HomeMy WebLinkAbout0132479-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 30 EVELINE ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RUSSELL B DIENER
Category 411 -Residential-Water Heaters
Contractor MOREMAN PLBG & HTG SERVICE INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrlVllst Sink _
Lndry Tray Clothes Wshr Exam Sink Catch Basin _
_ Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal _
_ Sump Pump Lab Sink Plaster Sink _ Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
No 132479
Create Date 08/22/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap _
RP2 Valve
Eye Wash Statn
_ Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 08/26/2008
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
Agent/Owner
Address PO BOX 1325 OSHKOSH WI 54903 - 1325 Telephone Number (920) 231-9191
~ o scneaule 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 pertormed within two business days from the time the project is ready.
~ $500.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
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Electric Installation Verification
t (we} ~~~- -~~~~1~~
(Electrical Contractor ATamc)
~iw Co~~~~ P~Mg~le- KD (J.1lNN~La~' cal 5~.~~~
(Address) (City) (State} (Zip Code)
have been contracted to perform electric installation work for ~I,O~Q'1~ ~~~~>~b
(Name ofparty cantraeud ta)
at the following address: ,~ ~~/~~~ ST
(Address where work will be performed)
The nature of the work consists of (Check One or Descnbe the Nature of Work)
Reconnection or new circuit far r~Iacert-ent Heating Plant andlor A!C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable. Meter $ox, alterations to rcccptacies
and lighting fixtnres due to siding !soffit installation. Note: New Service
Entrance Cables wiIi require a separate permit.
Reconnection or now circuit for the replacement of athEr permanently wired
appliances /fixtures.
New circuit for the addition of A/C to tin individual dwelling cunt (house or the
individual systems in a duplex or condominium), including required sorvice
elactrieal outlets.
Other
~'he valtio of this work is ~ -bv
l hereby verify this wont will be performed by an employee of this company and further verify
the reconnection !installation will be done in compliance with manufacturer and Electric code
requirements.
~- I~ ~^ g ~~Z 6 Z S- Za
(Signature of Ccxnpany Officer) (Print Name of Officer) (Date)
5/02