HomeMy WebLinkAbout0100348 POSHKOSH
ON THE WATER
,Job Address 1740 1750 LOMBARD AVE Owner 1740/1750 LOMBARD AVENUE LLC
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 100348
Create Date 03/21/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature MULTI-FAMILY/RENTAL/Replace a gas water heater. *EIV form from TRuck Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$3,000.00 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
03/21/2003
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
83/22/2883 07:06 2335747 J RASMUSSEN PAGE
9~O-~g-5084
81/82
Plumbing Permit Application
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F. lectr~c Coetraetor
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# Co~n, TYI~e
83/22/2883 87:06 2336747 5 RASHUSSEN PAGE 82/82
Electric Installation Verilicatio6 '
'" (,--~) (City) (State') - (zip
have been~n~ted to p~fo~ elccl,~c installation work for
~e nn~e of thc work consis~ of' {Check ~e or Desc~be t~c Nature of Work)
R=conn~ion ~ n~ d~ui~ for ~l~t H~ting Fi~ m~ot ~C Coarser.
~ R~on~ion or new c. ircm~ for r~iacem~l Elec~c Waf~ Healer,
R~tion of the Se~ice En~ce Czbie, Meter Box, nhernlions m r~ac, les
-~- lighting fixers due to siding / so~l inst~llntion. Notz: New Se~icc Enhance
'.. Cables will requi~ a ~atate
Reco~ection ot ~ew ciwuit for o~er pe~nnently wired ~ppii~ces / fixtuws.
'l'hc ~.'alue of,his work is
1 hereby verify this work will be performed by ~n employee of'this company and furthe~ verif~ the
recom~ection ! i~stnllation will be done in compli~¢e with manu£aCture~ a~d Electric