HomeMy WebLinkAbout0128277-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1051-1061 W SOUTH PARK AVE
CITY OF OSHKOSH
No
128277
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner PHILLIP R RUEDINGER Create Date 12/26/2007
Category 440 - Industrial-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature MULTI FAMILY (#1061) / REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY SCHAFER ELECTRIC ""debt acct
of Work
Valuation
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1307340900
$400.00
$0.00
$25.00 0 Permit Voided I
Permit Fees
Plan Approval
Issued By ~)~
Date 12/26/2007
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
Date
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.
i
12/19/2007 10:01
2336747
J RASMUSSEN
PAGE
01/02
Ci~y CifO~hk(lsh
1.n:'Jl'leolloo Services l)i\Jjf:\io!l
P 0 B\:I.x 1130
O~hkosh, WI 54:903..llJO
Phone: (nO) ;236-5050
Fax; (920) 236-5084
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Ph.nnbing Permit Application
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12/19/2007 10:01
2336747
J RASMUSSEN
PAGE 02/02
~
OJHI<QfH
ON ,...~ W^'~~ --
Cily ~r Oshkosh
[)jvisi<:m of Inspection Service.
215 Chllroh Avcn\l~
PO BOl( IIl0
O~hlco8h WI S4902.1130
Office 920-2]&-5050
Fax 920.235-50&4
Electric Installation Verification
j):}{We)
j~~~J~'
(Electrical Contractor Name)
IPSI, 'I
(Address)
dpd/l
71~
(City)
dl-.
(State)
SY9~:,,_
(Zip Code)
have been. contracted to perform electric installation work for ~ J:/~__~.
(Name ofpany contracted to)
at the following address: JO~I IU__~ ~
(Address where work will be perfoimed)
Th.e nature of the work consists of: (Check One or Describe the Nature ofWark)
_ Recomlection or new circuit for replacement Heating Plant and/or NC Condenser.
~Reconnection or new clTcuit for replacement Electric 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 other pennanently wired appliances I fixtures.
Other
The value ofthis work is $.. &O'~
I hereby verify this work will be perfonned by an employee of this company and further veri fy the
reconnection. / installation will be done in compliance with manufacturer and Electric code
requirements.
2d;~~
(Signature;:: of ompany Officer)
~-fd" ~~-f~
(Print Name of Officer)
_L~::_k.::_p 2_
(Date)