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0102999-Plumbing (interior)
OSHKOSH ON THE WATER ,Job Address 3229 BELLFIELD DR CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Contractor HANSON QUALITY PLUMBING Bathtub 1 Shower 2 Ejector/Grind Whirlpool 0 Floor Drain 1 Water Softner Lavatory 3 Lndry Tray 0 LocaIWaste Toilet 3 Lndry Stndp 1 CIothesWshr Res. Sink 1 Disposal 1 Bidet Bar Sink 0 Dishwasher 1 Beer Tap Water Heater 1 Sump Pump 1 Dent. Oper. Site Drain 0 Classrm Sink 0 Lab Sink Roof Drain 0 Breakrm Sink 0 Sterilizer No 102999 Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date 04/28/2003 Category 410 - Residential-Interior Plan 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Drink Ftn 0 ServSink 0 Soda Disp 0 Wait. St. 0 ShampSink 0 Coffee Maker 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Plaster Sink 0 Standp Rec 0 0 Surgeons Sink 0 Ice Maker 1 0 0 0 0 0 0 0 Use/Nature NSFR/1 story home with a 2 car attached garage, gas water heater. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $8,000.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $102.00 Date 07/22/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 550 N BLUEMOUND RD APPLETON WI 54914 - 0000 Telephone Number 730-0205 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 Oskknsh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ..©/HKO/H Plumbing Permit Application I hereby apply for a permit to do and imtall 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 agee to and are. bound by said ~tatutes. · Application(s) and fee(s) can be brought to Ciw Hall, Room 205 or mailed to InSPection Services, PO Box 1128, Oshkosh WI 54903-1128. Corm'nencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participatin~ in the'Permit Fee Account System and have adequate funds.' check hem' £f vou want this processed through your account ~ Job Address ~a2~ ~///~r'//o/ Value (Including ,a~rand ~t~a~) ~ fro ~' Owner ~Single Fa~) ~ Contractor ~)~ ~~ ~Duplex ~Mulfi-Famny ~Rental ~Commercial Date [--]lVndustrial Number of Fixtures: saatub / ~d~y S~.~ / D~t Whirlpool Disposal ~ Dip Well Mvato~ ~ Dish~h~ [ ~nk Fm Toilet 3 Su~ Pu~ ] Wait. SI R~. Sink [ Ej~tor/~nd lee Ch~t B~ Sink Wat~ So~ ~m Sink Wat~ Heat~ ] ~al W~ ScuI~ Sink ~ Clothes Wshr Hand Sink EI~ ~Vnt Shower ~ Bidet F ~ Sink H~r ~in B~ Tap S~ Sink ~d~ Troy CI~s~ Sink Ina G~se Trap ~b Sink PI~ Sink B~ Sink Stefiliz~ Shamp Sink Flr/Wst Sink Catch Basin Wash Fm Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Staodp Rec Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Water Service [--]Electric Installation Verificati6n form attached (if Replacement) ~ Conn. Type Size Material Type. # 3/02