HomeMy WebLinkAbout0126652-Plumbing (water heater)
e
OSHKOSH
ON THE WATER
Job Address 1486 W SOUTH PARK AVE
CITY OF OSHKOSH
No 126652
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARY CALLAN
-----------~_._-----
Create Date 09/10/2007
Category !1:L:B~~icl~_~~~I:\I\I?~~~_J:ieater~__ u_ Plan
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
Issued By
ISFR / Replace electric water heater. EIV provided by Drexler Electric. **DEBIT ACCT**.
I
Size
Material
Type
#
Conn. Type
$600.00 Plan Approval
rJ~
Parcelld #
1307440103
$0.00 Permit Fees __ $25.00 0 Permit Voided il
Address 1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
WI 54904 - 8887 Telephone Number 920-233-6747
Sanitary Sewer
Storm Sewer
Water Service
Signature
Date 09/10/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
I
09/10/2007 05:30
Ci,j:y of Oshkosh
in~~ea:it~H Services Oi-.,I:.<l01'1.
p 0 13Gx 1130
O/lhkOl"lt, WI. 54903,- 1130
phonm (920) .236..5<tSO
Fax; (920) 236,,5()~.I!
2335747
J RAS~~USSEN
PAGE
01/02
(~
'-;=;::U' -. '''"T..'-w7'?'''''J-j-:'-\ \.
f .Ifl'--.N~ .-"
.. ...,..:..,. ~
,y~ 1\'1, '\1,). ;rr:f<!
Plumhing Permit Appncatio~'\\
1 _ "PpIY "" . ...,.;1'. do and ,.,101' d10 foll<>"".' p,.mbil" 00 .... ",.m;'~ ,,,,'''',,_. d,"-"beO, t\1O ,,",.. "' COI1<"'''' " ro'
w,,,,,,,,iI, 5- ~I"rnhin~ Cod<, ;0 .'" pmo""';'''' of which ,11 """'" '''''''0 ","," to Md 0'" ""'''''' by'';, ,,",''"'
. hW';.....('1..w fo<('} """ be """,,'" ,,, Cl", HaU. ROC'" 205 Ol' """,,,d '" lo.".cti on S"",IOC'. PO )l". 1128,
Q$bkntlb WI S4lll>5" 1128. ('"""""",olog w<1,k wit""'" p,,,ni*,) will re",,1 h, f..., beiM doub',d or $1 00.00 plU8 'M
~)arool\.\ permit fe.e, Wllicb. ever i:s grelil>1.c;1". /", ~,."
O~ /'
li:.y1l"lug~..1!...t.Q.n..1!'lJ:.( l 0 !:.J2.1!.r.!Jf..ip.a!.i.1J.K1.1LL iJ..~,-..l:~.r.-r!Ujl.J~A ,"f:iU{~L..SJ! Ii.!. ~.n.!"Q('AdJ1.4;! !!.g IJ.df...BJI/.l!.g."f.llL/.d"t......dl..f.~:E.. h eXfl
if..:J!1l.JI..._!J!.fif.11 In.fVl!.!2.f ~~,5.P.!t.1 !:J.t.ft..1J.Ji/1.J' fl.!:!. r:..l..lt.,q Q.EI"l.t.. .<1
Job MrdJ:..._.L'l t'_~-,} ,_~fr!:/( V .hi. (,,,,,,,,.."'~ .~. _".;,,,.J':..~:!!_- Dol". ., -::~
J:i ,e r 'ES' PI ~
0-'" __"_ . _~~--- - c.ntracto, _~.::. ~2J~~:>.:'..~--,--=i-'-,.::t~<::.,-
OSlngl. ".mlly fJl>"PI<o: OMnl;i.F.",lty oR....1 ;g\C........rd.1 O.nd..wol
Nlllmbe.. f!)f .Fh:t:lJln'~s:
n1~I\(\~~' '(Wi1.\( FoLl' CAI:~h B~~ '11'
rli,;b~Mh~,r W"i1.. ~:t W~p.hf:l.I'
Sit"'" ?1\1O\' 1 ~,r, Ch ..,~.;1 l1rl,,~l
~tcc:mr/C.H,.\6 ElI9.m Sink (;9.1' [','Qin
Wa"''' St,t'f:l1<'.1' SClllry Bini, :~Odf\ nl~I'
J..,)c.:\IWa1!t<) H..,',(.ISillk tAlfie,c M ~kc'I'
('.1,."h0~ W.hr r; i,,.r,~l ~HI1\1. C<3n"". k.<) '",~k('J'
Bid~.I: ~I'I' ~'j"'k flirt: D~~";
t:1("'1'1'~p lnl Gt'r.Me '1\"\1\ RI)C'ft)r~i\'
CI!!Mrm 5;inll (,~t (k<:.J\~c. Trl\\) Sll1.\'IallR<),:.
~"rg<"\M 51..'k R:~.7.. V.o,I,,(' 11,y,\ WMh ~m
r~I'''.D.ktll' slott ~h'M\'\]l Sink Wt,. Sc,wc,\" MI'J~
Di'~Wn\1 illl'/W,I. ~;nk f)~d"llt Mr,I).~rj1
Hn~e ~ih~ WIT lb~flC M11'~
BIII!nuh
\"'"id~\)01
l..!I.\:nUlr}'
TCli1ill'
R reo Sl'n\<
j';.:\I'5ill~
Wn~~ y""l/.'>l' I
,..I (ffi~ l,"d!1cct '..Il'wr\lnl.
Sh"wcr
Vlol'l" 011\111
Lnt.b::v 1'ray
l,:~h g nlk
r'I~.ql:c:r BUIlt
:;;l'~ril1t.c.f
Mi~.
l"\1(1111'(.l!1
Ekdrle C"".,....... -= =:.:::::_==-=-"@.---~..,;;ici.~..~II.rt~~ Verlfleo<l"" form ..~dte.i
(If R (.,I'.I:~,m'r\c:tli.)
Use I Nallln c1.~f WQlrl; ..... .___.~~.L~~--.-,~€u....~..-~.,J:}L-.,-..---....--.- .-.....,....-.....---.,---...----......--.-.--.
..-_..-_I.....--~. .- ~- -- ._-
'c - ~i;:;: - - '-M';';;-ri;;'--'--- '1';;:---- - jj". -i-'~';~_T;;';l
Sallllt~lry ,l~wer
$I'Ot'1Yl Sewer
~~""-__~__. . I
_...... _...--.' .... .._".... . _..._...._" . ._ ._... .__ ...... ...__.. ......,...... __... .. .._..".. _....... ...._. .............1
t;Y
~fJtP
ll/n:;
09/10/2007 05:30
2335747
J RASI\1USSEN
PAGE 02/02
~
QL~01t1
1;l"1''''I,,wI''lU:'1Il
t:rlY of Osltkr.>.~
0>11II10>> cf I"'lllC'Cltcn Savicc&
:z I 5 ClII....b A ...n.'l
PO Btl~ 11)0
Olhlcj)_~" WI 54~03.11.10
Office 9Z0.~;6-~O.O
fu 920.2ll>-)lJ84
Electric Installation Verifica.tion
t (We)
t: l E- CoT t( ( \....
(Electrical Contraclor Name)
piC.l<eTi L-JI, r-Yql",~
-...~ --'... -----"""-
(Address) (City) (StMe) (Zip Code)
have been contraf:ited to perform clet~tric installation work fOT:;: ~$II# r/.J$/tV 11v,.. b/~l
(Name ofpm1y contr~ted lO)
at tM fl.ll1uwing address: / 'I Jf' tr. :;. 0 u.(-~ _0tZ.. K t1v-<';~<,
(Address where work wm be performed)
D (?../F XL, rE- re,
~J (<0
FF
yqo
-'
The natll,re of the work consists 0[: (Check One or Describe the Nature of Work)
~
".R,eOQ1'\n<lCf,icm or 1~J;lW ~hf.jujl fur T'1'hlr.e-r.nent .H4il~tins Plrmt 6.nd/o1' Ale Cumlc:nser.
Recol1n~.ti()l1 or new circuit !i.')r replacement .Electric Water Heater or poW Elf vented
watc~r heater.
RecOD.llectiotl nftnp. S/!'rviee lintr::l.noe C"blt;.. Mwtc.r !kIA, ~lu;::nufollS TO receptacles
and J1ghting fixtures due to siding I soffit installation, Note: New Service
Entrance CAbles will require a separate permit.
Reootmection or new circuit for the replacement uf other pcrrn./lncntly wired
appliances I fixtures.
NQ'" (\i~'<luH for th~, ",dditi'lu uf AI\. In ~n ""nmn1JJlIJ dl,'oJJins U7ti~ (bol.ttJe OJ lIlt;
indi'...iclual ~lS ia a aupic'x or condotn.ini~lm). inciuding rcqtLiTCrl Srll "jt,;c
electrical ouLIets.
Other
'i;1e value of this work is $ 52J, ~
.'
t berebv verify this work will be pa%"fonn6d by tin omplo;yc" oftl.i:. wlupany ana runhervenlY
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements,
Q,Q~~
QIt..L( f" D ~ V,e.~ 'l(LI::(
(Print Name of Officer)
~-lt"'c)L_
(Date)
SIOZ
-..... ,- -- ,--' --... ..-.. .-- "..' ,.,.
.... .,
Wd 9S:G0 L~ez-~t-~n~
te"d