HomeMy WebLinkAbout0127683-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 450 N CAMPBELL RD #D2
CITY OF OSHKOSH
No
127683
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LAVERNE RAK TRUST
Create Date 11/06/2007
Contractor SAMMONS PLUMBING
Category 410_: Resi~e_~i~~i!1teri~______________ Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature jCONOO-(UPPER) /INSTALL ELECTRIC WATERHEATE"R;-EiVSIGNEDBYSOM'S-ELECTRIC-;;;;debtacct-
of Work
Valuation
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1608710309
$600.00 Plan Approval _~___~~.QQ Permit Fees___ $2~:2Q D Perl11~t'y~i9_!~dJ
Issued By ~S-
Date 11/06/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address 522_W. MURDOCK AVE OSHKOSH.._ I/VI 5~90L - ~2_9~__ Telephone Number 231-9880
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
FROM :SAMMONS PLUMBING
FAX NO. :9202318485
Nov. 05 2007 06:08PM P2
.~....
~
~
City of Oshkoab
Divi.~iMl of Inspe<llion Scrmcs
21$ Ch\lt9h AYCtIuc
PO Box 1130
Q9blrosb wl 54903-1130
Office: 92o-~36-SOSO
FlIX 92O-236.S084
Electric Installation Veritication
I (We)
Slim's Electric Inc.
(Electrical Contractor Name)
2608 Qa.l-wood Cicle
(Address) _.: .. m' .
Oshkosh
(City) .
WI
(State)
54904
{zip' Code)
have been contracted to perform electric installation work for Sammons Plum.
(Name of party contracted to)
at the following address: 405 N. Campbell Rd. Apt D..2
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
...,..-- Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
X Reconnection or new circuit for replacem.ent 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 / soffit installation. Note: New Service
Entrance Cables will require a separate permit
Reconnection or new circuit for the replacement of other pennanently wired
appliances / fixtures.
New circuit for the addition of NC 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 $ 65.00
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 Electric code
requir ts.
David A Y oungwirth
10/29/07