HomeMy WebLinkAbout0099942-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 240-288 N CAMPBELL RD
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY EISCH
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 99942
Create Date 02/26/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature MULTI-FAMILY/288 D/Replace electric water heater. *EIV form from Cumings Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
02/26/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
02/26/2083 87:48 2336747 J RASMUSSEN PAGE 01/e2
]' ¥ _ , .... Dwision
p OBo~ 1130
Oshkosh. ~I 54903-1130
ptumb[ng Permit Apptication
e hpplicatio~($) a=d fee(~) ea~ 'oe ~ough~;to Ci.~ ~all, ~ ~05 ~ ~iled m St 06.00 p~us the
Oshko~ ~ 54903-1128, Commencing work withm~t pc~it(s) ~tl t~u~i i~ f~t b~g do~bled o~
...... ~v~ iS g.:e~i~ ....... a ~ e fii a~
~_~Sing)e Family [~Duplex
L-'-jCo~ercial
~c~ Ta~ ~'-- - ........
Ftntr Dr~m . - tnt G~as~ TF~
:;"'~';~ ........ e l~staR~Uon VeNfl~tifi~ form attached
Of
Conn,, Type
,.02/~6/20EF3 07:40 2336747 J RASNUSSEN PAGE 62/82
Fel~ E.~ O3 ID'7
CE!
9~0
Electric Installation Verification
I (We) ~ (Electrical Contractor Nnme)
L~ 0 BOX 7&~. ~qEI~MI, ~ 5~957
- (Addre~) (Oty)
,have been contracted to pmfform electric i~stal]lation work for
(gtntc) (Zip Code)
(Name of party cxm~acted to)
at ;he following address: ~_~su~_ I) c~_mu. J- RD.,,,
-(~Acld~ss wherc work will ~
~c n~ of~c work ~n~sm o~ (Ch~k ~c or Describe ~c Na~ of Work)
~ R~tion or n~ ci~uit for r~l~t H~g P~t ~or ~C Cond~er.
~ R~ti~ o; new ci~uit for r~lac~t Ele~c W~r
wat~
~ c~uit for ~e ~dition of~C to ~ ind~duaI ~lling unit (hOuse ~ th=
elec~ outl~.
Tho v~ue of this work is $__1_0_0,00
I hereby vcrlfy ~ work will bc p~rformed by an employe~ of this company and f~rth~ verify
ibc recormecrion / installation will be done in ~omplian~¢ with ma~ut'actu~r and Electric codo
r~lUirements.
~cnA1m J ~.