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0144755-Plumbing (water heater)
Ce:ID CITY OF OSHKOSH No 144755 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2337 JACKSON ST Owner NORMAN R BOCK/DUMKE & ASSOC Create Date 01/26/2011 Contractor KOCH PLUMBING Category 446 - Commercial -Water Heaters Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature COMM / Replace electric point of use water heater. EIV signed by Seckar Electric. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1219710000 Valuation $185.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided I Issued By �,�(�fr�LJ Date 01/26/2011 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 - 231 -6661 or 235 To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Phew (920) 2364050 Rua (920)2364084 L 8ti�b ' °N INVEE :11 UOZ w 'S r mILL P""D4 Orki : AM 1 Plumbing Permit � Application I hereby apply 'tr apses* todo sad fasten the &Hawks plusabbgonto promises hoodoider to *the Wisoonsia State P bets p ao audit& &patios hereto awe to sad me boost iy said statutes. • A 34903-1128. Consnoncleg as (s) sod fee(s) can be bscalitto atylltaii, Bsnm.205 or mailed to Inspection Serviees, Pp Bwc II, 01163ek WI everts greater. work w t s)wa8 smiths Sou befog doubled or WOMAN die Normal pew* t OR 'vau want this arucsssad through Account Swann and have adequate funds. check hors your account "Advisory ° Far applied* pitied', a:N stionVeri crolon( , doted bribe ! Coaclnarcatomeo�rner ar t �r snot be subsaised With the parodt application. Application solotiilted without an Elf when awe* ii =piked, will notbe processed &Pr Pereslasinesoc sold wilt be zeturned for consgetion. Job Address 0337 J/ C.{5.,:-.' 5j Owner iva 2 1 fG-.0 contractor , ''C4r ` -` Dingle Tamar OW= D •. eiCessmercid asdasisiai Number ems: Bob* rampPomp __._Thab k Whit EIS* ..� 8i w Load Wgite --- I Ha =V ��� Cbmalcelfakst Illibwather • t Ebt Onottellop - �. EBibb B trams —L– Paw sEek Dipper AU t Clothes 'War Hand Mak _---- Winkftetn I:143ee ©Plefat Hoar Sbk Drlikno WirSaaerMtr • contractor —. 'Mr tragebitr — Oath Basin _ Min Mures lc ( no t requ an wry ) S ITGfG 44: /.. e f4'f . /7 fC *dire of Work % ;'G4 C2 ,'' /%,Y " f F- it ;:, ' f` - • Sue hieo�l Type • # Cma. Type . itotto Sewer Valet Service * This ' nstallaa°n.is complete and may be inspected at any l - 2 -5- — // SOSti ' °N lAND :L 110 '9 ' aw!I peniaaq + cy of oaekwh ' Ditis of laape ion sav U5 Ours* Avenue PO Box 1130 Oshkosh WI 54903 -1130 ON: .7I: Fax Office S08d� . t Electric Installation Verification I (We) SE E C T]2.IC_ (Electrical Contractor Name or Homeowner's Name) c % COUle 1 LUj i OJ) AJ,ieco,.j J LJ/ ,5 (1c18t, (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 033? 3A 0 . (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. X Reconnection or new circuit for replacement Electric Water Heater or power vented 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 Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi -use building would require a licensed Electrical Contractor. Other The value of this work is $ 7 S. o ° . I hereby verify this work will be performed in compliance with the License requirements of Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. jiac DIE . _ (Signature of Co .. Officer or Homeowner) (Print Name) (Date)