HomeMy WebLinkAbout0128336-Plumbing (water heater)CITY OF OSHKOSH
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1761-1765 MARICOPA DR Owner MOKLER PROPERTIES INC
Contractor MOREMAN PLBG & HTG SERVICE INC Category 441 -Industrial-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain __ __ Local Waste _.__ __ Ice Chest FlrlWst Sink
Lavatory _ __ Lndry Tray __ __ Clothes Wshr __ __ Exam Sink _ Catch Basin
Toilet _ _ _ Disposal Bidet __ ___ Sculry Sink _ __ Wash Ftn
Res. Sink Dishwasher
--- Beer Tap
- -- Hand Sink
-- Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well
- F Prep Sink
--- Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
_ _
Fixtures
Use/Nature MULTI FAMILY (1765 UNIT C) /REPLACE ELECTRIC WATER HEATER debt acct
of Work i
No 128336
Create Date 12/28/2007
Plan
Coffee Maker _ _
_____ lnt Grease Trap ____
Ext Grease Trap
RPZ Valve
_.-__. _
- -
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1315160000
Valuation $600.00 Plan Approval _ ________ w.0o Permit Fees $25.00 U rermit voiaea
Issued By ~~ Date 01!04!2008
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
Address PO BOX 1325
Agent/Owner
OSHKOSH WI
- 1325 Telephone Number (920) 231-9191
To schedule inspections please call the Inspection reequest nne at zsb-5~izu noting me Haaress, rermit rvumuer, type v~
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.
ON TH'~ E WATER-'
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh w] 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
Contractor Name or Homeowner's Name)
is l~ O~L`~Gf`~iS ~(~I`'r`t 1 : ~"7!~ ~Y'~v~a 1i~.~ JL/( ~G~
(Address) -~ (City} (State) (Zip Code)
accept the responsibihi^t]y FFto perform the electric work as stated b`e/low, at the following address:
(r~J 1i~11 1'~,1C.*f~~c~~~ ~~`'hs~vr ~.~ Se ~7~c~L~~,
(Address where work wil be performed
The nature of the work consists of: (Check One or Describe the Nature of Work}
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
~ Reconnection or new circuit for replacement Electric Water Heater or 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 /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 multf-use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ j~ S `'
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection /installation
will be done in compliance with manufacturer and Electric code requirements.
(Signature o C mpany ~ Icer or Homeowner} (Pkint Name- (Date)
07/07