HomeMy WebLinkAbout0093343-Plumbing (water heater) CITY OF OSHKOSH No 93343
4* OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1916 SIMPSON ST Owner ROBERT BEZIO ETAL Create Date 04/01/2002
Contractor E C MERRILL INC Category 411 - Residential -Water Heaters Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
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 SFR/ Replace water heater with power vented model. *Witzke's EIV form cannot be used for this because there is new wiring involved.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $800.00 Plan Approval $0.00 Permit Fees $20.00
Issued By kYVA Date 04/01/2002
❑ 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 804 WITZEL AVE OSHKOSH WI 54902 - 0000 Telephone Number 235 -3600
' CITY OF OSHKOSH No
FAX: 236 -5084
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address - r 9 /6 5, 041 oa/ so- Owner 'fa l 0 Create Date
Contractor E. C. MERRILL, INC Category - - _ . - .. 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. SL Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIrIWst Sink Int Grease Trap
Res. Sink Disposal Bidet . Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater 7 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
of l 4' xi 14 a w 1
of Work I�
Po le R L- iioA -J d612&. —
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation � D?7 Permit Fees i ZG. °---e-
Issued By Date -
LI Permit Voided
In the perfo ''l �•f ` , u m ` agr , to perform all work pursuant to rules goveming the described construction.
Signature :lift, Date /2,6/ Z, AgenUOwner
Address Sd ,2[� T elephone Number Z �• 3 D
F
MAP. 26.2002 11 :36AM WITZ E ELECTRIC NO. 596 P.1/1
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Electric Installation 'Verification •
(I) (1'0'4) U fi r,C
(Electrical Contractor Name)
_,..1. ....s FetCke r Ai e C ) S Y 9 Ca l
(Address) (airy) (State) (Zio Code)
have been contracted to perform electric installation work for X.0 .
(Name ofvarry contracted to)
at the fallowing address: ? • S S C %y-4—I
(Address w ere 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 ?lent and/or A/C Condenser
Reconnection or new circui for replacemen Eiectric Water Heater.
Reconnection o f the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / sofEt installation. Note: New Sen ice Ent*ar,ce
Cables will require a separate permit.
Reconnection or new circ it for other permanently wired appli&t ces / fixtures,
Other
The value of this work is 5 74
I hereby verify this work will be performed by an employee of this company and fa~:her very the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
''Aar r. " rel L � 3 ^ cry
('Siparuxe of Corn,i7ny Officer) (Print ;sale c:f Cc. ter) (Dace)