HomeMy WebLinkAbout0101075-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob.Address 240-288 N CAMPBELL RD
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY EISCH
Category 411 - Residential-Water Heaters
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 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 101075
Create Date 04/29/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Multi-Family/Rental - 284A / Replace electric water heater.* EIV from Cumings Electric attached.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/29/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
04/30/2003 07:12 2336747 J RASMUSSEN P~GE 01/02
320 .,.Za6 '-
Plumbing Permit Application
........................... -co.,,:,.=,.=,
04/30/2003
07:12
2336747
J R~S~USSEN
PAGE
02/~2
Electric Installation VerU~eation
I (We)
CIIHY~$ Z'LF. CTRZC
(Electric. al Cc~cM~ Name)
II'F...~, ~ 5&957
(^d~ress) (City) (St~e)
have bee~ contracted to ~fo~ elee~c i~t~l~ion work for J~~ss~ ,
~c ofp~
~t ~c following a~: 284 A ~~ ~.
(Ad~s wh~ work will be peff~ed)
~e a~e of ~c work co~ °E (~e~ One ~ D~bc the Nature of Work)
R~o~on or ~ c~f for r~mt H~g Pl~t ~or
~ R~cc~ or n~ ~uit ~ ~lac~cnt ~Iec~c Water Hent~ or ~ vm~
w~r heater.
~o~ of~e ~ ~e ~Mc, Met~ Box, ~atio~s to
~ li~n8 f~s duc ~ si~ / eo~t i~l~on. Note: N~ S~ice
~ce ~leg will ~ ~
~ R~i~ ~ n~ c~uit f~ ~e ~i~ of~ p~tly wired
a~li~ /
~ N~ ciguit for ~e ~diti~ of~C to n ia~i~ual ~;i~ ~t
in,viSual ~s in a d~plcx or ~n~i~), ~clu~ng gquir~
eI~c~ omlets.
O&~
Thc vnlug of this wOrh: is $,75.00
[ hereby verify this work will be p¢~omled by an employee of this compm~y and further verify
the r~mafieefion t installation will be done in compliance with manufacturer and Electric code
requirem~ts.
(Print Name of Of~ce~)'