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Home My WebLink About0127511-Plumbing (water heater) o OSHKOSH ON THE WATER Job Address 1373 W 18TH AVE CITY OF OSHKOSH No 127511 PLUMBING PERMIT - APPLICATION AND RECORD Owner BEVERLY D DOBBINS Create Date 10/26/2007 Plan Category 411 - Residential-Water Heaters Contractor RAPID SOFT LLC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures 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 Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Use/Nature CONDO UNIT (LOWER) / REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY THE OWNER (Beverly Dobbins) "check #15158 of Work Size Material # Conn. Type Type Sanitary Sewer Storm Sewer Water Service $0.00 Permit Fees $25.00 D Permit Voided I Valuation $500.00 Plan Approval Issued By ~ Parcel Id # 1307302500 Date 10/26/2007 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 N1284 CRANDON CT Agent/Owner GREENVILLE WI 54942 - 9750 Telephone Number 757-6130 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 plumbing Permit Application I hereby apply for a permit to do and mstalllbe following plnmbing un the premiseS hereinafter described. the wnrk to eonfono to the Wisconsin State Plumbing Code, in tbe performance ofwbich all parties.hereto agree to and are bound by said statutes. $ Application(s} and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 f28, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR f 'Oil are a COil tractor artid atin in the Permit Fee Account S stem and have ode uate unds check her< vou want this rocessed tllrou It our account Owner Value (Including labor and materials). ~~ - i?: .~ b l -"' <:0,- "?+- l' I DRental DCommercial Date /C>.!~~ , Job Address )s73 IfP~ rA:'>~";-'-s ~ingle Family ODupJex c'oN()() Lower"" Contractor 4-L.-C DMulti-Family Dlndustrial Nu.mber of Fixtures: Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Lndry Standp Disposal Dishwasher Sump Pump Ejector/Grind Waler Softner Local Waste Clothes Wshr Bidel Beer Tap Classnn Sink Surgeons Sink Brcaknn Sink Dent.Oper. Shamp Sink Dip Well Flr/Wst Sink Drink FIO Caleb Basin Wait.SI. Wash Fm Ice Chest Urinal Exam Sink Gar Drain Seulry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink lee Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Slandp Rec Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater .-L- ::: Gas V'l'!ect ':: pwrVnt Shower Electric Contractor OR ~.Iectric Instalbttion Verification form attacl ~- (If Replaecmenl) . Use I Nature of Work 'O//~C-. e fe:!'c-fI!V. <; L~ ..... f-.,p,r h c:-~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Mas ~..; '01 09: 40a CodE! EnForcement 920-236-5084 ,.,.2 (f) otf!:Q/.B OIy ofOshltoslt Division oC,-tion Services US Cburcb A_ PO Sox 1130 Osbllos" WI S490J-II'O O~ 920-236-S05{) Fu 920-236-S084 I (We) Electric Installation Verification J -':;>0 i:, b ; .-,. .) (print homeowner(s) name) the homeowner(s) of I ' ? '7 .$ / [? -a 4...,--c (address where work is to be performed) accept the responsibility for performing the electrical work as stated below for the property listed a~ve. ' The nature of the work consists of~ (Check One or Describe the Nature of Work) -X Reconnection or new circuit for replacement Heating Plant andlor Ale Condenser. Reconnection or new circuit forreplacement Electric Water Heater. Reconnectionofthe Service Entrance Cable, Meter Box, alterations to receplacJes and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit Reconnection or new circuit for other permanently wired appliances I fixtures. Other The value oftbis work is $ (') I hereby verify this work will be performed by me and further verify the reoonnection I installation win be done in compliance with manufacturer and Electric code requirements. ~LfJlA ~ fJf!'-;(~_) Homeowner(s ignature /0/';>6/ C '7: r f mate)