HomeMy WebLinkAbout2001-Plumbing (water heater) . � CITY OF OSHKOSH No 91662
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
: ON THE WATER
Job Address 400 W 7TH AVE Owner MICHAEUCONNIE SCHULTZ Create Date 12/04/2001
Contractor SAMMONS PLUMBING Category 411 -Residential-Water Heaters Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Fir/Wst Sink Int Grease Trap
Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater 1 Sump Pump Dent.Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature FR/Install electric water heater *EIV form from Slim's Electric.
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $1,100.00 Plan Approval $0.00 Permit Fees $20.00
Issued By K/v� Date 12/05/2001
� Permit Voided�
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 522 W.MURDOCK AVE OSHKOSH WI 54901 -2298 Telephone Number 414-231-9880
FROM :SAMMONS PLUMBING FAX N0. :9202318485 Dec. 03 2001 05:48PM P3
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Elect�#c �ast9l}�Non Verific9tton
���r�� Slim's Electric Inc.
(Elecaical Coatractor Name) '
2608 Qa�cwoacf�ircfe Oshkosh WI 54904
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�����������c��.��,w�ro� Sammon's ,
(N�me of porty canhacted to)
u the coriov,►ing a,dd�sa: 400 W. 7th Ave
• (Address wt�ero work wiU be pe[focmed)
The naw�e olt2tc work c�af: �E'h�cic Q�arDcsc�ibe the Nstttne of Work)
Roca�ootion or pcw ciczuit for rcplscemer�t Hcatina PLnt and/or NC Coisdcafscr.
Reoo�oasoracaccmp�itfor�fa�e�sce�,Eto�ic WataHeatcr.
Reconaection of the Service Entrance Csblt�Nleter Box,alteretions to receptacles and
ligb#iag 6xt�csdua ta siding f sofSE ie�t�ieiorr. Nwe�New 5ervice Encrancc
Gbles vrill reQuirt a sepuate pennit.
Roco�ef t�eireitic for othp�ppr�tyvr�ed appliance�!fixtwes.
Otlscr
tnstaU rec, for powec v� v�at�� k��ater.
rbe.►��of��c�s 80.00
I hereby verify this work wiU be performed by an crnployee oF this company and furihc�vcrify ihe
reconnection/instztttst�v�l�-bs�irteot�tp�'rsrtcevri�rrrt��r arid Eleclric code
tcquirrpfeats. :
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. David A. Younqwirth 11/01/01
(Signetur�e of C (Frinr I�f�me�f OtFicer� (Da�e)