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Home My WebLink About0104212-Plumbing (water heater)OSHKOSH ON THE WATER gob Address 1403 1405 MARICOPA DR Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner ROBERT J/SUSAN MAiN Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink __ Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __ Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __ Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 104212 Create Date 09/15/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 RPZ Valve 0 0 Eye Wash Statn 0 0 0 Use/Nature ;)UPLEX/ #1403/ Replace electric water heater. *ElV form from Zimmer Electric. of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 Valuation $425.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit VoidedJ Issued By ~V~ Date 09/16/2003 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 h?lder(s) a~d'[6 secure any ne/ce~sary approvals before starting such activity. Signature%~-..%,~/~:'~. ,~ ~ Date i~?/ ~./.¢ Agent/Owner Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 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 Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Perm it I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903 - 1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR lf ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account ~ JobAddress -/~'~Q:)-5 .~d~,~,~_~o~ Valuc(lncludinglaborandmaterials) ~"~'00 Date Owner ~otB ~q/t,,*/A~' Contractor ,.,~'~,f~-~' ~t.~.,t~,~/~,~_ [~]Single Family []Duplex [-']Multi-Family [--]Rental [--]Commercial [~Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Fff/Wst Sink Lavatory Dishwasher Drink Em Catch Basin Toilet Sump Pump Wait. St. Wash Fm Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater t' Local Waste Sculry Sink Soda Disp [] Gas~ Elect [3 Pw'rVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink lnt Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink ILP.Z. Valve Eye Wash Sin Sterilizer Electric Contractor OR Use/NatureofWork ~'~'2~..~.~,~...~(/ - Sanitary Sewer Storm Sewer ~]Electric Installation Verification form attached (If Replacement) Size Material Type # Corm. Type Water Service 7/03 FROM : Zimmer Electric LLC PHONE NO. : 92[~852386 Sep. 15 2003 06:18PM Pi Electric Installation Verification (Electrical Contractor Name) (Address) (City) (State) (Zip code) f (Na/'ne of party contracted'to) (Address whgre work will be performed) have been contracted to per£orm electric installation work for at the following address: The nature of the work consists of: (Check One or Describe the Nature of Work) Recormection or new circuit for replacement Heating Plant and/or AdC Condenser. Reconnect/on or new circuit for replacement Electric Water Heater or power vented water heater. Rccomlect/on o£ the Service Entrance Cable, Meter Box, aherations 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 w/~d appliances / fixtures. New circult forthe addition of A/C to ~,n individual d~velling unit (house or thc individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $ I hereby verify this work will be performed by an employee of this company and further verify the reconncction / installation will be done in compliance with manufacturer and Electric code (Print Name of Officer)