HomeMy WebLinkAbout0127077-Plumbing (booster heater)
G CITY OF OSHKOSH No 127077
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 525 E MURDOCK AVE Owner BRISTOL SQUARE DEVELOPMENT CO Create Date 10/03/2007
Contractor SAMMONS PLUMBING
Category 440 - Industrial-Interior
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
0 Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn .Serv Sink Soda Disp
Electric Booster Heater
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature COMM (piggly Wiggly) /Install electric booster heater. EIV provided by Witzke Electric. **DEBIT ACCT**.
of Work
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Type
#
Conn. Type
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$400.00 Plan Approval
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$0.00 Permit Fees
$25.00 0 Permit Voided I
Parcel Id #
1504830000
Date 10/03/2007
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
Address 522 W. MURDOCK AVE
Agent/Owner
OSHKOSH
WI 54901 - 2298 Telephone Number 231-9880
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 . OCT.. 3.2007
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8:23AM
WITZKE ELECTRIC
NO. 203
P.i
CIIy IlfOsbkosll
DlvI:ion otlllS'\*tiQll Servlces
21 S CIIUlT;h ^ VI!IlI.Kl
pO Bolli 1130
Os\1ll:osl1 WI 54903.1130
Ofli~~ 92Q-1l6-S050
r~ 92.M36-~QB4
Electric Installation Veriflcation
l(We}~lm~ S(ed'ri0.Inc-
(Electrical Contractor Name)
~k.osh 'v\LC 5Jf90(
(City) (State) (Zip Code)
have been contracled to perform electric installation work for Pffjjj!~ W/~
(N 0 party cted to)
155 E. 'Pa.cker Avenu~
(Address)
5as C. /L1L1rdoclc.-
(Address where work will be performed)
The na.ture of the work consists of: (~heck One or Describe the Nature of Work)
at the following address:
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Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation_ Note: New Service
Entrance Ca.bles will require a separate permit.
Reconnection or new circuit for the repla.cement of other permanently wired
appliances I fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or oondominium), including required service
electrical outlets.
Other
I
The value of this work is $ .50 ' 00
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
~~:~ &~ .
(Signature of Company Officer)
~'fV\u a \ '\-
(print Name of Officer)
10/3/07
(Date)
SI02,