HomeMy WebLinkAbout0100364-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob .Address 1628 N MAIN ST
Contractor DRUCKS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WOODLAND MANOR LLC
Category 441 - Industrial-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 100364
Create Date 03/20/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work MULTI-FAMILY/ INSTALL 65 GAL NG COMMERCIAL WTR HTR. *EIV form from Solar Electric.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$4,000.00 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
03/24/2003
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 PO BOX355 MENASHA WI 54952 - 0000 Telephone Number
426-2654
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
x ECE VED
NAR 2 1 200J
DEPARTBENT OF
DEVELOPMENT
Plumbing Permit Application
OJHKOjH
ON TblF Vv'AT~R
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 hereto agree to and are. bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contracror participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account
JobAddress /~2~° )dj, t"YN~lv~ Vahle (lncluding labor and materials) 4,q/ (2'V'-O Date
Owner ~f.~'l°JTPlVnJtz~L Ivff?J Contractor ~/q. vv~rA, dz, f~,L~ ~I
[-]Single Family ['-]Duplex ~ulti-Family [-]Rental [--]Commerlcial ndustrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind ' lce Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater ~ Local Waste Sculry Sink Soda Disp
~ Gas _2 Elect ~ PwrVnt
Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
,5'0 z.-~ to_ 05R
Use / Nature of Wore
Sanitary Sewer
Storm Sewer
Water Service
[~Electric Installation VerifiCati6n form attached
(If Replacement)
i :; S/Ze : ::' Material
Type # Conn. Type
3/02
03/20/03
09:03 FAX 920 236 7725
Solar Electr$c
O) (we)
Electric Installation Verification
(Electrical Con.actor Name)
(Address) (City) (State)
have been contracted ro perform electric installation work for ~ .-o_.~
(Address where work will be Performed)
(Zip Code)
CNamc of party contracted
The nature of the work consists of: (Check One or Describe the Nature of Work)
Recormection or new circuit for replacement Heating Plant and/or A/C Condenser.
'~i~.econnecdon or new circuit for replacement Electric Water Heater.
Rcconn¢ction of the Service Entrance Cable, Meter Box, alterations to receptacles and'
lighting fixtures duc to siding / soffit installation. 'Note: New Service Entrance
Cables will require a separate permit.
Reconnect'ion or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $ "~_ ~
I hereby verify this work will be performed by an employee of this company and fuxther verify the
recorLnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(S(gnau~/~'f Company Officer)
(Print ~/ame of Officer) ' (Da-to)