HomeMy WebLinkAbout0092577-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 811 W 10TH AVE
CITY OF OSHKOSH
No 92577
PLUMBING PERMIT - APPLICATION AND RECORD
Owner H & P RENTALS LLC
Create Date 02/07/2002
Contractor WELLNITZ PLUMBING
Category 411 - Residential-Water Heaters
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
- - - -
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- - - -
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
- -
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
-
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
- - -
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
INSTALL ELEC WTR HTR AT 811-A W 10TH
Size
Material
Type
#
Conn. Type
Sanitary Sewer
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Storm Sewer
Water Service
Valuation
$375.00
Plan Approval
$0.00
Permit Fees
$20.00
Issued By
Date 02/07/2002
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 4810 AMBERWOOD LN
Agent/Owner
APPLETON
WI 54915 - 0000
Telephone Number 231-7390
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Fax 920.236-5014
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Electric Installation Vermcation
/ (I) (We) {3c4A~ El.eC~1c.. CO. IN L-
(Electrical Contractor Name)
S~2-o CD ~ /2ffJ t;t' fuJ ft1 /h d ~f). tJ ( IV tJec (:) NI'J e {N J
(Address) (City) (State)
5478ro
(Zip Code)
have been contracted to perform electric installation work for ())al/lJ I TZ P LV.M B. / II.J b
I
· (Name ofpartyeontracted to)
at the following address: 8 J )
W. I D11, .;+vvJUe-
(Address where work will be performed) ,
The nature of the work consists of: (Check One or Describe the Nature of Work)
'.. ....,', Reconnectionor new circuit for replacement Heating Plant and/or NC Condenser.
X Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the 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 pennit.
Reconnection or new circuit for other permanently wired appliances I fixtures.
Other
The value of this work is $ SO.Oo
[ hereby verifY this work will be performed by an employee of this company and further verify the
reconnection I installat.ioQ will beqol'wio cOl1)p1ianc~ \Vith manufactu1'er.B?d,Electrit; code
requirements.
..' J2fjfp/i!"f( 'Sfii-AtAi
(Print Name of Officer)
reg 1,2002-
(Date)