HomeMy WebLinkAbout0105207-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob.Address 1545 #307 ARBORETUM DR
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLES/ILYEENE CASE
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 0 Water Softner 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
No 105207
Create Date 11/06/2003
Plan
Dip Well 0 F Prep Sink 0 Gar Drain 0
Drink Ftn 0 Serv Sink 0 Soda Disp 0
Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Hand Sink 0 Urinal 0 EyeWash Statn 0
Plaster Sink 0 Standp Rec 0
Surgeons Sink 0 Ice Maker 0
Use/Nature CONDO/Install electric water heater. *EIV form from Slim's Electric.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material
Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
11/06/2003
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.
'FROM :SAMMONS PLUMBING FAX NO. :9202318485 Nov. 05 2003 04:5GPM P4
Electric Installafiea Verification
SLIM'S ELECTRIC INC.
(E~;~cal C~tor N~)
2608 Oakwood Circle Oshkosh
(Add~)
WI 54904
(sm) "' (zipco~e)
Sammon's
¢c~)
{Name ofl~'ty
60.0,,0
I ht~y veri~'y th~s work will be penn.ned by an mnployee of this eompmy and fm, ther verify
.... Oavid ^. ¥oungw~rth 10/28/05,.
(S~**~e of C. ea~Ot~cer) (Print Nmne of Ot't~et) (Dat~)
/
~,,~ ~ 1,,5,45 A,r, boretum Dr. Apt. 307
(Address where wosk will be perfomm~
of the wm, k consists of: (Check One or l:~scr~be ~ Natm~ of W~)
Recormecfion m' new circuit for replacement l.]eatin8 Plant and/or A/C Condenm-,
Rec. orm~t,~n ~ new cirCuit ~ot replaeemeat Elec~ic Wmm" Xqea~et m' pewe~ ventM