HomeMy WebLinkAbout0091035-Water Heater
<, e CITY OF OSHKOSH No 91035
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 139 HIGH AVE Owner KLRR INC Create Date 10/31/2001
Contractor RASMUSSEN PLUMBING Category 441 - Industrial-Water Heaters Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Wait. St. Shamp Sink
Clothes Wshr Ice Chest Flr/Wst Sink
Bidet Exam Sink Catch Basin
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Replace electric water heater. *EIV form from Schaeffer Electric.
of Work
Valuation
Issued By JcW1
Size
#
Material
Type
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
$400.00
$0.00
Permit Fees
$20.00
Plan Approval
Date 11/01/2001
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
OSHKOSH
Telephone Number 920-233-6747
Address 1914 GREENBRIAR TRL
WI 54904 - 8887
NOV-01-01 THU 11:15 SCHA~ER ELECTRIC INC.
414 725 2138
P.01
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Electric Installation Verification
(1) (We) j - J I t1 /1 ...- ~ _u--------.- ~___~.-
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(Electrical Contractor Name)
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have been contrac:tt.~d to perform electric installation work for ___~.~._ "0" ._'
(Name of panytontracted t())
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at the followin.g address:
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'- - ..- . - (A~id;.ess wher~ wOlk will be performed)
The nature of the work consists of : (Check One or Describe the Nat\.lre of Work)
_.__/Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
_LL:' Reconnectioo or new circuit for replacement Electric Water Heater.
ReCOIUlE~Clion of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding I soffit installation. Note: New Service Entrance
Cables wjJl require a separa.te pennit.
Recomwction or new circuit for other permanElntly wired appliances i fixtures
Other
--..--. _._-- -,---- ...._---....._._-_._-_.~..._-_..-.....--...._-_..._-----..-.-..........._... -..... .. _.- -
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-...-----......--.....-...-----..-..---........-_---.-._--.________...._,...__.___........M..... .,. . __, .._......~~_
The value of this work is $._~O_.~_____.
I hereby v,enfy ,this work will be perfonned by au employee of this company and further verify lhe
r~cO~l\Cctlon / lI1stallation will be done in compliance with manu.facturer and ElectriC code
reqwfemerus,
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(SJgru:nu("c OfC~.my'~)-
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(Prim Name of Officer)
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(Dare)