HomeMy WebLinkAbout0127964-Plumbing (waterheater)
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OSHKOSH
ON THE WATER
Job Address 1777-1779 MARICOPA DR
CITY OF OSHKOSH
No
127964
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MOKLER PROPERTIES INC
Contractor MOREMAN PLBG & HTG SERVICE INC
Category 411 - Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Replace electric water heater at 1777, unit D. EIV Royal Electric.
of Work
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date
11/27/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
I
Valuation
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
$600.00 Plan Approval
Parcel Id #
1315160000
$0.00 Permit Fees
Issued By
$25.00 0 Permit Voided I
Date 11/27/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 PO BOX 1325
OSHKOSH
WI 54903 - 1325 Telephone Number (920) 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.
~.
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ell)' or Osbkosb
Division of InllpCc:1ioll s"Nicos
21SClllU'CbA\ICllUC
PO &l>~ 1130
O.hko.hWI $4I11lJ.lIJO
OffICe II2ll-ZJIS-So.so
Fax 92ll-2J6-SOI4
Electric Installation VerificatioD
I (We)
(1 I
Ii: 'Z. 0)' a.. \
e. ) i' c.\v \' <-) 1."" c..
(Electrical Contractor Name)
& Yo iI\l1D'15'':~
(Address)
k-:!"" 5'-f I Lj 0
(State) (Zip Code)
f1r1 oJ.:l-v- p'r~pv-h -e. s.
(Name of party contracted to)
\ 77"7 t11 cukoDc.... v'lln- ()
(Address where work will be performed)
O.
. T/,/<.....
L{Hk O.,....}<;.
(City)
Mve been contracted to pe:rfoml electric installation work for
at:thc following address:
T~e nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
-X.... RecolUlection or new circuit for replacement Electric Water Heater of power vented .
water heater.
Reconnection 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 circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of NC to an individual dwe/lingunit (house or the
individual systems in a duplex Of condominiwn), including required service
electrical outlets.
Other
Th~ value of this work is $ b S ,D D
] hereby verify this work will be performed by an employee of this company and further verify
thei reconnection / installation will be done in compliance with manufacturer and Electric code
req'uirements.
~~~C j P~A~
($ignatu ofC6mpany O~ leer)
Prp~-)rJ~ .r
(Print Name of Officer)
\\1;;'7/0.7
(Date)
5101