HomeMy WebLinkAbout0102410-Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 232 236 N CAMPBELL RD
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RIVERWATCH LLC
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 102410
Create Date 06/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature MULTI-FAMILY/RENTAL/Replace electric water heater (236 C Campbell Rd). *EIV form from Cummings Electric.
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
06/24/2003
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
06/25/2003 87:14 2336747 J RASHUSSEN
PAGE 01/02
Oshkosh W~ 54~)3-1 lDg. < ,0,~n,enc;l~ wot;k ~'.{thal.lt Pea'mit(s) ~ffl] r~.~}t i~
06/25/2003 07:14 2336747
Jun 24 03
J RASMUSSEN
PAGE 02/82
Electric Installation Yer~fiCafion
1 (we) _
(Electrical Co~actor Name)
(zip coae)
(N~me ofp~rty con~acaed to)
at the followh~ address:
(Addre~ wherc work M~ bc pcfform~j
'Ibc namm of the wO~ con~ist~ o~ (Check One or Desc~be the Nature of Work)
_x~ t~econnegd~n or new circuit f~r rcpl~ccmcnt Hcating Plant and/or A/C Conetcu~r.
~ Recon~ec~iou or new circuit for rcplneememBlcc'aic WaterHeaterotpowcrvcrged
. Recmmec~on of'the ~er~¢¢ Entrnnce Cable, Me~
n~ Ii~h~ing fixtu~.~ duc ~o ~dlng / sof~t i~all,~on. Not~: New Servicc
F,~ranee Cables will mq~lite a r,~'~l~'ltc pea, mit,
~ l~connec~on or n~w circult for ~c replacement of other pe~mnnently wired
nl~l|anccs /
.., New circuit for the Mditien of A/C to nn/m/i~/,/~ ~'well~ng. ~t (house or thc
individual ~ystcms in a duplex o~ condcmlnium), incl~n~ requir~
electrical outlets,
Othcr
Thc valuc of this wo~ is $ 75.o0
I hereby verify this work will bc per~rmcd by an employcc or,his company m~d further verify
the reconacctlo~ / tnstaJlatio~ will be donc in compllmicc with manuf~cture~' and BlcctHe code
recju~'emcms,
(Print Name of Officer)
6/2t~/03
(Dale)