HomeMy WebLinkAbout0104551 POSHKOSH
ON THE WATER
.lob Address 658 MOUNT VERNON ST
Contractor SAMMONS PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ADVOCAP INC
Category 411 - Residential-Water Heaters
No 104551
Create Date 10/02/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
Install electric water heater. *EIV form from Slim's Electric.
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 $1,000.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
10/02/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~ 'F~OM :SAMMONS PLUMBING FAX NO. :9202~18485 Oct. 81 2B~ 02:45PM P7
Electric Installation Verification
SLIM'S ELECTRIC INC.
(Elecuice{ ~ Nme)
,O,akw~0od Cir,c. le Oshkqsh
2608, ....................
at the bllowin~ 8ddre~
WI 54904
(zip ceae)
Sammor~s Plum.
(Name of linty ;ontra~ed to)
658 Mt. Vernon. S~.
The nmue or'the wodc ~as~m of: (Ch~k One or l~acribe tl~ NaUn~ of Work)
Reconnectiou of'the Sm~ice Entrnce Cablc. Meter Box. alteruiimm to r~
ondliaMinS~m, zturvsductosidin~/soffitiumllmioo. No~ NewServicc
--.- Reeennu~on n~ new cbenit fer tl~ n~lacmnent of o11~ 1~ ~
N~v ~tt f~' tlm a~iltlon of A/C to an Jn&twaae/&~.//~ m~t Otm~e or tlne '
elecu~cal ~lm.
~=~ot~sw~is$,,,, 75.00
I hereby/va~ this work will be performed by an empJoyee of this oomsp~y and fmber verify
tl~ tqg~ne~ / irdaoF~e4on will be done in con~ with manufsL'ttmn* and ~eettie code
David A. Youn.qw,rih 00/18./03
/ (sipum~ofc~, ~ Otaee,) (l~ntNam= of Of~,) 0~,)