HomeMy WebLinkAbout0105375 -Plumbing (water heater)OSHKOSH
ON THE WATER
,Job Address 728 730 WISCONSIN ST
Contractor JNL 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 2 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EXCEL PROPERTIES LLC
Category 411 - Residential-Water Heaters
No 105375
Create Date 11/18/2003
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 Electric water heaters.* EIV from Van Ert Electric attached.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
11/18/2003
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 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
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.
Electric Installation Verification
(We)
(Electrical Contractor Name)
(Ad-d~ess) ~ '
(City) / (State)
(Zip Code)
have been contracted to perform electric installation work for ff:Ye~/ ,~4,o~,~Z~ $ A~,C._
(Name of party contracted to)
at the following address:
(Address where work ' '
wall be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new cimuit for replacmnent Heating Plant and/or A/C Condenser.
Reconnection 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 lighting 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.
__ 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 $
I hereby verify this work will be performed by an employee of this company and further verify
the rec0nnection / installation will be done in compliance with manufacturer and Electric code
requirements.
f~n~tu~e of Company Officer)
(Print Name of Officer) (Date)
5/02