l)i, Wcll
I h'lle Hill"
fill Grcll'': Tnlp
EXlU-f#';r Tf.~
JH.7.. Val,,",
Sh:unp- Sillk
HriW.'Jt Sillk
Ollr IKihl
N.ld4 J)i\l'
(:"'l~ Mak.:t'
CITmm. b.: Uald
Sire Dmin
Nll\>f Umifl
l>l..",clp R,:,
F.,..., WlIsb: SIn
WI! ~ MlJ5
ReS'. Sr./(
Bar Sillk .'..'_.'..'
W.lloOr IJ;.:~ --'-
n ('.as Trlt.-d fl Pwr'Vl.t
Ll:td.I)' l~
lAb Sink
I'lastd fli Ilk
-tkdur1 \f~hm'
Stcriliz..:'
\.Ii~~.
Wu.tlsa-gl: Mlrs
Nl\1.UI'C:'
[Jectrk C9utrador ~ ~t.EC1..g..L C
OR
[Btfectrie IdstaJlation VerificatioJl form attacbed
{If Ref!""<l"~t)
Use / Nature of Work
~LA~
b-:;..~/J<Frr1:[ ..~ Q~
bLE"c:r
in ({rr( (j~)
(~ Srn~,
[ Stann Sewer
i Water Service
Sir~ MalCriat
Type
#
('ontl. Type
111€
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