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HomeMy WebLinkAbout0097774-Plumbing (water heater) "" "1l G CITY OF OSHKOSH No 97774 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 452 HIGH AVE Owner DENNIS E SCHWAB Create Date 10/07/2002 Contractor RASMUSSEN PLUMBING Category 411 - Residential-Water Heaters Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 - - - - Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 - - - - - Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 - - - - Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 - Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 - - Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 - - Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature MUL TI-FAMIL Y/ Replace electric water hetaer. *EIV form from T Ruck Electric. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer o o o o o o o o o o o o o o o Water Service Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 Issued By KM Date 10/07/2002 o Permit Voided I In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Address 1914 GREENBRIAR TRL Agent/Owner OSHKOSH WI 54904 - 8887 Telephone Number 920-233-6747 ... la/0S/2002 07:15 2336747 J RASMUSSEN PAGE 01/02 (::i.V nI (:."f !;:Oill> {~'~~~'P~N.I.:i:i{in S~t',~it~r~~ f1i vi~,i.(i.n p (', ;4,;:;-):. i 'I.:W ':.}r-.h1(.::,~j'l, 'Wl .14:)(' )..'j '~.3() Phone (<)7.0) :tk. ~()",.. 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""'I-:'V> I~Jrj~ ht~t~.1.a1~1m ;~/erifk;:l.t.ki~ form ~U#).t.:lu~~ ('I' P,I:pIM.;r::ITlt;j;j ~ n~~(> j N~t~~r~: 4)\ln',hi':wi(. ._ _....._~~. !-::~~-~,.........E~<;).(~~_._.J;.!.~b...H.~.~. I ':'~::'l""I'1'''.l~.~' o,....z.(... '....r ._."', "'v" I .., . I '....'-On).. 1"\-"'1' I )h. J ". I ~.. "L "v~! ;~J'r"r : :l~'i''ii.~:,' "."" .., .. . ,,,.... :3r~:'.~ rvi...lt~l'UI' '.n ...... ... '~-_.".j~ ;~;~;;M'_"_' .'.~, .~-_. ,~. ~;." ~''''---''.'' , <~:;~:;~,;--;i:~/~;;... i I ",'. .....-...., "'"''''.'''H''._''' , ............. . .. ..i :~ I", ... 1~/08/2002 07:15 J RASMUSSEN 2336747 18/64/2002 e4:24 9202332728 'TmJCKELECTRIC .~ ~ ~ r:~ oro.tltn tlMaln lit....... c..... In,~,,,,_ ' PO lIoIl mo ~ 0IIla"" WI M902..f UII ""'" laN.'f.SOSll ,... -.u...... Electric In.taDatlon V erJn~atioD (I) (We) ~nl~'~~1 (EJeclrk:aJ Contractur Naane) .' ~. "I . ~.:;b I.A \. '3~ 5;J-; (Addms) O~L (CUy) ... l.uU(.,;. \~~ (Stlhl) (Zip Code) have been CODtnlcted to per(bnn clecbie installation work for ~hlAl eJ..1 ~~~ . (Name otpany contr~ t~) -, 4~'7- ~ ~J- ' ' (Address where work wi.. be: perfOnned) at the following address: . The nature or the work consists or: (~ck One or Describe the Nature of Work) -, ~etonnectiOD q,r new circuit fbr replacement HeatinB PI-.t and/or Ale Condenser. L Reconnectfon or-new c:in:uit fer l'eplacement Electric:: Water Heater. Reconneetion uftlte Service Entmnce Clble. Meter Box, alteretions to reeept4lCles ..,d UPliftg fixtun:* due to tidins I somt installatJon. Note: New Sel'\"ce entrance Cables will require a SeplUlltc penniL Reconnection or new ciroui( for other permanently wited appliances I fixtures. , 'Othet ' - The value of thi. worfc Js S ~(J. tb f hereby \'c:rify t~lis work wifJ b. performed by an employee of this Cc>>nplU1y and further verify the retODnection I msteU.tion wilt be done in compliance with manufacturer and Electric code requirements. . ' ~~~ tRucK (Print Name: of Officer) /O~~"- :"l I' PAGE 02/132 PAGE B1