HomeMy WebLinkAbout0105561-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1585 W 20TH AVE
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WARA INVESTMENTS LLC
Category 441 - Industrial-Water Heaters
No 105561
Create Date 12/02/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 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 IND/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 $200.00 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.
"FROM~:SAMMONS PLUMBING FAX NO. :9282318485 ~c. 81 2883 05:06PM P7
Electric Instahfion Verification
! (we)
elec~c ~ ~ for
585 W. 2~h Ave
SLIM'S ELECTRIC INC.
(~i~ri~l Co~r~ior Name)
2608. Oakwoo,d Circle Oshkosh WI 54904
(Add. s) (C~') (Sate) ('Zip~'odc)
.Saml3aO.[tsplul~
The nature of~he~ wodc consists o~ (Check One or Describe the Nature of Work)
The value of this wodt is $ 60.00
] hereby verify this work will be performed by an employee of this ~,~t~ny and fm~er varify
the reco~-,~'~ / bttadbl~ MIl be do~e i~ complial3ce wigt mnnufactul~ at3d Fdectttc ~Je
~~' ,~~David A. Young~irth 11/1:2,/03
· ' (Sif~flamm of Con~OM~er) (Print N~me of Officer) (Date)