HomeMy WebLinkAbout2007-Plumbing (water heater)
o CITY OF OSHKOSH No
O~HKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1920 ROOSEVELT AVE Owner MILDRED LANE LIFE ESTATE Create Date
Contractor KASCADE PLUMBING L.L.C.
124921
OS/22/2007
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
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Plan
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Install electric water heater. EIV unknown at time of permit issuance.
,
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1212720100
Valuation
Issued By
$650.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date OS/22/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) a ecure any necessary approvals before starting such activity.
Signature
Address 7265 COUNTRY RD D
Agent/Owner
OMRO
Date 5-;? ) -t:J 7
WI 54963 - 0000 Telephone Number 920-582-7304
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Sel'Vice, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
i
MAY. 22.2007 3:09PM
WITZKE ELECTRIC
NO. 867
P.l
~
~8
City ofOshkoah
pivision oflnspccliO!l sllrvices
illS CI1=h Ave!)\.\!
!=,O Box 1130
Osbkcab WI 54903-11~O
OfilOC 9~M.~6-S0SQ
Fa);. 9~O.:2Sfi-SQ84
Electric Installatio~V erification
vr;f'dcv EJecl"ri~.:JI1C.
(Electrical Contractor Name)
166 IE, Pa.ctuAvU1L1e.... D$AmsA WI St./9Q{
(Address) . (City) (State), . (ZiP. Cod~) r~
have been contracted to perform electric installirtion work ror t!/1s Mde . PI f.I m bJllj -, 9S(J -/8&9
(Name of party contracted
at the followi11g address: Itf ~ f(,tJmtildf Sind (Mildrid Lane)
(Address where work 'Will be performed)
I (We)
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 Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cablel Meter Box! alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Recoonection or new circuit for the replacement of other permanently wired
appliances / flx.tures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium)l including required service
electrical outlets.
Other
...:h-
..-
The value of this worl<; is $_. 76
I hereby verify this work will be performed by.an employee of this companyand further verify
the reconnection / installation will be done in co:t;npliance with manufacturer and Electric code
requirements.
~-2... &CQ
(Signature of Company Officer)
Hm O/~
(Print Name of Officer)
5;~)-P1
(Date)
5102
Cit)" of Oshkosh
l1}spection Services Division
70 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOJH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If YOU are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here
if you want this processed throuf?h vour account n
Dnuplex
Value (Including labor and materiaIS)$ ~ 5- C) o.._~' Date .$~ -.);} '0 '7
Contractor ;l::':s C~ cl ~. /J / u ~ 6 I '-~Q l.. L ' <:.
J
DCommercial Dlndustrial
DRental
Job Address I Cj ;Z 0 t,~C';}C_ lie/t-
/>1 (~/d ....e.J L "".. "-
:!? 4 "', r '" -\. /l?CL fi. "'- ;-f
Owner
~Single Family
DMulti- Family
Number of Fixtures:
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Mise,
Fixtures
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
lnt Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP .Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water~er ><'
;z(ba~dect 0 PwrVnt
Shower _
Floor Drain
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Electric Contractor
OR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
n/os