HomeMy WebLinkAbout0134231-Plumbing (water heater)
OSHKOSH
ON THE WATER
Job Address 600 S MAIN ST #105
Contractor LUDWIG'S PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Shower
_ Floor Drain
Lndry Tray
_ Disposal
Dishwasher
Sump Pump
1 Classrm Sink
_ Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Owner HEALTH CARE CREDIT UNION
Category 441 -Industrial-Water Heaters
Wait. St.
Ice Chest
Exam Sink _
Scuiry Sink
__
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
No 134231
Create Date 12/02/2008
Plan
Shamp Sink Coffee Maker
FIrIWst Sink _ Int Grease Trap
Catch Basin
-_ Ext Grease Trap
Wash Ftn RPZ Valve
Urinal Eye Wash Statn
Standp Rec Wtr Sewer Mtrs
Ice Maker Deduct Meters
Gar Drain Wtr Usage Mtrs
Soda Disp
Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided j
Issued By Date 12/02/2008
In the performance of this work, I agree to pertorm 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 1903 ASHLAND AVE OSHKOSH
WI 54901 - 2303 Telephone Number 231-5770
~ ~ ~cneauie inspections please can 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 pertormed within two business days from the time the project is ready.
Stephenson, Ann M.
From: admin@ci.oshkosh.wi.us
Sent: Monday, December 01, 2008 2:11 PM
To: Inspections, Inspections
Subject: Data posted to form 1 of
http://www.ci.Oshkosh.wi.us/Community_Development/Inspections/Permit App_Plumbing_
2002. htm
*******************************************************************************
Permit_Fee_System:
Job_Address:
Value:
Date:
Owner:
Contractor:
House_Type_Single_Family:
House_Type_Duplex:
House_Type_Multi_Family:
House_Type_Rental:
House_Type_Commercial:
House_Type_Industrial:
Bathtub:
Disposal:
Drink_Ftn:
Catch_Basin:
Whirlpool:
Dishwasher:
Wait_St:
Wash_Ftn:
Lavatory:
Sump_Pump:
Ice_Chest:
Urinal:
Toilet:
Ejector_Grind:
Exam_Sink:
Gar Drain:
Residential_Sink:
Water Softener:
Sculry_Sink:
Soda_Disp:
Bar_Sink:
Local_Waste:
Hand_Sink:
Coffee_Maker:
Water_Heaters:
Clothes_Wshr:
F_Prep_Sink:
Ice_Maker:
Water_Heater_Type:
Shower:
Bidet:
Serv_Sink:
Site_Drain:
Floor_Drain:
Beer_Tap:
Int_Grease_Trap:
Roof_Drain:
Laundry_Tray:
Classrm_Sink:
Ext_Grease_Trap:
Standp_Rec:
Lab Sink:
yes
600 S Main
500
1212008
Health Care Credit Union
Ludwig
X
one
Electric
~~~~
~~/- S77b
Surgeons_Sink:
RPZ_Valve:
Eye_Wash_Stn:
Plaster_sink:
Breakrm Sink:
Shamp_Sink:
Wtr_Sewer_Mtrs:
Sterilizer:
Dip_Well:
Flr_Wst_Sink:
Deduct Meters:
Hose_Bibs:
Wtr_Usage_Mtrs:
Misc_Fixtures:
Misc_Fixtures_Text:
Electrical_Contractor:
Use or_Nature_of Work:
Sanitary_Sewer_Size:
Sanitary_Sewer_Material:
Sanitary_Sewer_Type:
Number_Sanitary_Sewer:
Sanitary_Sewer_connector_Type
Storm_Sewer_Size:
Storm_Sewer_Material:
Storm_Sewer_Type:
Number_Of_Storm_Sewer:
Storm_Sewer_Connector_Type:
Water_Service_Size:
Water_Service_Material:
Water_Service_Type:
Number_of_Water_Service:
Water_Service_Connector_Type:
B1:
Witzke
replace 6 gallon heater
Submit
DEC. 2.2008 8~47AM WITZKE ELECTRIC N0.839 P.1
~ of Inspeoden 3eevic~
31s Cfiurch Arem~a
~o~-ua
Qthlmeh WI 54903-1110
p~i~e 9zaaas•SoSo
N „ Fu 92Q-236.50ea
Electric Ynsta~iation Verification
~.
(Electrical Contractor Name)
1.55 ~ ~ f~aGk~r- ~y~ e, Dsh k.OSh 1N~ 590
(Address) (City) (State) (Zip Code)
/ ( /,~ /~,~ / I .
have been contracted to perform electric installation work for , lT~ ~Y'/) U~l f(.~h [ln'1j
(Name of party contracted to)
at the following address: ~ W S' /K Q //1 ~~ ~ ~~'~• ~~
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe tho Nature of Work)
Reconnection or new circuit for replacement 1;Teating Plant and/or A/C Condenser.
~» ~C Reconnection or new circuit for replacement Electric Water Neater or power vented
water heater.
' Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting f xtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances /fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominzura), including required service
electrical outlets.
Other
The value of this work is S 7~•
Y hereby verify this work w•ii] be performed by an employee of this company and further verify
the reconnection /installation will be done in compliance with manufacturer and Electric code
requirements,
~ ~ ~~,.. ~~~ ~' ~ 0~,-... ~~-x-08
(Sisnature of Company Officer) (Print ?dame of Offzccr) (Dace)
~;os