HomeMy WebLinkAbout2001-Plumbing (garbage disposal) CITY OF OSHKOSH No 89251
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 420 REICHOW ST Owner J ARDEN TRINE Create Date 03/27/2001
Contractor RASMUSSEN PLUMBING Category 410 - Residential- Interior Plan
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
Res. Sink Disposal 1 Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use /Nature Replace garbage disposal* EIV form from Drexler Electric.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $200.00 Plan Approval $0.00 Permit Fees $20.00
Issued By k< m Date 09/17/2001
❑ 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
City of Oshkosh
Division of inspection Services
215 Church Avenue
PO Box 1130
,
Oshkosh WI 54902 -1130
Of , tl C „ H Office e 920-236-5050
ON THE WATER Fax 920-236-5084
S
Electric Installation Verification 4�
(I) (We) DaExLEiL L-ECT ( C
(Electrical Contractor Name)
/J / FV p, rr citq q
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for Z S V sS' J PL v
(Name of party contracted to)
at the following address: a0 Q f c fvl•I sTYZ,ee-
(Address where work will be performed)
The nature of the work consists of : (Check One or Describe the Nature of Work)
Reconnection 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.
`>C Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $ y O. 1 v
I hereby verify this work will 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.
T � Q _
(Signature of Company Officer) (Print Name of Officer) (Date)