HomeMy WebLinkAbout2007-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 957 PIERCE AVE
CITY OF OSHKOSH
No
125301
PLUMBING PERMIT - APPLICATION AND RECORD
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
Owner VIRGINIA R WENDLAND Create Date 06/12/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst Sink lnt 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 M P KELLY
Install new electric water heater, EIV Ruck Electric.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1607940000
$25.00 D Permit Voided I
Valuation
$546.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 06/12/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 665 N MAl N ST
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
I hereby apply 8lrapmn!! to do ~ w,.ulbe.fo\!oWillgp!unlbhiji ,,$C,~ hetOiQOller ~1Ilo1iool1<1ll.,."ion..1he
Wisc0~inState Pl~U:tg.CodeJ in the .peiformanoe' of~hich al~,Partl~. ~er.e.~~tQ and.~i'e~bouttd bY1;aj~ 'Sta\Ute.s.
. Awlicatltm(s)lIIId @e(s}~ be. broughito City'n..1f,l\poii!~5~;Ui<l ii:>~OI1S~Cl:s;PQB~Im. .
.oshkosh WI 54903-t.t2'8. .Conunencit1g. work without..~t(s).:wiU .res.ult-In fees be~g doubled~r $100.00' plus the -
normal p~HeeJ w.hich ever is greater.. . . . ~. -
OR' ..' ..... . .
ou' reo a .c-on.tr .ctar' aTtic' ati' ..i.ti..:tlf6 Per.' it Fee A coilnt:'8 :'~(.e.m..t1.''nd'h.a'Ve :dd
i ou'w,anUhis rocesse.d thro- h.' ~.ur ac~oimt .
JObAd~~ q5~:~jalne~~~~1''''~, .... ."
owner . y!~~ ~>~-.'.'.' , -.
OSin.gle:Fa.mily . ODuplex D.M~..FalD1ly ORental. ..0Co;,
::;ity of Oshkosh . .
:nspection Services Divil;ion.
t>> OBoxU30
Oshkosh, WI 54903-:1:130"
Phone: (920) 236-505'0: .
Fax: (920) 236-5084
Ntidiber tlf'FixtUres:
BathtUb
Whirlpool
Lavatol1'
Toilet
Res. Sink
Bar Sink ___.
WaterHcatcr L-
a oas.ktBfectt] 'p.wrVtit
Showe.r
Floor Drain _
-
tndty Tray
. -Lab Sink
Plaster Sink
Sterilizer
Mise.
'F.i.xturts
-
---
-
'. . Electrlc Contractor .:"
Use (Nature of WtJ .
SifuitlIY Sewtr
'.' . ."C't....~:""''''..;...... ,,'.
,1. ','1.:)' ""..~...;1)ti...:"..:r' :'.
l." ...Water-i~ervi'~c :
. .'
'PltJ.mbi:ng :P.errrdtAppli_ion
. .' ,.:
~ ..'
,~ ..... ..~ Drl.k.., ......~~
,=,; . .... .~~:.'
Ejeetor/Griri'd. ....:.--..:.. .BXamSink- ..........:.....:-...- .'
Water sonner. _ . ..$l~lJ}i Sink ..... '. .. .
t.ocalWaste. --= .:;.... ':l!t~~~:';':"::;'.i:::~>:J,::""':":,,, .
Oloth".W$br ____. . ..". :p.p-repSliitc::.:..... ..........;........ .
" . '. . . ....: .....
~i.det .' . ._ . ........,;...:~.~nk ..... -:.'~:' . ..s{t~'nraln..
.~...:~: ':;" .:_;::,'~;::<;;~". ..:.' .,=:. .
..Surg~ni.sink~.'."" .:~'f.iZ:.~al'lC:' .:. :' .~. .- :':Jt~-W.sb:SUI
: Breakmt'Sil'ik .. . "'--.,-.... .... ..:; :':aWa~':s;nk." .:.... .....~. . . '.WtrSewerMtrS
'.'DipW~l1 ,'~ '.. ':.,~li1tA1h(:S1n~::.' .':. .:'. '.:. '~cdu~~:terS
.' ...: . ~'::'. . .:... . ; :.. .. '.. ..-:---:r- ". .' .: '.' <; e.
.. . . . . ... .. '. ..: ,..... .. :..'Wh-:~a'ge Mtrs
.', .',..
. ....',
. .
~hB~iri
Was.h'.Ftn
Urlnlll
GarDrain .
.Sod1l'Di.sp: .
~;~ke.r
.tCl\l.il1~ .
~
.-
...--
. ." ..' ....1.; .
. .:Ml1:ten;lt .....
. . ., . .
:.:#.;..'.'.<:: :.;'.Cbritt;;.t~e~:: ::: .'
..',.' ;/
..<>:".:,"'fi,:-'d,t':'L.,/>..:. .'. ;r
. .''o.-tyPe.. .
... "',
',.' .
. ,,' ~:'.: "
. . . ..'..: :", ',,;r.
. "';' .... .', ~.,:..' : ':' 5.,': .~"'" ,::..,....
. . '. .~~
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4./05
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Dec 05 00 12:06p
Code Enforcement
920-236-5084
p. 1
~
OJH<OfH
ON THE WATE~
City of Oshkosh
Division of Inspection Service.
215 ChUl'Ch Avenue
PO Box 1130
Oshkosh WI 54902-1130
Office 92().236-5050
Fax 920-236-5084
Electric Installation VerificatioD
(I) (We) \ I ~UC~'--, [~~'1Ju7)
(Elecirict Contractor Name) _~
~CjO W, 3M~, Q?iUJ111 VV:r= GY'l() I
(Address) (City) (State) (Zip Code)
bave been contracted to perform electric installation ~ork for ~~ Y 0 OJ :-;]~ $:] ~
~ (Name ofP~ntr~
at the following address: ~I h ^ Q JJJ ~
(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)'
-a:
Reconnection or new circuit for replacement Heating Plant and/or 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 I soffit installation. Note: New Service Entrance
Cables will require a separate pennit.
Reconnection or new circuit for other pennanently wired appliances / fixtures.
Other
The value of this work is $ J (00 t- cX).
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.
IOIlk\\U~i.-
(Print Nalne of Officer)
5/111/\,
~