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HomeMy WebLinkAbout0146609-Plumbing (water heater) g) CITY OF OSHKOSH No 146609 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1781 1783 MARICOPA DR Owner MOKLER PROPERTIES INC Create Date 06/29/2011 Contractor MOREMAN PLBG & HTG SERVICE INC Category 446 - Commercial -Water Heaters Plan Inspector Rich Wood 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 MULTI - FAMILY (1781 -A) / REPLACE ELECTRIC WATER HEATER, EIV SIGNED BY DILLMAN ELECTRIC * *debit of Work acct Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1315140000 Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By c_Jo U Date 06/29/2011 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. City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903 -1130 O, f I--KO, f H Office 920 - 236 -5050 ON THE WATER Fax 920 - 236 -5084 Electric Installation Verification I (We) tivv (Electrical Contractor Name or Homeowner's Name) Pb \ (773 463 x Os hK' t -k 5 (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: I (A) Mart C Dpck Dr (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 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 multi -use building would require a licensed Electrical Contractor. Other The value of this work is $ Z 5 , ®© 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. s ((rActv\ Cl (Signature of Company Officer or Homeowner (Print Name) (Date) 07/07