HomeMy WebLinkAbout0102478-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2125 JEFFERSON ST
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RANDYA/DEBORAH KARNS
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 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 102478
Create Date 06/27/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace power vented water heater. *EIV form from Beez 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
06/27/2003
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 520W SOUTH PARKAV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
City of Oshkosh
Inspection Services Division ~' ' ~'~
Oshkosh, WI 54903-1130
Fax: (920) 236-5084
~ ~ o~ X~ WmER
, ·
P umbm Porm t
I hereby apply for a pe~t to do and install the following plumbing on the pre~se~' herei~fl~t~e~cdbed,
Wiscomin State Plumbing Code, i~ the perfo~nce of which all paffies hereto agree to and am bo~d
· Application(s) and fee(s) can be brought to .City Hall~ Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without p&mit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the perm t~Fee Account Si,stern and have adequate funds, clt¢ck here
i~¥ou want this processed through your account hA
Owner ' ' u L).3 ' Contractor ~ ~ ~-]?'Fx,~ 3/~
X~Single Family [--]Duplex ]--]Multi-Family [--]Rental I--]Commerciai [~]Industrial
\
Number of Fixtures:
Bathwb Lndry Standp Dent. Opec Shamp Sink
Whirlpool Disposal Dip Well FIdWst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilel Sump pump Wait. St. Was~,F. al
Rcs. Sink Ejector/Grind Ice Chesl Urinal ,. -
Bar Sink Water Sofmer Exam Sink Gar Drain
Water tleater ~,.~_ Local Waste Seulry Sink Soda Oisp
[3 Gas D Elec~,%PwrV nt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Fi ~o~ ~n 'sin Beer Tap Serv Sink Site Drain
Lr~dry Tray Classrm Sink iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Res
Plaster Sink Breaknn Sink
Steriliver
Electric Contractor~ O_L/-..~ O~ ~ieetr'.'e(l,~pla,emcnt)!nstalllifiOn Yerificati~n form attached
Size M~erial Type # Corm. Type
Sanitary Sewer
Storm Sewer
Wate~ Service
3/02
~6/23/2003 23:18
9282317255
BEEZ ELECTRIC
PAGE 0~
Electric Installation Verification
521 W. 12.th. ~)shkosh WI 54902
have been contracted to p~eorm electric installation work for ~
at the ~o]]owi~ address:
The nat~e of the work corm~ts of: (Check One or Describe the Nature of Work)
[] Reconneetion or new circuit for r~placctl~ Heating Pla~ and/or A/C Condenser.
[] Reco~on or new ~,~it for replac~ent £1ectric Water Heater.
[] Recomleetion of the Servi~ Entrance Cable, Meter Box, alterations to ~acles and
litgating f~tures due to sidi~ / soffit i_nstallatio~ Note: New Service Entxan~ Cables
will re~ire a separate permit.
~e.~tion or new circuit for other permanently wired appliasx~s / fixtures.
The v~ue oftl6s work is
I hereby verify this work will be performed by a~ employee of this company and ftuther ver~ the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Sil~nature of Company Officer)
06/24/_0~