HomeMy WebLinkAbout0126651-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 550 W SMITH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DOROTHY F FIRL LIVING TRUST
Contractor J RASMUSSEN PLUMBING INC
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Category 411 - Residential-Water Heaters
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc;
Fixtures
Use/Nature SFR / Replace electric water heater.
of Work
No 126651
Create Date 09/10/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
._.m_.~__~_.___.____~_~__.m_----I
EIV provided by Drexler Electric. **DEBIT ACCT**. I
I
I
J
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
Parcelld #
1219720800
$600.00 Plan Approval
~
.~.oo Permit Fees
$25.00 D Permit Voided I
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.
Signature
Agent/Owner
OSHKOSH
WI 54904 - 8887 Telephone Number 920-233-6747
Address 1914 GREENBRIAR TRL
Date
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.
l
09/10/2007
05:55
Ctt;y t:!f:OsbkoRh
in5~Iii\"ln Services Divisit'll
fl o Sox 1 \30
~~Qsb,VVJ54903-\\~O
Pho:AC; (920) 1..36-5050
Fa,.;: (920) 236-50R4
2335747
J RA91USSEN
PAGE
01/02
(IJ
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p'umbing Permit APplication
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Job AddJ'.e5S_.5SO-,--~~ S.,,-~.i1-
Om\-er _._",.B~~----..~----'~ COl1ltradM
Os;ngle F~lJn\ly OOltp,n: OMulti-F:\\lI\lU"
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ORent.~ []C(fI\mmc,etlll DXndustri9.l
EI.edrk Inl5ltaUatiolm 'Verificati.-.n for700. Mr.atlled
(Il'Rr'l~la~!ne\1t,\
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Sizt.. Ml)r;ri;\]--""'--'-"".'"Typ';'-'-"'-'--"'#'--'''' "-'-{S~;;:1;yi;;l
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Wl\,1:err Serllice
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.Number QfF;J:t1]~.eS1:
"$atllttlh
WI\lrlptlOl
1..3NEU:ilry
1<1,101:
'Res. SIIIle
~4t ~in~
WRUM lo{Ql!tCI' _._.,,1--
IJ 011' ~\~m \,1 \'wr\l"t
Snower
Floor T))'Bil1
t.I'ldry 'lTil)'
T..~I> SInk
1"la~lel' Sink
St~;li:t~T
Mil1(;.
Il!l(Nl:OR
Electri~ Contrlll(',lA.ll'il'"
D;~\'lOAP.l
D;~hw:;~IIt\..
S,'rtIl' t>l1m~
I',;<:,,,,,:(\r!<.;rill~
W ~I'"'' :,\ot'tJlC:r
l..ncft\ W~IltC
C:\(\lh('~ W~hl'
Bide!',
B~ell~
C1~:::-~nl1 Sil,k
SII\'~r,on9 Soil')\(
~I~~krnn Sink
DI~'lfJe\l
no~~ Rib!;
Dri1\\< i'tn C'.Mch !3alfjll
'7>l~iL St" WMh !'Its,
lcA~ (~1~,llt, IJrll'la\
Jl:'nmI>ink (l~r (~1'A,i"
5(;u\v~ $1\1\( S~ t)iRf'
HlI1,dSill\c Coff~ M..I~r
!< T'rOfl Sif')~, Cell)"", lee MAleer
~/Sillk flite Drbln
1.lll(ll'cJlM'T.....l' R,-,ofOI'l\in
~.Kt GI~:AA(' Trap !ilt"l.\ldp,ft",'
1l..1'.7." V~lv~ \;,:,yo WQ~h Stn
t~hllll'\l' SllIll WI~' Sr.:",er fylln:
rlff\N~t :,;:;,,1: Oerhl/:l, M<ltCrA
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B9/1B/2BB7 B5:55
2335747
J RASMUSSEN
PAGE B2/B2
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Chy ofOsh1c<'l~h
Oh.jlion of lns-pcclion Sl!I'IIiCH
~15CbUl"l;:hAven\le
PO Bolt 1 130
Osbko.h WI 54903-1130
Offi"~ 920.;236.5050
1'." 920-235.5084
Electric Installation Verification
I (We)
[LtC-Tt( lCo
(Electri,cal Contractor N aroe)
~qo & ((0 FF Pi c..l<eTr W;J:.
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation worlc for -:;: t:A,...V.:A:l s.J ~-y ,
(Name of party contracted to)
W. ~Mt~
D(t.~XL.~~
s4q~tf
at the following address:
~sD
(Address where work will be performed)
The nature ofthe work consists of: (Check One or Describe the Nature ofWor.k)
Reconnection or new circuit for replacem.ent Heating Plant and/or AlCCondenser.
-A Reconnection or new circuit for repla,cement Electric Water Heater or power vented
water heater.
Reconnection of the Service En,trance Cable, Meter Box, alterations' to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
indi.vidual SY$tems in a duplex or condominium), inclu.ding req'uired service
electrical outlets.
Other
"
,.'
"',
Tb.e value of this work is $
.J!fJ - t;O
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electri.c code
requirements.
~
R,LL/,o D ( V.ei::"<LBe
(Print Name of Officer)
1- 3D -01-
(Date) .
5/02