HomeMy WebLinkAbout0100166 POSHKOSH
ON THE WATER
,Job Address 1720-1730 LOMBARD AVE Owner 1720/1722/1724/1726/1728/1730 LOMBA
Contractor RASMUSSEN PLUMBING Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 100166
Create Date 03/12/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature MULTI-FAMILY/RENTAL/#1728/Replace electric water heater. *EIV form from TRuck Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$450.00 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
03/12/2003
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
03/08/2003 16:46 2336747 J RASMUSSEN PAGE 81/82
-51384
Plumbing Permit Application
e Appli cation(s) nr~d :fee(s) cnn be brouB:nt. to Ci~ HaH, Roo~ :20=
Osh):Osb WI 54903-1128. Comm~cing work withou! p~-mit(s) will ~mlt in fees being doubled or $100.00 plus thc
,imormzl {~tl'Dito~¢, which eve? is ~'czf~r. _
Owner ~.. - ...........
N~mber of.Fixtures: D~/~L Op~ ..... Sh,',,l~s!~ ~h~ ....
Bathtub ..... D~ WcU .....
whlrlpocl .... Drl~k ~m ....
I,~v~ol'y ...... Wail 5f,
· rollt~ ........... Ic~ Chc~t.
' ' Cvffc~ Mak~
Flo~ ~r,ai~ ..... B~t 1'rap " '
tnt G~c
.qanivary Sc;vex
Sire Ma.mrial Type # Conn. Typc
Water
16:46 2336747 J RASMUSSEN PAGE 82/82
03/07/~{}03
84:29
~2023~2720
TRUCKELECTR~C
PAGE
o!
~m~ y~ m~m
lectric Instili#tion Yerlflcltio
(Add~ ss where wo~k will be performed)
R~ion Of the S~ice ~cc Cable, M~cr Box. alt~ions
li~s fixtu~s d~ to ~i lng / ~ffit in~llati~, Note: New g~ce En~c~
C~les ~!1 ~uiM u ~amte pe~jt.
R~ion ~ new ci~ult ~r
~hcr
1/~r~by verify thii work will be performed by an e~rnployee of this comp~my md further verify the
fe,l.~Onl'll~,~l~ol! / installation will be don= in compliance with rn~nu£~;tu~' end Electric code
~ nnt Name of Officer} (Datej