HomeMy WebLinkAbout0125182-Plumbing (water heater)
e CITY OF OSHKOSH No 125182
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 256 N CAMPBELL RD #0 Owner MICHAEl. P/CAROL J WALTER Create Date 06/06/2007
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Category 411 - Residential-Water Heaters
Contractor J RASMUSSEN PLUMBING INC
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 Wait. S~. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
,
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster'Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Multifamily / Replace electric water heater. EIV provided by Cumings !=Iectric. ."DEBIT ACCT"".
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Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0608040226
Valuation
Issued By
$500.00 Plan Approval
~
$0.00 Permit Fees'
$25.00 0 Permit Voided I
Date 06/06/2007
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 th~ permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL
OSHKOSH
WI 54904 - 8887 Telephone Number 920-233-6747
To schedule inspections please call the Inspection Request line at ~36-5128 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 da~ from the time the project is ready.
05/05/2007
07:04
2335747
,
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J,RASMUSSEN
PAGE
01/02
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City of Oshkosh
l~ticll1 ServiO\\~ Pbli"j()Ri
l\ 0 'Bo.x 11. 3(\
Oshk/MU, WI 54'')!})'' 11 30
.Phone: (9?~),) ;1.36-5D50
:fill,.:: (97..0) 236.50:3~
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p\umbing Perm~t AppUcation
. A!"pii"""o(" "'" f,,'" ". oe brought ,~ C.tyINl, R~"," 21\5' o",,,.iled t, lo,p"";"O 50"*"', PO 1)"" 1:128,
Q&OIro.b WI 54903,\tZB. c"",,.oncing WO"' ",Hi""" l~n."(') .,;\1 rc."do foe, bei.g ""uI"'''' '" ~\(lO.OO plu, ml,
i\Q'tmal plln'fjit f-ee, which ever i::; gi;"(\(~tc;r, /,.......,-
lUJ?JU""""L<:'Q.'~:' ",'--""rJi,'"''-U1!JJ.ll!.nLr''-'l!!1~'JI''' "l'.,,,<m..M/H'J't-.e!ft<1l,,-,.l' ,,-d.3....,lw.,j-,.1!,,""
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L~"ntory
T('Hel'
Res, ShIh
~~r Sink
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t.1ri,,~J
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(101' T)r~i"
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05/05/2007 07:04
2335747
J RASMUSSEN
Q20-1'22-0769
p:1 PAGE 02/02
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CUMINGS ELECTRIC, INC.
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City c I O<bl:osll
1)i~a.Qflrdl"""ioa ~'"
1'15 Ol\III'h ,l.TCtIIJt
PO Bo1 \1)0
()s.ld:Mb WI. ~90'.11 ~a
otrfC" ~1~ 1~t,.SI);\~
"IX '.no.2J6-~01l.
Electric Installation Verification
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~ f1EC'JjUc IBC.
(Electrical Con~torName.)
p 0 ,BOX 14', HKBJIAll, WI 54957
(Address) (City)
(S tate)
(Zip Code)
h.ve h.... ~onlmcted '" perfotlIl eleettio j1\.<tallatiqn worlc for 1Il1<F- WAL'[US
(Name of party contracted to)
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at the following addresS: -
256 D cA'MF'B'ELI.. KD.
(AddreSS ~cre work will be performed)
Tho nature of tho _ coDSists of: (Cheek Ono o~ Describe the NatUl'<' of W orlt)
--
R~e>;tion or new c.itouit for rep~e:nt Heating Plant and/or Ale Condcns~.
ROCOnocction or nOW cin;ail for repla=nc:l11 Elc:ctrie W - Heat'" or power vonlcd
water heat~.
Reconneotion of me service En;tranC;e Cable, Meter Box. alten1tions to receptacles
and li.gb.tingftdm'eS due to sidU1S / soffit iDst81ls.rion. Note: N~ Service
Entmnce Cables wilt require a. separate permit.
Reconnection or new eircuit for the reptaccmc;nt of other penna.Dcotly wired
appljances , fixtureS.
New ci..mIit for the addition of Ale to all. infliYidual dwelling untz (house or the
individual systems m a du.plex or ooodo.mioium). including required service
electrical outlets.
Other
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The value oftbis work is $ 90.00
r bereby verify this wOTk will be pcrfonned by ail employ~e of this company and furth Of
the r~ol1!leotion I installation will be done in compliance with manufacturer and EI te: vend Y
""Iu.-enl.. .oc no co ,
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2I C',ElARD .I WENZEL
(Prl;nt Name: of Officer)
6/5/07
(Date)
SI02