HomeMy WebLinkAbout0092293-Plumbing g) CITY OF OSHKOSH No 92293
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 972 E SUNNYVIEW RD Owner LAKEVIEW MOBILE HOME PARK Create Date 01/18/2002
Contractor M P KELLY Category 410 - Residential- Interior 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 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 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 MOBILE HOME PARK/ Replace fixtures - 1 toilet, 1 lay & 1 electric water heater. *EIV form from hoehne Electric.
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 $1,800.00 Plan Approval $0.00 Permit Fees $20.00
Issued By i.e Date 01/18/2002
❑ 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number 231 -1750
MP KELLY INC . TEL No .414- 231 -9700 Jan 17 , :2 7:31 No .0004 P . 01, 01
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Electric Installation Verification
(I) (Wc) - 1
(Electrical Contractor Name)
foal .:.,_ � 111 ..L Ste -3
(Address) (City) ( State) (Zip Code)
have been contracted to perform electric installation work for L 1
acne o party tracted to)
•
at the following address: . •
(Address where t will be performed)
•
The nature of the work consists of : (Check One or Describe the Nature of Work)
_ Reconnection or new circuit for replacement Pleating Plant and/or A/C Condenser.
IL Reconnection or new circuit for replacement Electric 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 other permanently wired appliances / fixtures.
Other
The value of this work is S 5 00 °°
1 hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
G�z.L /4
-
f r Date)
gnature of Company Officer) (Print Name of Officer)
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