HomeMy WebLinkAbout0143747-Plumbing (water heater @ 1004) CITY OF OSHKOSH No 143747
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1004 OREGON ST Owner 1004/1006 OREGON STREET LLC Create Date 10/21/2010
Contractor MOREMAN PLBG & HTG SERVICE INC Category 446 - Commercial -Water Heaters Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use /Nature COMM (1004) / Replace electric water heater. EIV signed by Seckar Electric. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0302140100
Valuation $400.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ry (./jJ Date 10/21/2010
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
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.
l om : FAX NO. :9205824909 May. 11 2010 08:23PM P1
City of Oshkosh
e5)
Division of inspection Services
211 Church Avenue
PO Box 1130
azro Oshkosh WI 549 03 - 1130 '
Office 920 - 236.5050
Fax 920- 236 -5084
Electric Installation Verification
1 (We) 5ECk C C (
G • ( Electrical Contractor Name or Homeowner's Name)
r " j` eg dr2, / CO Ai/de
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
(Address where work will 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 perniit.
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 multi -use building would require a licensed Electrical
Contractor.
Other
T h e v a l u e of t h i s w o r k is $ I t O 0 0 .
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.
r D , ? g to- zo /o
(Signatt re of Co ., y Of iccr or Homeowner) (hint Name) (Date)
Received Time Oct. 20. 2010 11:05PM No. 3373 .
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