HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1815-1835 WEST POINTE DR
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 99846
Owner GROUP W OF OSHKOSH LLC
Category 441 - Industrial-Water Heaters
Create Date 02/17/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap --
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
Use/Nature 3OMM/1835/ Replace electric water heater. *EIV form ~'~UH, Cumings Electric.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Corm. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $450.00 Plan Approval $0.00 PermitFees $20.00
Issued By
Date 02/17/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH
WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
City o£ Oshkosh
Inspection Services Division
P O Box i 130
Oshkosh. WI 54903-1130
Plione: (920)
Fax: (920) 236-5084
,Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code. in the performance of which all parties hcrcto agree to and arc bound by said statutes.
Job Address/x~'o~'-5~"/~'/~'7'/~f/A~/"~' Valu/.~-~t:~/~ Date
O,,,.e,- Co..',,,:tor /
~']Single Family r]Duplex [--]Multi-Family [:]Rental [~]Commerclai ~']Industrial
Number of Fixtures:
[il-',tht~b I.ndry :'it~ndp ~ L~nt. Oper. Shan~ Sink
Wilid¢ool I)i ~l~.).~al . .. :)ip Well FIr/Wst Sink
I.uvat,~¢y 1)iahwashcr , ........ Dnnk t:ln ~ Catch Basin
Rc~, Sink ....... I~}~Ooa~ b'b~d lee Chcsl , . ~Jrinal
liar S;~k Water ~oflner Exam Si~k Gar Drain
Wa~cr I lcatcr , / .... l.ocal Wu~{~ ~-~ ~ulry~ink Soda Oisp
~howcr ('J0illca Wshr I land Sink Cofl~ Maker
I:ll~)r Dram liidct .... I: P~p Sink Ic~ Maker
I J~dry Tray l t~r Tap Scrv ~ink ~ ~itC (~ain
I ab Sif~k ('lasam~ ~ink tlll (~r~a~c Trap R~)I' ~ain
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Size MaTerial Type #
Conn. Type
Water Service
C'heek here ~yoti wa.t this processed through )'oto' accottnt [~
£0 3~J~d 3NI 9NIS1AIRqd H30>I ~8~89£~,0~6 1:~ :61~
Electric Installation Verification
P 0 ~ 749, .st~u~]t, K 5&957
"(Ad"rest) ........... (C~ty) (Sta~e) (Zip Code)
have been conlra~ed to perform electric instnlL~tiort work for KOCtt.~ ~L, ,~T~, .,T~C _,
(Name of part~ contracted to)
al thc followin$ nddre~:
1835 ~KST POII~T 13R.
(Addr~s~ where worl~ will be performed)
Thc nature of the work consists of: (Che~k One or Describe the Natur~ of Work)
Reconneetio~ ot new circutt for replacement l-Xcating Pl~f~t and/or A/C Condenser.
~ Recotmection or new circuit for replacement Electric Wat~-r Heater or power vented
wz~r heater.
Rcconneetio~ of the Service ~.n~rmce Cable, Mcwr I~ox, alterations to receptacles
~ and li$bfin$ £rxrares ate to siaing / soffit installation. Note: ~ Sereicc
F.,~elnee Cables will require a scpata~ permit.
gecormection or new circuit for th~ rephu~ement of other permanently wired
appliances / fixtures.
New circuit for lhe addition ofA/C ~o an iadlyid~l dwelling Matt (hollsc or the
iadivid~xal systems in a duplex or c~ndominium), including required sct~
electrical outlets.
Thc value of tl~is work is $ 50. O0
I hcrcby vcrlfy this work will bc performeO by an employee of this company and further ¥crify
thc rcconnection / instalbttion wilt bc done in compliance with manufacturer and Electric code
rcquiverncnts.
(Print Name of Officer)
2/!
(Date)
891.0 ;~L O~B
ONI 9NIfINAgd HO0){