HomeMy WebLinkAbout0096376-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2328 HICKORY LN
CITY OF OSHKOSH No 96376
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOE & DONNA KAUFMAN Create Date 08/02/2002
Contractor SAMMONS 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 Flr/Wst 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 ~ Standp Rec 0
- -
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature ~FRI Replace electric water heater. *EIV form from Slim's Electric.
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
o
o
o
o
o
Storm Sewer
o
o
o
o
o
o
o
o
o
o
Water Service
Valuation
$500.00
Plan Approval
$0.00
Permit Fees
$20.00
Issued By -JL yV'-
Date 08/02/2002
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 522 W. MURDOCK AVE
Agent/Owner
OSHKOSH
WI 54901 - 2298 Telephone Number 231-9880
FROM : SAfffiH5 PLUMB I NO
FAX NO. : 9202318485
~9. Bl 2BB2 B2:57PM PS
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Eleetrie l""'tI,. VerlfieatioB
I (We) SUM'S ELECTRIC INC.
(BfecIricaJ Coutzactor NIlDe')
2608 Oakwood Circle Oshkosh
(AddraI) (City)
WI 54904
cs.) (Zip Code)
Sammon's Plum.
(Name ofpany contI8cttd to)
Uvo been ClOIdractCId to perIou.u e1c.lc1ric insIaUadOll work tor
. the foJJowing IddreeI; 2328 tjickory L!'l.
(~.-e wen: Will beped'oJmed)
11Ie __ of the wort c.onsitIt of. (Check One or DtIcribe the Nature of Work)
-V- kOOOGMCtioeorMW cinIuit for~JLA4P_"'" AJC CcmdcnIe:t.
...D- a~orDCWc:iswit for ~.BIetuiC w.... Hala'orpowcr vllDtOd
WIIIIl' beaIer.
_ ~of"'SeMc:eEDlnlace Cabk\ McfIlr.........to~
.. "aJttma'" - to IidiDaJ 10& -Illation. Note: New s.mce
EnInmc;o Cable8 will ftICIDU'e a IC.J*8SO permit.
_ Jteconn<<:lioQ Of BOW circwt for the replecement of other pamauea.tJy 1rirod
appli8lca 18xturel.
_ New drwk for 1.beadOioD of NC 10 _ tltdtWtlMtll dwdIiIIg,., (boule <<!be
_vidwd...m.4up1acr~).~~~
eIecIric:al outlets.
_00m
..... .
The valueofthit WOtk it S 100.00
J hereby veri1Y driI work will beperfOftfted by an employee of this company aod further verilY
tbe.~ I iDIIIUa&ioD will be doae m compJiarace with _f'aCf.taRr _ Electric: c:ode
.
D~vid A. Youngwirth
(Print Name ofOflicer)
07/22/02
(Date)
SI02
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