HomeMy WebLinkAbout0127393-Plumbing (water heater)
e CITY OF OSHKOSH No 127393
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 11101114 W 20TH AVE Owner TENNIS VILLAGE APTS LLC Create Date 10f22f2007
Contractor J RASMUSSEN PLUMBING INC
Category 411 - Residentia!~Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrfWst 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
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/G rind Drink Ftn Serv Sink Soda Disp
EIV provided by DrexlerEiectnc~-'*DEBITACCT*;'.-------------- ------
~-f112 Apt 4 / Replace electric water heater.
I
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!
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
Sanitary Sewer
Storm Sewer
Water Service
$600.00 Plan Approval
____m___~
________lO,OQ
$25.00
~~._--_._-~
Permit Voided
Parcelld #
1307120100
Permit Fees
Date 10f22/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 1914 GREENBRIAR TRL
....-.- ~-- -
Agent/Owner
OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~
10/20/2007 14:51
City (lfOr,hl~()sh
In.9~~.c\;iel'l Servi<:cf! ni"i~'ll1n
!l 0 l;l."(1J( 1 \ )()
()::ihk.osh, WI 5490:} 1 '.':\0
Ph01!Cl; (9:2()) 236-5Cl:'5()
'Fax: (t)20) 7.36..50\'(4
2335747
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PAGE 01/02
p~umbuog Permit AppUcatiora
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:Bill' (~iI'\11
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flE"C-TR lC
(Electrical Contractor Name)
Pi C-.l<.e-TT W.I(
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for~ (2As~us.S' W pl \S~/~
(Name of party contracted to)
10/20/2007 14:51
~
~~
I (We)
2335747
J RASMUSSEN
PAGE 02/02
City ofO~ll1cos~
Di';'sinn oflnS'P"t:tlon Services
215 Cllureh ^ wnllC
PO Box Il~O
O$hl:Mh WI S4903.11 ~O
Oroce 9i!O.236-S0S0
F3Jt 920.236.S0S4
Electric Installation Verification
D (L&? XL t;" r<..
yqo m {<O
FF
stiq~ if
/ / J }.. W 2, D ~, .Jt-11..::t '1
y .--
(Address where work will be performed)
at the following address:
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
-.x:.
Reconnection or new circuit for replacemenf Heating Plant and/or Ale Condenser.
RecoxmectiQn or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations. to recepta,cles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a dupiex or condominium), including required service
electrical outlets.
Other
','
, : ~::
"Il
, "
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The value of this work is $ ...:;;.'
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 complian,ce with manufacturer and Electric code
requirements.
~'LLI f' Dr. ]),e.i:;'}(LEII:
(print Name of Officer)
J 0- lq~ol
(Date)
5102