HomeMy WebLinkAbout0128229-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 14091411 W LINWOOD AVE
CITY OF OSHKOSH
No 128229
PLUMBING PERMIT - APPLICATION AND RECORD
Create Date 12/19/2007
Owner KLRR INC
Plan
Category 411 - Residential-Water Heaters
Contractor J RASMUSSEN PLUMBING INC
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst 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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
DUPLEX (1411) / REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY SCHAFER ELECTRIC <<debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1216190000
Use/Nature
of Work
$25.00 0 Permit Voided I
$0.00
Permit Fees
Valuation $400.00
Issued BY~
. V
Plan Approval
Date 12/19/2007
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.
Date
Signature
Agent/Owner
OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
Address 1914 GREENBRIAR TRL
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.
12/19/2007 10:06
2336747
J RASMUSSEN
PAGE
01/02
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CHy of Oshk(l8h
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P' O)3ax 'I DO
Oshkosh, Wl 54903-ll30
phONe: enO) 236-5050
1"IIX: (920) 236,.SmH
ctJ
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PI un,bing Permit Application
] b.r::reby 3;pply for ~ pennil b) de ~1.i1.d inl'ltllH ~:lle Ii.lnowi~v. plmmhil),g OIl th~ rrr.;rii~,e::'1 hc,r{:Dllaft~r dC!K:ribcd, th'l work t~ cQnf(lwn to tI,e
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1= r1'.:1l S;',1: Con\l1'. 1,:1: Maker
3-erv ~~)ldC; -"it1~ Drain
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12/19/2007 10:05
2335747
J RASMUSSEN
PAGE 02/02
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City or o~hk<'>!lh
l);vi~M of 1",<)'o<lion ~i~~~
?1 5 CIIuroh ^ venlle
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Oshk""h WI ;~9(l:;H I ~()
Office 9?()'2~{,.~()Sfl
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Electric InstaUJtion Verification
I
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)?f{We)_~~,l,.~
(Electrical Contract.or Natne)
---4-3~1' ~ ~tL_-~--~~~
(Address) '."/~ (Cl't.y) (State) , (Zip Codl';:)
have been contract.ed to perform electric jnstal1:l.ti[OOfk for ~~-=--.._---_._, ..---. ---'
(Name of party contracterl to)
.
at the following address: .~_._t..~ ., __,__._-.',"----,"..-.-.-.. _u_..... .--'
(Addrr..ss here work wm be per.foimed)
.----'..--.--
,"'_ Reconnection or new circuit for eplacement Heating Plant and/or Ale Omdenser.
"7 Reconnectjon or new cin~uit for epJacemellt. Electric Water Heater_
Reconnectjon of the Service En ance Cable, Meter Box, alterat.ions to receptacles and
lighting ~)(tures .due to sidinb / so~t installation. Note: New Service Entrance
Cables will reqUlre a 5cparatb penUlt. .
Reconnecti.on or new circuit forlother permanently wired appliances I fixtures.
Other I
I
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." __.., .....---1.-, "...__'_'_' ___. ,__._.' ..,__." .,........___..._...._...'...0
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The nature of the work consists of: (Check One Describe the Nature of Work)
---~==~~=-[----~-='=====-==----
I
The valu.e of this work is $_.~.Il..' ~__, .,___,'
I hereby verify this work will be performed by Ian employee of this company and fut1her verify the
reconncctio:n I installa.tion will be done in compliance with manufacturer and Electric cock:
:requirements. i
l..t"4~'" J...,:i.o=-. -_~
I (Print Name of Officer)
Idt:.4it:a .'
(SIgnature ofC pany Officer)
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