HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 1795 WEST POINT DR
Contractor GLAZE PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL G/HOLLY BELL
Category 441 - Industrial-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 101852
Create Date 05/30/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Replace electric water heater. *EIV form from Witzke Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$800.00 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
05/30/2003
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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
Electric Installation Verification
The nacre of the work con~iats of: ( .Check One or De,ch'be the Na~-u'e of Work)
Reco~meotion or nra, circu/t for r~lec~ment ~Ieeting pl~t ~r ~C ~n~er.
ReconVert or n~w c~c~: for r~lac~: Elec~c W~er ~e~t~ or power v~t~
~ec~m~ec~on o~e S~ce ~e Cable, Meter ~ox, elt~mtions :o r:ceptecbs
~ ~t~g ~x~es duo to ~idi~ / soffit im:~i~on, Note: New $~ice
~eco~ec~on or new o~uit for the r:pi~c~t of o~e: pe~tly
N~w c~uit for ~e ~difion of MC to ~ individual d~ellt~ u~lt ~o~e or
indi~d~ s~t~s ~ a dupI~ or co~o~), ~clu~g required
0~
The v~lue of this work
hereby var/fy th~$ work w~]l be parlor:neet by ~ employee of this :ornp~y and ~Lu~her verify
r~quire~ents.
Officer)
(Da:e)