HomeMy WebLinkAbout0105557-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob .Address 257 W 14TH 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 JANET KSHILOBRIT
Category 411 - Residential-Water Heaters
No 105557
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 DUPLEX/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.
' FR~ :SAMMONS PLUMBING FAX NO. :9202318485 Dec. 01 2003 05:06PM PS
Electric In~tallatlea Verift~tion
SLIM'S ELECTRIC INC.
2608 Oakwood Circle Oshkosh
(-~) ' (c'~z)
WI 54904
(st=~) (z~ c~)
Sammon's
ill
(Nme of~ I~ re)
257 W, 14th Ave
(Add~ whore wmk v~l I~ pafonml)
alon et Iw ctreulI for rop|I Heain~ Plm md/or A/C Con~.
'-X-- J~tiou oF new ~ii~git for l~I I~.hlclri¢ Wt~r lillltr a- power ,~lltnj
wler
Reconnoction of the Service P--~mce Cable, Mir lk~, shu-afions m reeves
andlighdngftxtu~ductos~ai~/soffitinmllafi~ Note: New Service
P. atrmce ~wtll ~lul~
,, , Recmmecdon m' now cin:uiI ~ ~ mplJ:mnent ofother pelmanllly w~
tixe vdue or~ w~ i~ $ 60.00
'
I hereby vaify II~ work wi.il be pe~ by I empbycc of Ibis J~a~llJy aid f~ vljfy
tl~ t~ecd~ / ~ ~iil be dane in emn~imco whh mlufm~ and F, le~zic cod~
David A. Youn~qwirth 11/04/03
(Print Name of Of~cer) (Date)