HomeMy WebLinkAbout0100033-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob .Address 306 W 14TH AVE
Contractor WATTERS PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CARMON H HOPPE
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100033
Create Date 03/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install electric water heater. *EIV form from Precision Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$800.00 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 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
From: 05/05/2005 12:12 P.O04
City of Oshkosh
Inspection Services Division
P O Box l 130
Oshkosh, WI $4903.1130
Phone; (920) 236-$050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described. :he work to conform to the
Wisconsin State Plumbing Code, in the performan¢~ of which all parties hereto agree m and are. bmmd by said statutes.
Application(s) and fee(s) can be broughl to City Hall, Room 205 or mailed to Inspection S~t-,dccs, PO Box I 128?
Oshkosh WI 54903-112~. Co~encing work without ~it(s) will r~suk in fees ~ing doubled or $100.00 plus thc
no~al p~t fee, which ever is ~ater,
OR
If you are a contraqror ~arrtcipating in tie PermD ~ee Account Svseem an~ have adeauat~ funds. Ch~k here
vqu want th~ processed t~ou~h vou~ account ~
Owner ~~~~~, 'Contractor ff~~~ ~,~&
~ingle Family ~Duplex ~Multi-Family DReatal ~Comme~ial ~ndustrial
Number of Fixtures:
Bathtub L~dty Standp Dent, Ol~', Shamp Sink
Whirlpool Disposal Dip Well Fir~st Si~k
~vato~ Dishwash~ ~nk F~ Catch Basin
Toilet Su~ Pu~ Wait. Rt. ~ Wash F~
Res. Sink _ ~. ~j~tl~nd Ice Chest Udnal
B~ Sink Wat~ SO~ ~ ~m Sink Gar ~in
wller ~elt~ ..... ~al W~e 5cul~ Sink S~a ~
2 G~Ject ~ P~Vnt Clothes Wshr ,, Ha~ Si~k Coff¢~ Mak~
Shower Bidel F ~ Sink lee Maker
FI~ ~ain ~ Tap ~ $e~ Sink $it~ ~in
~dry Tray Cla~ Sink Im Orea~e Trap ROOf ~in
~b Sink
.- Su~cons Sink Eat O~a~e Trap Smnflp Rec
Plaster Sink B~k~ Sink
St~liz~
Electric Contractor
Use I Nature of Work
O~R J~lectric Installation Verificatidn form attached
Of Repl~cemenl)
Sanitary Sewer
Stoma Sewer
Size
Martial Type # Corm. Type
Water Service
From:
08/03/2003
12:12//078 P.O05
Electric Installation Verification
(I) (we)
(Elec~c~l ¢ontraator Narn0
(Address)
have been contracted to perform =le~,-ic installation work fo~.
(stat,) (Zip Code)
(Address wher~ work will be p a-forraed)
Thc nature eftho work con~iz/a of: (Ch~ck One or Descn'be the Nlatu~ ot'VCo~k)
Re. connection or new circui! for re~lacemeaI H~ting Pla~t and/or A JO Con&a'lser.
~..~"~onneetion or new ciroui~ for replacement l~Icctric Water ttcszer.
~ Reconn~tion of the Sc~-vic~ Bn~rauce Cable4 Meter Box, aIt~'~tiom to rcc~tacies and
litghting fixtm-es due to siding/sot'fitin~afion. Note: New Service Entrance
Cabl .as will requkc a separate permit.
~ Recormecti. oo or nvw circuit for other permanentiy w/red appliance~ / fixtures.
Other
The valu= of this work is $
I hereby verify this work will be p~f. ormcd by an ~"nployee of this company and further verify the
r,corm~tion / installation will 1~ done in compli~rice with ma~u~ sad gI~ctric code
reqa/mmerits.
($i~. atur~ of C~om~i~y oiti%r)
(Print N~ne of Officer) (Date)