HomeMy WebLinkAbout0155916-Plumbing (water heater) �
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� CITY OF OSHKOSH No 155916 �
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 809 W 6TH AVE _ Owner SUZANNE A KREBS Create Date 05l31/2013
Contractor M P KELLY Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch ;
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink _ 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 '.
Lavatory 0 San Sump/Pump 0 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaste�Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink _ 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR\Replace water heater
of Work a
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0605170000
Valuation $1,150.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By l.J� Date 05/31/2013
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
AgenUOwner
Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750 �
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.
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� CityofOshkosh
Division o(Inipection Serviees
� 215 Chureh Avenue
POBox 1130
Oshkosh WI 54903-1130
Office 920.236-SO50
NTN w E Fax 920-236-5084
� Electric Installation Verification �
e , �/ .
I�w � (Electrical Contractor Name)
o . �;�� D � � 90� - -
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(Address) (City) (State): (Zip Code) ',
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. have been contracted to perform electnc installation work fox � � .
(Name of p contracted to)
at the following address:
�� , � �- 5���
(Address where work will e performed
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant andlor A/C Condenser. !
--�C Reconnection or new circuit for replacement Electric Water Heater or power vented �
water heater. �
Reconnection of the Service Entrance Cable,Meter Box,alteratio�s 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 o£other permanently wixed
appliances/fixtures.
New circuit for the addition of AfC to an individual d�velling unit(house or the '
individaal sysier.ls in aduplex or c�rdorni�iu.rn), including required serviee �
electrical outlets. � �
Other �
The value of this work is $�d� • �'v
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 Bleetric code
require.ments. ,
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(Signature of Comp y Officer) (Print Nam of Off er) (Date)
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