HomeMy WebLinkAbout0126514-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2374 WISCONSIN ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
CITY OF OSHKOSH No 126514
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JANICE R ALBRECHT Create Date 08/29/2007
Plan
Category 411 - Residential-Water Heaters
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Use/Nature CONDO UNIT / REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY T. RUCK ELECTRIC "check #8772
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Plan Approval
$0.00
$25.00 D Permit Voided I
Issued By
$570.25
~
'-'
Valuation
Permit Fees
Parcel Id #
1219723900
Date 08/29/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 MAIN 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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236~5050
Fax: (920) 236-5084
RECElVED@..
AUG282007 ~
OEPARTM€~Jlg~ME HKOJH
COMMUNITY O. ICES ONl N "H~ W^W~
INSPECTION SERV .' .
PI umbingPerl11itApplication
1 hereby apply for a permit to do .and install the followingplwnbing on the.prenrises hereinafter described, the worktocon:(o:rrn-to the
Wisconsin State Plwnbing Code, in the perfonnance of which all parties hereto: agree tq and are bound by said statute.s.
· Application(s) and fee(s) can be brought~ tq City liaI1, Roorri 205 Qrmailedtolnspec.tion Services, PO BoxH28,
. Oshkosh WI 54903-1128. Commencing work withoutpennit(s}willresulHn fees being doubled or $1 00.00 plu~the
normal pennitfee, which ever is.greater. '.'
OR
r Ouare a contractor artici atininthePermHFeeAcco.ullISsiemaitdhaveade
ifvou want this processed throughvo.ur account 0
~'
/"
check here
.. ,.
Job Addre$s~6'1L[ W'S~
O\V,Der T", '\i t~ t(:.. Qib~~Contractor
~le Family DDuplex'DMU~lti,;,Fa~UY
. '.D' tad-. i.. . 'h' .... .....
ae~
. .
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink _
Water Heat,.. ,
o Gas~lect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
~,
DrinkFtn
Wait.S!.
Ice Chest
Exam Sink
~
Catch Basin
Wash Fin
Urinal
Gar Drain
j
"
~
· Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local. Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
Surgeons Sink
Breakml'Sitik
Dip Well
.~
---
,~PY!l)' Sink
..Hi1!,\~~~i~ls'
F PrepSlrik
.SelVSink
. Int'Q,rease. Trap
,cExt.Qj:!:lise'Trap
. .
RP.Z;,Valve
.~hamp'Sink
"F1rlWsISink
. ". . . Detltict1\1eters
.......... i /...... W;rnugeM..
~leclrlc!;D.tl\lt~tionVerll~'fO"m attached
. (It...",_ t) M--
Soda Disp
Coffee Maker
Ice Maker
Site Drain
-'---
RQOfDrain'
.~
StlIndP Rec
EyeW~hSIn
WtrSewer,Mtrs
Sterilizer
Misc.
Fixtures
Electric Contractor
Use I Nature of Work
Material
Type
Sanitary Sewer
:Btonn. Sewer
\'".
A dJ.
c,<f,
Water Service
4/05
~
OJRkOJH
ON' THE WMER
City ofOshkosh
Division oUnSpeclion Services
215 Chun:h A venue
POBox 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236.5084
RECEIVED
AUG 2 8 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Electric Installation Verification
I (We) . rif-UI'7) e~~C!n~N_e)
t9tJ t<} &Jl- .tJ~2iA
(Address) .. .. . (City)
jl/z
(State)
have been contracted to perfonnelectric inf)tallation~orkf()r . . .
.< (Nameofp
.tthe following address: a :3 .'14 IAJj S~ D ~l;J
(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/CCondenser.
.~ Reconnection or new circuit for replacement Electric Water Heater or.p()wer vented
water heater.
Reconnection ofthe Service Entrance Cable, Meter B9x,alteration.sforeceptac1es
and lighting fixtures due to sidingIsofUtinstallation. Note: New Service
Entrance Cables will require a separate permit.
Recormection or new circuit for thereplacementof other permanently wired
appliances! fixtures.
New circuit forthe addition..ofA/Cfoaflindividttaldwelling. unit (hotiseor . the
individual systems inaduplexor~ondominiu.-n), including required service
electrical out1ets~
Other
The value ofthis work is$ \ 00 . O()
. . .
~ '..' 0"
J hereby verify this wotk.will heperfonned.byan em.ployee..ofthis company and. further verify
the reconnection I installation will be done incompliance with manufacturer and Electric code
requirements.
~l!~?
(pate)
5/02