HomeMy WebLinkAbout0104505-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 618 BAUMAN ST
Contractor RAPID SOFT LLC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOHN A SCHUSTER
Category 411 - Residential-Water Heaters
No 104505
Create Date 10/01/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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
Use/Nature SFR/Replace electric water heater for Sears. *EIV form from Drexler Electric.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $350.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
10/01/2003
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
Agent/Owner
Address P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
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.
City of Oshkosh
InSl~Ct/on Servic~ D/vis/on
POBox 1130
Oshkosh, WI 54903-1 I30
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
OCT 0 1 2003
DEPARTF~ENT OF
CO~'I~UNIT¥ DEVELOPMENT
Plumbing Permit Application
I h~reby apply for a permit lo cio and install the following plumbing on the premises bereln,e~ex described, thc work to conform to the
Wisconsin Stut~ Plumbing Code, in the performance of which ali panies.heri~o agree to and are bound by said statutes.
· Application(s) and f~e(s) can be brought to City Hall, Room 205 or mailed to Inspection Scl'vices, PO Box I r28,
Oshkosh WI 54903-1128. Commencing work without permit(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 partici~atine in the Permit Fee ~lccount System and have adequate funds ch,~¢k here
i£vou want this ~rocessed throueh your account
Owner /~/~4~ 3 ~-~/-~-~,~ Coutractor
[~ingle Family [--~Duplex [~Multi-Family [~Rental ]--]Commerdal [~lndustrial
Number of Fixtures:
~a~u~ ~dry Standp Dent. Oper. ,,, ~
~vat~ , , ~ ~sh~ .... ~nk ~ ~h ~
~, Sink _ Ej~/~nd ..... Ice Ch~t U~nal
D ~t D ~Vm S~ ~
~o~ Ws~ Ha~ Sink ........ ~ff~ Ma~
..... S~ S~nk , Ext ~ Trap S~ ~
~ Sink
Electric Contractor
Use / Nature of Work
S/ze Material Typ~'
Sanitur~ Sewer
Storm Sewer
~5Jl~lectric Installation Verificatidn form attached
# Com~ Type
Wa~
City of Oshkosh
Division of h~spection Services
215 Church Avenue
POBox 11~0
Os~osh WI 54903-1130
Electric Installation Verification
(Elec~cal Con~or N~
Cddress) (City) (State)
have been conWacted to perfo~ elec~c installation work for _)~
~me ofp~y contracted to)
at~efollowhgad~ess: ~ {7 ~ ~O~
(Ad,ess where work will be perfomed)
The na~e of the work consists of: (Check One or Describe the Na~e of Work)
__ Reconnection or new circuit for replacement Heating Plant ancVor A/C Condenser.
Recolmection or new circuit for replacement Electric Water Heater or power vented
water heater.
__ Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and Ii?dating fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
(Zip Code)
New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ ~7/~' ~'3
I hereby verify this work will be perfoz~ned by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requ/rements.
(Print Name of Officer)
(Date)
5/02