HomeMy WebLinkAbout2003-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1131 1133 W SOUTH PARKAVE
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PHILLIPR/CARUEDINGER
Category 410 - Residential-Interior
No 105159
Create Date 11/05/2003
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 DUPLEX/1133/Replace electric water heater. *EIV form from Schafer 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 $450.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
11/05/2003
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
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.
~11/BB/2003 11:28 2336747 J RASMUSSEN PAGE 02/02
Electric Installation Verification
O0 (we)
~' (Eie~eal Contractor Name)
(^ddr~'9 (Cit~') (Sm~e) (Zip Code)
have been contracted to 9e~'form el¢ctrio installation work for ~ ~'~.~./~ ,~'.o. ff~, ~ ,
(Name of party cont~etecl to)
at ~h~ following address: ~t~:.~
(Address wh~'~ work will be p~'ormed)
The nature of the work consists of: (Check One or Describe th.e Nature of Work)
Recoanection or new circuit for replacement Heatin8 Plant and/or ~C Co~denser.
~ R~o~eclion or ~ew ci~it f~ mpl~ement El~c Water Heater.
.......Reco~jo~ of the S~i~ F~cc Cable, Me~cr Box, alt~ations to receptacles
li~ng flx~es due ~o siding / ~ffi~ i~talla~on. Note: N~' S~/ee Entree
Cabl~ will requir~ a sep~e p~it.
~ Ree°~e~hon or n~w ci~uit for oiher patiently wked appli~ees / fixtu~s,
~ ~h~
The value of this work is $~ ~, ,o ~ "~
I hereby verif~ tb.~$ work w~ll be performed by an employee of this company and further red f'y the
eco.m~ection / msmll~,tton w~ 1 be done m comphance with manufacturer and Electric code
requirements,
(Signa~e of G6mpany Of tic'er)
(Print Name of 0fficer)
(Date)