HomeMy WebLinkAbout0101074-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 101074
Create Date 04/29/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Multi-Family/Rental - 280A / 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 07:09 2336?47 J RASMUSSEN PAGE 81/82
p.i
Plumbing Permit Application
84/38/2883
87:89
2336747
J RASNUSSEN
PAGE
82/82
Electric Installation Verification
I (We)
Ct]H/JIGS EI.,ECXRIC ~c.
~-- O~i~,~rical Contractor Name)
P 0 ~ 749) ~. r, lll; 54957
(Address) (City.}
(Sta~e) (Zip Code)
have been contracted to p~£orm elecUic hlst~htion work for .1KWIr ItASIIUSS~
(Nan¢ orp~-ty contracted to)
· t me foliowi~8 addr~s:
280 A C-J~PBELL RD.
(A. ddr~ss where work will be performed)
Thc nature of the work consists of: (Chizek O~e or Describe the Nature of Work)
R¢coml~ction or new circuit for r~laccm~2t Hcatiz~ Pl~t ~ ~C Condo.
Re~c~ion or =~ c~ult ~ ~~t GI~c W~er ~t~ or ~w~ v~
w~ h~er.
R~o~on of~e S~kc ~cc C~I~ ~e~ Box, ~ter~io~ to ~1~
~ ]i~fing fix~ due to ~ 1 ~t ~On. No~: Now S~i~
~n~c~ Cabl~ ~l ~ a s~te ~it.
R~~ ~ ~w cim~ fo~ ~e ~c~t ofo~ p~emly wired
~pB~ces / ~x~.
Hew ~rcuit ~ ~ addi~ of ~C to ~ ~iW~f ~weUi~g ~ ~ouse or the
indi~dual s~em~ in a duplex ~ c~domini~), incl~ required so,ice
el~cnl ou~.
Thc vaIuc ofthis work is $, 75.00
I hereby verif~ this work will be performed by ~n employee of this company ~d fu~er v~fy
~e r~o~fion / in.ii.on ~ll he done in ~]i~ ~ m~uf~ ~d BlOc code
requir~ts.
(Pr/hr Name of Officer)
4125/03