HomeMy WebLinkAbout0126683-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 2534 VILLAGE LN #D
CITY OF OSHKOSH
No
126683
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JOHN T/JEANNE ELLIOTT TRUST Create Date 09/10/2007
Category 411 - Residential-Water Heaters Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int 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 SAMMONS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CONDO UNIT /INSTALL ELECTRIC WATER HEATER (per Sammons verification by owner) <<debt acct
I
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1320900000
$0.00 Permit Fees
$25.00 D Permit Voided I
Plan Approval
Date 09/11/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
Address 522 W. MURDOCK AVE
WI 54901 - 2298 Telephone Number 231-9880
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
FROM :SAMMONS PLUMBING
~n}2. ZOUI 1:27AM
FAX NO. :9202318485
inso~ct;on servic~s
Sep. 20 20~7 04:23PM P2
N.~. 4920 P.1
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Electric IDstallation Verification
10W~ John Elliott
(Electrical Contractor Name or Homeowners Name)
2534D Village Lane Oshkosh WI 54904
(Address)
(City)
(State)
(Zip Code)
accept the responsibility to pedoon the electric work as statedbn.Jow. at the following &ddress:
2534D Village Lane
(Address where work win be: performed)
The nature of the work consists of: (Check One ot Describe the NatI.1re of Work)
-
x
Rceonnection or new circuit for replacelnent Heating Plant and/or Ale Conden$er.
.Reconncction or new circuit for replacement Ele~tric Water Heater or power venred
water heater.
Recommction of the Service Entrance Cable, Met<< Box, alterations to fCc:q)taoles
and lighting fixtures due to &idmg I soffit installation. Note: New Service
. Entrance Cables will require a separate permit.
Reeonnectio.n or new circuit for the replaceJDe%ll of other permat'lcm1y wired
appliances I fixtu.re&.
New circuit fortht addition of Ale to m indfyldual dwelling unit,. including
required &8JVicc electrical outlet!. Note: llomeO"NneTS tan only do ,heir own
; ,l_ctrie on IJ sIngle fomJ/y owne, occupied home. Work 0" a condominium.
dupla, ,.ental, or multi-us. bJliJdillg would require a li~eMed Electrit.."al
~~~~ .
Other
The value of this work is S
60.00
1 hereby verify this won: will be performed in complia.oce with the License rcquimnents or
Section 11-22 of the Oshkosh Municipal code aM further verify the reecmncction f instaJlaUon
will be done in ~mpliance with manufacturer and Electric code :requirements.
Johl1 I
(him Name)
ef!r47! /'-t .V ?d5IO-j
(DtIt$) I 7"
(f7/07