HomeMy WebLinkAbout0100106-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1130 N WESTFIELD ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 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 100106
Create Date 03/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature MULTI-FAMILY/Install electric water heater. *EIV form from Precision Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$499.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 03/07/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
From: 03/06/2003 ]3:46/ 64 P.O02
City of Oshkosh
Inspection Set-ices Division
t° 0 Box ! 130
Oshkosh, WI 54903-1 t30
Phone: (920) 236-5050
Fax; (920) 236-5054
.. Plumbing Permit Application
hereby apply for a perrmt to do and install the following plumbing on the premises hereinafter described, the work to eonfom3 to the
Wisconsin Stale Plumbing Code, tn the performance ofwhkh ail parties, hereto agree to and are bound by said starates.
Application(s) and £ee($) can be brought to Cie7 Hall, Room 205 or mailed to ~speetion Services, PO Box ! I28,
Oshkosh WI 5a903-1128, Co~encing work without pe~it(s) will result in fees b~g doubled or $100.00 plus ~he
no~al pe~it fee, which ever is ~eater.
OR
!f you are a contractor partictPating in th{ ~ermit~ee Account S~,stem and havq q,~qquate funds,
~f l,Ott want t]tis proce~d ,through Vour account ~
Job Address //~ ~~/ffxf~ Value (lmludingla~rand~t~als) ~O Date
Owner ~.~ ~~~ Contractor --~c~ . ~~~
~lngle Family ~Duplex ~Mnlti-Family ~Rental ~Co~mereial ~l~dn~trial
Number of Fixtures:
Bathtub Lndry Smndp O~nt. Oper. ~ Shamp Sink
Whirlpool Disposal Dip Well Flr/Wsl Sink
Lavatory ~ Dishwasher ~ Drink Fm ~ Catoh Basin
Toilet Sump Pump Wait, St. Wash Ftn
Rcs. Sink _ Ejeclor/Orind ~ lee Chest .... Urinal
Bar Sink Water Soflner Exam Sink Gar Drain
Water Heater / Local waste Sculry Sink Soda Disp
C, Gat,,~Elcct 0 ?wrVrlt Clothes Wshr ~.tond Sink Coffee Maker
Shower Bidet F Prep S/~k Ice Maker
FlOOr I:wain Beer Tap ~ $crv Sink Site Drain
Lnclry Tray ~lessrm Sink Iht Grease Trap Roof Drain
Mb Sink
Surgeons Sink . Ext Orease Trap Standp Re¢
PMstcr 8ink ~ Breakrm .Sink
Sterili:~er
Electric Contractor
Use / Nature of Work
O.~ ~Eiectric Installation VerificatiOn form attaehe¢
(lC Replacement)
Sarfitary Sewer
Storm Se,wet
Water Service
Size
Material Type # Conn. Type
3/02
. · Frm: 05/06/2003 ]~:47 ~064 P,O03
F~OM : Precision Electric I~c
FAX NO. : ~207571~34
Oct. ~7 200i ~7:06RM P2
(I) (we)
Electric Installation Verification
(BtcctncaJ Comzactor Name)
(Ad~ss) (C/~) (Smt~) (Zip Codc)
havcb~ncon~act~top~o~elec~cin~allationwo~for ~~ ~m~6 ~
~e ofp~ ~n~acted to)
(Ad~es~ wh~e work ~11 be p~omed)
The na~e ofthe work copiers of: (~k ~e or D*s~b, ~e Na~ of Work)
~ R~o~ion or new eJm~t for r~l~mmt Hea~ Pl~t ~or ~C Condoner.
~~eco~tion or new cire~t for ~pl~ment ~1,~ Water ~eater.
__ R~com~iOn of the S~ae En~ce Cable, M~ Box, ~t~afions m r~tact~ md
li~fing fix~es d~ to sing / ~ffit i~Ilafion. Note: New S~ice Entr~
C~l~s will mq~re a s~ate pemit
~ Recomecfion or new circuit for o~er p~endy wired applimc~ / fixates.
~her
The value of this work is $
I hereby verify, this work will be perforrncd by an employee ofthi-q company and furth,r verify, the
reconn~ctlon / installation will b, done in compliance with m~mufactur,r md Elec~c code
requirements.
(Signature of t~ompti~y Officer)
(Print Nam, of Officer) ' (bate) .....