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2012-Plumbing (water heater)
CITY OF OSHKOSH No 153756 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1610 S MAIN ST Owner CMS RESEARCH INC Create Date 11/29/2012 Contractor LUDWIG'S PLUMBING Category 446-Commercial-Water Heaters Plan Inspector Jerry Fabisch 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 WATER HEATER, ELECTRICIAN IS WITZKE ELECTRIC **debit acct of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0305550100 Valuation $500. 0 Plan Approval ___ $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By 5n/1 Date 11/29/2012 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 1903 ASHLAND AVE OSHKOSH WI 54901 -2303 Telephone Number 231-5770 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. Wentz, Sandra From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing©ci.oshkosh.wi.us] Sent: Thursday, November 29, 2012 8:55 AM To: Inspections, Inspections Subject: PLUMBING Permit Application PLUMBING PERMIT APPLICATION Date:11/29/2012 8:54:33 AM Permit Fee Account System: YES Job Address: 1610 S Main Owner: John Lenz Contractor: Ludwig's Plumbing Use Category: Commercial FIXTURES Bathtub: Sump Pump: Plaster Roof Sink: Drain: Shower: San. Scullery Soda Sump/Pump: Sink: Disp: Whirlpool: Water Service Coffee Softener: Sink: Mkr: Lavatory: Standpipe Shamp Site Rec: Sink: Drain: Toilet: Garage FD: Surgeons Waitrs Sink: Stn: Kit Sink: Local Waste: Sterilizer: Ice Chest: Comm Disposal: Bar Sink: Valve: Ice Maker: Breakrm Int Dishwasher: Sink: Bidet: Grease Trap: Floor Classrm Ext Drain: Sink: Urinal: Grease Trap: Hose Bibb: Exam Sink: Beer Eye Wash Tap: Stn: Water 1 F Prep Sink: Dipper Deduct Heater: Well: Meter: i Drink Wtr Electric Floor Sink: Fntn• Sewer Mtr: Clothes Wash Wtr Wshr: Hand Sink: Fntn: Usage Mtr: Lndry Lab Sink: Catch Misc Tray: Basin: Fixtures: *USE/NATURE OF WORK Replace water heater. *VALUE 500 ELECTRIC CONTRACTOR Witzke Electric Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 2 NOV.29.2012 9:19AM WITZKE ELECTRIC, NO.474 P.1i111 fay e d /f' a9. - /a Cie/of Oshkosh Division of Inpcctiml services '► / �+ v7 215 Church Avenue Po$ox 190 Oshkosh WI 54903.1130 of/rieja Office 920-236-5050 ` W Fax 920436-5084 Electric Installation Verification I (We) \f J I 1—to EJeo-nG MG' , (Electrical Contractor Name) 155 E. -Packer A ver)ue, OShk-osk W.r_ 54c ( (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for rt i Z4L \.��w "t�..+,. (Name of party con'racted to) C� 374 - ,Pra at the following address: - 1 4).b ' b . - ria ■ ■ r3,.r , . (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. -- —Reconnection or new circuit for replacement Electric Water kfeater 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(house or the individual systems in a duplex or condominium),including required service electrical outlets. Other The value of this work is $ / t 6 ' . 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. �,... ,, i 0\t /h a 7 - /a • (Signature of Company Officer) (Print Name of Officer) (Date) Received Time Nov. 29. 2012 9: 11AM No, 1788 5/02