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0128368-Plumbing (water heater)
OSHKOSH ON THE WATER Job Address 217 N MAIN ST CITY OF OSHKOSH No 1283x8 PLUMBING PERMIT -APPLICATION AND RECORD Owner DUKE REAL ESTATE. LLC Create Date 01/07/2008 Contractor J RASMUSSEN PLUMBING INC Category 441 -Industrial-Water Heaters Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation _ Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FIr/VYst 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 _ 1 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 Issued By ~~~ Date 01/07/2008 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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920-231-1289 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.. $800.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided 01/06/2008 16:22 2336747 J RASMUSSEN PAGE 01/02 rj° G ~ g"~fT, ;~~;n;a!'eK T1i1,lc,utxi 1119~,'.~G ,1 ' T" {~ Q~ ~M 113Q .«.- r~}•tk°~n~7~, sN- A;4~?'#.• B 134 ,~ ~~~ ~~ ~'ho~t~c: ¢~1?_Ll} 236-Sn,(1 ~"{~li,..l, ,ff,t...,.. ~~a~~~~~~~ ~~~~~w~ ~•~~~~~~~~~~ '!l•:i~~171 9',~ ci'ri a.stsl ~1~st.~zl1 a1tr 1'stllss•,rfTn~•'rla.~t,(It;n.~Y, !eta a~,~ E~~~,~~c' f~f~'s"~r 1<1 ~s~cPLn:a~r 3ta~a~.tic1 b}?s~~.icl g~i,>> 1 xm? 1•.~ tl~e ]' jtc:relliv ~f~{~l~y fc~a• ~ 4 1Rl'lNr,(tmq~at ,rt4.st.tf I'ktntlihiail ".:.s~rJ~.., in, tltc` I~c.ri'~n,~~x+isc crf,'.vlurh A4 Ilt+.rt)..,s - 'SLcA4~.dad.1 ~a~Aa t:ll~; ~e. ~`. 9i.~~~n~,~,G~•~ttd '~ar~u.~.ck1,4~ br» bl'rtv~wR1A't'.[r ~f'.v1:y l~(:1~4Ai•1~I.Q~13~11t(q ~,xri~Vl *n~~olli~~~1~~~ce5 ~~;>rol~ ~~ ~b4ec~ ~P, Q.3~X 1'~~f?+, F:a~x9n~~~ gas~t'or+it: Fer;~, t~kl.~c;l~n e•c~s:l' i,~; ~1'c::~t',cr'. ~,-' f ~~ _. 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S9~crrt1'~ 1l:,~ICI' _....__..:,_..... ._.... _ .. ly.lp5 01/06/2002 16:22 2336747 c;ry orOstoeosh ~Sviuioil oFlespw+lioll S~rviaes 21 E Chlvc>5 AveoUe pp Bpx ~ iAo oeMcosn vli 5a90~•1130 p~{~ 430.136-4034 weT Fex 9Z0•Z76•fc-A4 J RASMUSSEN PAGE 02/02 Electric installation Ve~r~cation (Electrical Contractor Name) y~o C~ Ro ~~ ~c~~ct~"' w.~l ~{q~~ (Address) (City} (State) (Zip Code) f ~sr~ ~ss~J P/v~ d /~, haver been contracted to perform electric installation work fo r(Name of paxty contract®d to) at the following address' ~' where work ~vi[l be performed) '~Irc ,i,~ttarc o£tlsc wozk oonoiotc o~ iCheck Orre or P+~9nrihe the Nart~rc of World Reconn®ction or new airouit for replacement Heatin,~ ~'I~nt an,c1/or A!C ~Condenscr. Reconnection or new cizcttit for replacement Electric Water heater or power vented water heater. geenttueotion ofthe Service E,ntranee Cable, Meter cox, altCratiutui t~ receptacles and lighting fixxures due to sidis~,g 1 soffit instaklation. Note: Now ServTCe Entrance Cables gill require a separate permit. ]? »connection or new circuit for the repla+cemerrit of other permaz-ently wire(1 ~_ applianoes ! fixtures. pdow eirea%t £~r the uddxtios~ of !a.lC tc~ an friAivfr~tral rlwellittp tliitt {llOUSe Or fhc individual syat~cx~a irs a duplex Qr cotydo~nnivan), inelading required service electrical outlets. Other , Tlin v:aluc vC 11~;,a wv.k i~ ~ t'`n' I hereby verify this work wi11 be p©rformed by an employee of this company astd fLitther vcsrify the reconnection l installatioxz wia,l Ve ~ol1C u* cosxxplit~r-oe with m,e~ufa~chtrer and Firrtric oadC requirements. ~- (Print Name of Officer) (Date) (Signature f Company Officer) sioa _ _. _ ,_ ,,.r, _.. _.. __ .... _. -. -- -W-_T t0'd