HomeMy WebLinkAbout0105549-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1057 W 10TH AVE
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 TINA M ZIEBELL
Category 411 - Residential-Water Heaters
No 105549
Create Date 12/02/2003
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 SFR/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 $900.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
12/02/2003
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.
~ROM :~AMMONS PLUMBING FAX NO. :9202318~85 D~co 01 2003 05:05PM P~
Electric lnstnllation Veriflcntion
[(w,) SLIMiS
ELECTRIC
INC.
(Elec~eal Centnc~r Name)
2608 Oakwood Circle 0s~kosh WI 54904
(A~) (C~) ~S~) ~C~)
....... ~'~ ~t~ ~ ~ ~~ ~ -~n's ..............
:~ t~ b.~ ~: 1057 W. 10 th Ave
The nature of thc wOzk consists of: (Check One or Ihsc6be ~h¢ Nelun: of Werk)
Roconncctiou ar n~v cimuit for replacement lieatio~ Phnt end,or A/C Condcmcr.
~ R~nncction or haw ci~cult for rephamJent Electric Water HeaMr or powcr vetoed
l~nmmc~ Cabha will requ~ro · square permit
Re~onneotion or new d~uit ~or thc mpltu, eme~t or'other pm'msnc~tly wirod
q~plinceI / fixnm~L
New cir~ lq~t* ~ho addition of A,~C to an m~e,,J~m~ M~J~ mm~ (house or tl~
olecaical outlets,
Odin'
Tbe vshcofthis work is S 60.00
I h~eby verify this work will b~ petfo~ned by an employe~ of ~his e~2pmy and fmlM:r vmify
Ihe~ / hl~lhli~ ~ill I~ do~ in ~ wid~ malmf.~-~a~ ~ B~k: e~h:
David A. Younflwirth 11/04/03
(Signature of Coa~a~)/~ce~) (P~ Name of Officer) (D~)