HomeMy WebLinkAbout0089202-Plumbing (water heater) CITY OF OSHKOSH No 89202
SHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
1 THE WATER
ob Address 1270 -1272 MORGAN AVE Owner CHRISTINE A GLIDDEN Create Date 05/23/2001
ontractor M P KELLY Category 411 - Residential -Water Heaters Plan
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
V hirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
l avatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
ties. Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
1
oof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
se /Nature 1270 Morgan St /
if Work (No electric permit required - received installation verification signed by T Ruck Electric)
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
aluation $501.00 Plan Approval $0.00 Permit Fees $20.00
I sued By K rn Date 09/14/2001
1. 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
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• City of Oshkosh 4/1100k '6Ga()
Division of Inspection Services tVgia
215 Church Avenue
� n ' PO Box 1130 w�
Of H O H Office 920-236-5050 050 130
ON THE WATER Fax 920 - 236 -5084
Electric Installation Verification
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(I) (We) • A a ■ • - ' _ A •
(Electrical Contractor Name)
9D l (��G/ C96g7 c/7/ Gi/ � &
(Address) (City) (State) (Zip Code
have been contracted to perform electric installation work for g { // ia/27,0.
(Name of party contract d to)
at the following address: /d7 744 A 6T ( 0 &_.)j r
(Address 7khere 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.
)( 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 $ .Mk .
I 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.
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(Signature of Compan • fficer) (Print Name of Officer) (Date)
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