HomeMy WebLinkAbout0100579-Plumbing (kit sink/dishwasher)OSHKOSH
ON THE WATER
.lob Address 223 LAKE POINTE DR
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DUANE H/JACKI M HEINBIGNER
Category 410 - Residential-Interior
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 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 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 100579
Create Date 04/02/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/Replace kitchen sink and dishwasher. *EIV form from Drexler Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$350.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/02/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
04/02/2003 21:lB 2336747 J RASMUSSEN PAGE
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~ ~04/02/2003 21:18 2336747 J RASMUSSEN PAGE 02/62
lectric Installation Verification
Contractor Nnmc)
(State) '" (Zip Code)
(Name of party con~acted to)
(Addr~e where work will be p~mcd.)
nature oft.he wot~ consists off (Check One or De, s~ibe the Nature of Work)
-_ _ Reconnect/on or new circuit for replacement Heating Plant and/or A/C Condenser.
~ . Reconucctio~l or new circui~ for replacement Electric Wate~ l~ntcr or power vc~ted
water heater.
.,---- Reconnectlon of the Service Entrance Cable, Mete~ Box, aRer~tion$ to reucpt~olcs
and lishtin8 ftxturcs due to siding/soffit im~latiou. Note: New Service
Entrance Cables will require a s~arate parfait.
econ~.eetion m new circuit for the replacement of other p .emmnently wit~i
appliances / flxtt~eg.
_ New circuit/'or the addition of A/C to a~ individual dwelling unit (hoa$¢ or the
individual systcm,~ in a duplex or condominium)~ including, required service
electric, al outlets.
Other
The value of thi~ work is $ ~' ~
I hereby verify ~bls work will be performed by all emloloy~e o£this company and flarther verify
the reconncction ! installation will be done in con~liance wit~ manufacturer end Electric code
requirements,
Officer) -
Name o fOrcer) [Date)