HomeMy WebLinkAbout0125213-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 3751 GLENBROOK LN
CITY OF OSHKOSH
No
125213
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JANICE LEONARD Create Date 06/07/2007
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 JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
SFR / Replace electric water heater. **DEBIT KITZ & PFEIL ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
$395.00 Plan Approval
~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 06/07/2007
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 W5056 PARADISE LN
FOND DU LAC
WI 54935 - 9662 Telephone Number 920-922-1987
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.
JUN-06-2007 WtD 04:30 PM KITZ & PFEIL
FAX NO. 19202363348
P. 03
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JUN-06-2007 WED 04:30 PM KITZ & PFEIL
FAX NO. 19202363348
P. 04
~
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Cil)' ofO~hkosh
Division ofln~Jl~Cliol'l Services
21S Chl!l1:li Av~nue
PO Box 1130
Oshkosh WI $4903-1130
Office 920-236-5050
Fax nO-236-S084
Electric Installation Verification
zleL'fr- I~(
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(Electrical Cqntractor Name)
~-7 ~O tJ/e;J brob ~ ~)e DsAtcdrw"- Sc;qotf--
(Address) , (City) (State) (Zip Code)
have been contracted to perform electric installation work for j I!-fl/ !.- e... () tJ A- r t
(Name of party contracted to)
at the following address: :s l ~I ? /<..&J ~fOO ~ LtLN-l<..... () >h/~ ~A 'lJ L'~
(Address where work will be performed)
I (We)
:lVv~\; +1
The nature of the work consists of: (Check Ontp or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
~ Reconnection or new circuit for replacement Electric Water Heater or power vented
- water heater. '
Reconnection of the Service Entrap.ce Cable, Meter Box. alterations to receptacles
and lighting fixtures due to sidling I soffit installation. Note: New Service
Entrance Cables will require a ~separate permit.
Recormection or new circuit for th~ replacement of other permanently wired
appliances I fixtures. i
New circuit for the addition of NC to an individual dwelling unit O1ouse or the
individual systems in a duplex.;or condominium), including required service
electrical outlets. /'" .
Other (' ""
. - - (~
The value of this work i.t ~() d '. V /.;1'6 'ty V . J
I hereby verify this work will be performed by an employee of this company and further verify ~
the reconnection I installation will be done in compliance with manufacturer and Electric code
re,q 1wem /;~
frY I (J'€,.1: Dbt#UJf & - r--- 6 7
(Signature of
(Date)
5/02