HomeMy WebLinkAbout0125300-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 210 N MAIN ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
No
125300
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/G rind
Owner GIL TEDGE OFFICE CONDOMINIUMS Create Date 06/12/2007
Category 441 - Industrial-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
Replace electric water heater, EIV Ruck Electric.
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
$700.29
$0.00
$25.00 0 Permit Voided I
Plan Approval
Permit Fees
Date 06/12/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
Address 665 N MAIN ST
WI 54901 - 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
"
~ity of Oshkosh . .
nspection Services DMlIion.
? 0 Box 1130
Oshkosh, W154903-.1;130'
PhOne: (920) 236-50S'0: .
Fax: (920) 236-5084
. . "
'PhJ:mb~ng ~Perm~itAl?pli_iOri
I here~ app1t for.a.p~t to'do .md .iDs.ll.the.f~lloWin~"plut$fu. ()Mb~~~~es herematter ~m11e~..~1Wor'k,.'toconiormJ~-the
Wisconain$tate Pl~bh1g'Code. in the .p'eiformanc~' of whi~h al~,partl~. her.e.t!)..e~.tQ and.~te'l;ourtd bY~:sai~ slatute.s.
.... I
. Application(S) and tee(,y;"'; be. broughi.to City1la1t,l1,00til:~~ i>t$;u04 ib~ecti""S~;PQjoi<l t28. .
.Oshkosh WI 54903-1 t2S. .Commenc~g. work without-"P~t(s):.will.~su1t.in fees beit)g d()ubled,~r $100.00 pIttS the ~.
nonnai p~'fee. which ever is greater.. . . -. -
OR' '.' .
Iou'" re.o,ccn.tr .ctar' artic oti' ..itz..tife Per.' it Fee A
i 'ou'w.a !'this rocessel thro.u ~,' ~.ur ac~oimt . '.
JObAlldr~S.~. ~~~v~neQoclu4m.'obM~::'~.'):..,~m..'. ;~.' .'. '.'
ow-nerN ~ntractor.. ~ "~" '.:.,. .' .,... ,::... <<,' ..~,;,;
OSII!gle~Y ODuPlex OMllld~Y ORental' '.' ~ ' . ~., ''c)1I'J!liIsfM;L-;
. . . . ...,..... L~~,.,;...L:...~~:.._.:,~':
. ~ ....
N'tinibet of Fixtures: ~
Bathtub i.Dispo~al. .' . .. ..;...:.....;.:.. . Drink Ftn . ~ ~b Bb~i1'i
Whld,ooI ,~"" .::,,~ .'~:. Wol'St.':'-'-- W..,,,,,
Lavato~ Su111J' P:ump.' "-":"'-".. )~e Chest '. ~ Urinal
Toilet EjectorfOriri'd. . ~ . ,EXam Sink-.. . _____ GarDraln .
Res. Sink :;~::eer. _.:. ~.~l~,,...,,:~,;;,;:,:,:,,:,.:~:'.'.<:. .Soo!l.l)i.sp:.
Bar Sink ____. ~.:'.' ..~~.:../:..., ...~. . ~:~ke.r
~Heatevl---L- Clothcs.W$hr --'-::-' . .:" '. .:F':-r~Sii\k'. :.......,. ...........;,-... '.. '1~..h1itk.Cf
~Gas.~eet[J'P.wrVlit Bidet .' . . " ..::$mSlnk . " : :'. . .' ${iC.Ori.in.
:;"". ~':;Sj..t ':., .:::~;:;:<(.'>':;::
LndiyTray ..Surg~cirl~.Sink ~ .'. ..... . '::}{;~!Z:..\!'alY'c :'.:.': -". .~.' ..' :',~,W.sh,S1.n
bb Slnk._ 'Br.eatm~r$lfjk' '. ''':~ .': . '.:. :'.a1fanjP'~i1~.. .:'. .... -:-:-,,-' 'WtrSC!w~'M:trS
Pla.sterSink . . 'DipW.et1 ~..' ......:. <;,i;litt/.W$f.Sirik;' ::. ::. - '. . Pedu<t1M~tcrs
Sterilizer ..:-- . . F' .' '
Mise. . . . . ',. .' ,:'Wh':tJ.$age Mtrs
:F.ixtufCJI _ .,: .' .:'. <. ,,::,:,::"':;.:"<':-'~':\.;(:';/." ....~.~~::;.<.::.... . .
..~~~~~a):~~~~.~
user~at1lreOfW<<k- ..' .~~:~~': .': . , .' .
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. SiZe: . '::.M~eq~t...' . . .'" . tyPe'. '. . :..;;#.;..<.<>';'.Ctitm::'~e;.~::' .
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Dee 05 00 12:06p
Code Enf'oreemeht.
820-236-5084
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OJHKOIH
ON Tr<E WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54902-1130
Office 920-236-5050
Fax 920-236-5084
(1) (We)
Electric Installation Verification
itfuerf 5J~U~0
{Ele trica! Contractor Name) . .d
d ~O ;1ue, . . tCfYl
(Ci (State)
~ SCf70/
(Zip Code)
at the following address:
The nature of the work consists of: (Check One or Describe the Nature of Work)'
~econnection. or new Circ.u. it t4.o.r replacement Heating Plant. an. dlor AlC Condenser.
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 permit.
Reconnection or new circuit for other pennanently wired appliances I fixtures.
Other
The value of this work is $ IOf) .(/0
I hereby verify this work will be perfonned by an employee of this company and further verify the
reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
/ifiL -!kU(
(Print N e of Officer)