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HomeMy WebLinkAbout2009-Plumbing (water heater)0 CITY OF OSHKOSH No 138425 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 606 E MURDOCK AVE Owner MUZA METAL PRODUCTS CORP Create Date 10/05/2009 Contractor J RASMUSSEN PLUMBING INC Category 443 - Com'I /Ind- Interior (Replacement Fixtures; Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve _ Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap _ Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature IND /Replace of Work r heater. EIV Electric. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1519310000 Valuation $600.00 Plan Approval _. $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 10/05/2009 In the performance of this work, I agree to perform 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 Address 1914 GREEN BRIAR TRL Agent/Owner OSHKOSH Date WI 54904 -8887 Telephone Number 920 - 231 -1289 To schedule inspections please call the Inspection Request line at z36 -bizs noting ine HGGress, rermit mumUer, iyPG vi 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 performed within two business days from the time the project is ready. 10/03/2009 16:03 2336747 J RASMUSSEN PAGE 01/02 City of Oshk-osh incnPetion Serviro iDlvl9ton P O Box 1130 Oshkosh, W154903 -1.130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 rL _�/ �► I Plumbing Permit Application 1 hereby apply fora pcimil: to do a»d install the following plumbing on the premises hereinafter dmoribed, the work to conform to the Wisconsin State Plumbing Code, in the perfbmancc of which All parties hereto agree it a »d are bound by ca id statutes. Application(9) and fee(s) can be brought to Ci1y 1-Tall, Room 205 or mailed to .inspection Services, PO Bern 11.28, OAhknsb Wl 54903 -1128. Commencing work without permit(s),trill result in fee_a being doubled or $100.00 plus the normal permit fee, which ever is greater. OR / ** Advisory - For appltemble pnrojectx, an Electrical tnstaUlst ioen Verification (EIV) form., sighed by the Electlical Contractor or Homeowner meowner (fear installittioma allowed to be pm foralled by the homeowner) mast be submitted. with the pernil: atpplicadiunn. Applicaitiofss sabnritted without as EXV when such is n4 aired, wifl notbc processed for Pe>tflnlillt isauawce mnd wlill be returned for eonnitpletiani. �iOQ i' / v M � r� O V21UC fncludin Iahor and mewriala " 0 ' �� � b 1 2 ,Aob Ad.dreaa� 4 s >_� Owner _, NU-` -A Contractor _7;1k_ 1`D, SJ— uJs - P I-q 0 t',-'c , ❑Single Family 01)►nlplex []Multi- Famllly ❑Rental ❑Cotnrnercild JRX dnstlrtal Number of Mxtnres B%nitdlh __ -- Sump Pump Shower Sall. Svtnp/Purnp _ _. -- Whirlpnni VlratarSoii.aner , -- LxVat:ety _ .._. Standpipe Ree – 'rollet Waitra %tn Kit Sink Local WaStc. Disposal - -, --•, SarSink _ - -_ Dishwasher Preakma Sink Floor Drnin Classm Sink Hose Bibh Pxam Sink _ WAterHe t ar �_.. rP.ropSink __..,r.,.... ':1Ciaa i - 1ectCl i`wrVM Floor Sink Clothes wilir —__ hand Sinlc Lndr)r Trgy —..__ Lnh.Sink Plaster Sink ___ __ Roof Chain Scullery Sink So& nisp Service Sink ^ —__- Cnf%e Mlcr slump Sink Site Drain Surgeons Sink Waitra %tn Starilimr Ice Cheat _ RP7 Valve _ Comm loo Maker _ Bidet _ , , Int Chvese Tngr Urinal ,� __„ Fn lane Trap Beer Tar _._ P.ye Wash Stn _ Dipper Well Deduct Meter mink Fnin — _ Wir Sewer Mtr _ Waft Pain Wn•l7aagcMtr Catch Basin MiRc Fitttum .Electric Contractor (for projects not requiring an EIrV Forftn) Use / Nature of Work 1A4 A,*t- s 9anitnry Snvcr Ston'n Sewer Water Service Type # type oe,ra? 10/03/2009 16:03 2336747 J RASMUSSEN 10/02/2009 09:30 9202317255 BEEZ ELECTRIC City aFl:OFIft" D 6 Cfin OF Av eetien Sett icc11 215 Chttich Avanuo PO look 1130 OaAkoeh Wi 54903.1130 0Mee QN2364050 vn NE wo'-,Eq Fax 92u-Z6-5084 Electric Installation Verification (I) (We) Beez Electric, Inc. 1901 Oab <'irn Ave Oshkosh WI 54902 have been contracted to�perform electric installation work for Rassumssen ZL=Wng, at the following address: kQ E,_Murd Ave oshkos _ WI . Tb,e nature of the work consists of: (Check One or Describe the Nature of Work) PAGE 02/02 PAGE 01 ❑ Reconnaction or new circuit for replacement Heating Plant and /or A/C Condenser. ® Reconnection or new circuit for replacement Electric Water Heater. ❑ Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. ❑ Reconnactlon or new circuit for other permanently wired appliances / fixtures, ❑ other -- The value of this work is $150.00 I hereby verify this -work will be performed by an employee of this company and further verify the reconnection / installati.on will be done in compliance with manufacturer and Electric code requirements. Ggu 13iesiuneaer 10 %201:19 (Signature of Company Officer)