Loading...
HomeMy WebLinkAbout0109136-Plumbing (water heater) � � � CITY OF OSHKOSH No 109136 a��D� OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD �� ON THE WATER N 1� , � �<' Job Address 1204 GRAHAM AVE Owner BERNARD MARTIN Create D e Q,Y4196/2004 Contractor MOREMAN PLUMBING Category 411 -Residential-Water Heaters Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 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 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/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 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 Water Heater 1 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal 0 Eye Wash 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 FR/ELECTRIC WATER HEATER of Work Size Material Type # Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 � Parcel Id# � 1600770000 Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 ❑ Permit Voided� Issued By /f1 L J Date 07/O6/2004 In the perFormance of this work,I agree to perform all work pursuant to rules goveming the descnbed 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 AgenUOwner Address PO BOX 1325 OSHKOSH WI 54903 -0000 Telephone Number 231-9191 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. ©/HKO/H RECEIVED jUL 1 6 ~004 DEPARTMENT OF C'O~:~L~NITY D[¥ELOP~E~T Electric Installation Verification (We) (print homeowner(s) name) the homeowner(s) of (address where work is to be performed) accept the responsibility for performing the electrical work as stated below for the property listed above. The nature of the work consists of: (Check One or Describe the Nature of Work) __ Reconnection or new cimuit for replacement Heating Plant and/or A/C Condenser. __ Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. __ Recormection 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 cimuit for the replacement of other pemaanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi-use building wouM require a licensed master e!ec~,ician. Other The value of this work is $ !~e~ I hereby verify this work will be performed by me and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. Homeowner~) Signature (Date) ' 5/02