HomeMy WebLinkAbout0100032-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1545 #130 ARBORETUM DR
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EDWARD J ZELHOFER
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 0 Water Softner 0
Lavatory 0 Lndry Tray 0 LocalWaste 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
DipWell 0 F Prep Sink 0
Drink Ftn 0 Serv Sink 0
Wait. St. 0 Shamp Sink 0
Ice Chest 0 FIrNVst Sink 0
Exam Sink 0 Catch Basin 0
Sculry Sink 0 Wash Ftn 0
Hand Sink 0 Urinal 0
Plaster Sink 0 Standp Rec 0
Surgeons Sink 0 Ice Maker 0
No 100032
Create Date 03/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature CONDO/Install electric water heater. *EIV form from Precision Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$600.50 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 03/03/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
08/08/2003 12:12 t 75 P,O02
CiP/ofO~hkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI $4903.1 t30
Phone: (920)
Fax: (920) 236-5084
O./HKO_/H
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbmg on the premises hereinafter described, the work to conform to rat
Wisconsin State Plumbing Code, in the performance of which all parties hereto a~e~ to and are. bound by said statutes
· Application(s) and fee(s) can be brought to Ci~ Hall. Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128, Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
~orma] permit fee, which ever is greater.
OR
If you are a contractor l~arliCit~aring in the Pti'mit .~ee Account Sys,,tem and have adequate £und$. c~¢_ck, here
~f you wont this ~t-oce$$ed throu_~h your account ~,
Owner 'Coutractor ~~g
Number of Fixtures:
Bath%ub Lndry Smndp .... Dent, Olaf. Shamp Sink
W'hirl~oi Disposal Dip Well FlrlWst Sink
~vat~y ~ Di~hw~her ~nk Fm Camh BssJn
Toilet Su~ Pu~ Wait. SI. Wash Fm
Res. Sink Ejcclor/G~nd ~ 1c¢ Chest Udnal
Bmr Sink Water So~ Exam Sink Oar
water ~a~r , , Lo~l Wasi~ ..... Scul~ 5i~k $~a
20~ Z Elect i' P~vnl
Show~ Bidet F ?~ Sink lcc Maker
Floor ~in ~r Tap Se~ S~k Site ~in
~b Sink Su~ns Sink Ex~ Om~c T~ S~andp Rcc
Plas~ Sink Br~k~ Sink
St~riliz~r
Electric Contractor
Use l.Nature of Work
O~ J~lectric Installation Veriflcati6n form attached
(If Replacement)
Sar~tary Sewer
~torrn ~cwer
Wa~er Service
Material Type ii Conn. Type
3/02
F~X ND,
08/08/'2003
12:12 ~073 P.O08
Oe% 17 ~! 07:06RM
Electric Installation Verification
(Electrical Contractor
(Ad.ess) (Ci~) (Sta~) (Zip Code)-
have be~ con~ct~ to p~o~ eleo~c i~tal~on wo~
(Ad.ss wh~e wo~ ~B be p~o~)
~ na~e of~e work con,ara of: (~k One or D~cfibe ~ Na~ of Work)
~~on or new c~r~mt f~ r~l~ent
~ R~omo~on of~e S~icc~En~ce C~I~
li~6ng ~ d~ to sidle / ~ffit i~U~on. Nora: ~ S~i~ En~c
~hcr
The valuc of this work is $'
I hereby veri~y this work will be performed by an employee o£th/z ~ornpany and further verify the
re¢onn¢¢tlon / installation will be done in compliance with manuiavt-ar~r and Electric code
re. qu/remerits,
(Signature of donkey offic=:)
(Prat N~me of Officer)