HomeMy WebLinkAbout0127409-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1325 GEORGIA ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PLYMOUTH CONG CHURCH
Contractor 0 R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature COMM 1 REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY MY ELECTRIC "check #4278
of Work I
Valuation
Issued By
Category 440 - Industrial-Interior
No 127409
Create Date 1 0/22/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Agent/Owner
OSHKOSH WI 54904 - 6873
Address 1865 JAMES RD
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
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink FIn Serv Sink Soda Disp
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Plan Approval ____~.Oil Permit Fees _____ $25:00 DJ:~rmit Voi~edJ
Parcelld #
1306980200
Date 10/22/2007
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
Telephone Number
Date
920-589-4014
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.
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Electric Installation VerifieatioD
I (We) \N Electric Col:p.
. r ..---
(Electrical Contnu..1:or Name)
151~ Rugb.YAL
(Address)
Oshkosh .
(City)
WI
(State)
54902
(Zip Code)
have been contracted to perform electric installation work for jlR Glaze Plumbin~
(Name of party contfa(.,1:ed to)
--,
at the fO~11lg address: .~~rp Sl., -.-,
(Address where work will he performed)
The nature of the work consists of: (Check One or Describe the Na1:ul'e of Work)
Reoonnection or new cm..~it for replacement Heating Plant andlor file 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 r~eptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reoonnection or new circuit for the replacement of other permanently wir,ed
appliances I fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is ~~-__'
J hereby verify this work will be performed by an employee of this compmy and further verify
the reconnection I installation will be done in compliance with manu:f&..-turer f!Ild Electric code
requirements.
~~
1St. of Co cee)
~Qlmvbauer
(Print Name of Officer)
~20r 2007
(Date)
TOTAL P.Ol