HomeMy WebLinkAbout0126674-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 540 OTTER AVE
CITY OF OSHKOSH
No
126674
PLUMBING PERMIT - APPLlCATION,AND RECORD
Contractor J RASMUSSEN PLUMBING INC
Owner KEVIN R DAWSON/JENNNIFER D NEUMEIER Create Date 09/1012007
Plan
Valuation
Issued By
Category 411 - Residential-Water Heaters
------.------~-----I
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sanitary Sewer
Size
Storm Sewer
Water Service
Material
Standp Rec
Ice Maker
Gar Drain
Soda Disp
'--
Type
#
Conn. Type
$600.00 Plan Approval
/2//?t,o
$0.00 Permit Fees
Parcel Id #
0202140000
Address 1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Duplex 1 Replace electric water heater. EIV provided by Drexler Electric. **DEBIT ACCT**.
of Work
$25.00 0 Permit Voided I
Date 09/11/2007
I
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 sec9re any necessary approvals before starting such activity.
Signature
Date
WI 54904 - 8887 Telephone Number 920-233-6747
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.
09/10/2007 07:11 2335747
J RASMUSSEN
PAGE
01/01
l
C~ty of Oshkosb
In9plilCliem Service:'! Dt"illinn
p 0 Sox 1130
(~ilw9h, Wt 54903-1 130
Phone: (920) 236-50$0
Fax: (920) 2.36.5084
~
~~9lH
I ~ '!>1>\y fOr. P"''''' to do ""d Hl.tall ",. ""Iowi.~ plumbl"" 00'" pronri'" hcrei"- """'.....fu. """"t" conI- to the
Wlt~con(ljn State 'Plumbing Co(k., in !'h~ pcrfortm,\'\ce (If whieh all pm'!:ic!': "€l1'e'l0 1.I,g1'ec, 1:0 ,l1.ld 9re bound b:Y !\l'ud !iltattrl:erl.
plumbing Permit Application
.. A.{3pliC:3l'i:on(s) and. f:c.e(s~ lUllt be brought t.CI City Enll, Rool1-l :lQ5 01' mailed t~) l\,spectlon Servicos, PO :Box 1128,
O~hkoab WI .54?1)~-1 n>?. C01nroencing worK wit.hol'!: pen'l:ljl:(s) wm refi\ll!: iJ, fees he.;\lg dOli bled 01' $100. 00 ~1:U5 the
oorll3s1 pe!1.,oit. fee, wbi.dl. ever is greJlt.QI', . /~....-
~":c=-U<iJW.i11lLi"JM1'.<LlIili · _ ~""J..SL<$.<."'-"".W<.Jlg"g.. W.........tJ<.i!clJJ.m
U_)lQU~tll.....i!J..I/i..J]r..!.'!...~f!.~ll./!....tb!.Q!!.g1U'.Q...Ill:..?.Cli.QJI.'I1L~...t!S~Q!
Job Addres~_.5.j~_...,-,_9tt~[:~.-
Owner ...._._j)_~.5 ~..~-"~.~-
OSingle J.~9mny ~DltpRn: O'MUllti-FamUy
V ah~~ (ll\Cllldill!! IRhol' .ll(lI"(lRtc.I'i~I~L_~..,"6 D.C- ~_ paC',f:, __..1 ~,_ J '!J 'I ..
.,.,,:ro...€- PlS!V'~ ~,J_-.PJ-d-!-..;t ~-~
ORental OC~mmerdal OJndustr-hd
(:4)n1l:1'1lIctAlfr
&tMlth
'\,I\I1tlr1r"'1l1
b,vR.1IClry
T(l.lo!ll'
R,e.~, Sill\<
Bflr~il1k
Wllte(Hmco' (
1.1 (lll~ ~le\':'l \.i'p.~rv~,
Shower
F!O('lf Dmin
L1l4ry Tmy
L~b ~inl(
l'laRter Sink
SI:l\1;li~
M,~c.
Filll11r()~
El~tJ.ie Ctmtrartmr _"5? ~-:;;;:'L~~"===-=~--" .~ "'-oEi~;;i~-i;;t~I~~rl~~ V erifluri~n form attacb.e,;
(If ~.cpIBct.me:t\l)
Use I Nature ofV\'oft"k..,~&.t.J..~-~-~~....~.. (. ~~ W 6-f
__0J00'_._""_'~-'''''-_.''_._''---'-------''''_._------''''
j)'~OO~l\1
( (~vr A. t-l-
Number ofFixflI)res:
WA:-J
~ofr:t.yP
w~-fi.
~in
l)l~I1"'aAl'IlI'
1:;1l\'I'\JI 'f'1'"'1'I
1:\it.~I'l\l'IOri"d
W\\I'el'3c,.l'tll""
dvo ,.) ~
CIOI'bc:,~ W~IH'
~ ~~l//c..-~ '/,JDrk
"k~t.
Lor.al WS!#C
~ Milker
T:lid~1
Be-oCr ,. n~)
)) I\.,L. X ( lQ. J"
{ foLV-tl'lt:'c,
.11
l(;
C:l~ssl'l\' Billie
51.lrgr{'l119 Rink
l:r,,~kn'l} SiTlk
!;l\~\
rMtr~
~.~
Dil'Woll
r~n~~ mh~
:MlrR
~-: S::;----si,;;------M.;;;;;-iAi--"- T~"-.-.-O;;;;;:O:-Vl'"1
StOtm Se:wlllf' I
WatecSei'1lice I
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l.l/(\~\
SEP-11-2007 07:18 AM
P.02
~
~
CIt)' \lr Oshkosh
pi..:.,;.....,. vt-lu~..."Liull :]",. .,;'.1:.3>
21 S Church.A venue
PO Box 1130
OshkDsh WI 54903.1130
om~e 920.236.5050
Fa>t 920.23(1-5084
Electric Installation Verifieation
[L~C.'Tte I C
(Electrical Contractor Name)
PiCl<E'TT
(Address) (City) (State) (Zip Code)
havc been contracted to perform clcc,trlc 11lstallatilJII WV1"k for ._~.":S-: Y~.5\)..).s ~.L~(/\IVl ~ ',JII,
(Name of party contracted to)
.
I (We)
D (L~ XL r;-rf.
yqo
& Ro
FF
WI,
st-l q Ir- tf
~t the followinB ~ddresE:: __ sLI. o-H f;,.-onI'l. - . A'\./~
(Address where work will be pcrfonned)
TIll::: I\jdUI t: uf the:: wurk consisls o'f. (Check One or Dt~r.cTibe the Nature ot Work)
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
~ ReconnE,'.~ ti()n OT new' circuit tor l'splacement Eleotrio \VutCT Hcntcr 01" T'O\lv,-.r vcntc.d
wat(~r heater_
Reconnection of the Service En~rance Cable, Meter Box, alterations to receptacles
~nn lfel1tine fiytures due to. !i!iding J ~offit installation. 'Note: New Service
Entrance Cables will require a separate permit.
Reconnection OT new circuit for the replacement of other permanently wircd
appliances / fixtllTft!';
New dn'lI.iL rVl thr;; <.'ll.1Ui.liuJl uf Ale to an tmltvtdual dwellrng unti (hOUSe or the
indiviJual systems in a o'llplex or condominium), including reql.iired service
electrical outlets.
Other
The value Oflhis work is $ 6-0.-
I hereby verify this work will be performed by an employee of this company and further verify
the l'econncction / instal1ation will be done in compliance with manufacturer and Electric code
requirements,
~'LLff' D l VtetrVLBe
(Print Name of Officer)
~ -I 0 ::QJ_
(bate)
5/02