HomeMy WebLinkAbout0103079-Plumbing (interior)CITY OF OSHKOSH
103079
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address3233 BELLFIELD DROwnerCREATIVE CUSTOM HOMES & DEVELOP INCCreate Date04/28/2003
ContractorHANSON QUALITY PLUMBINGCategoryPlan
410 - Residential-Interior
Bathtub2Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain1Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory20Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet21Clothes Wshr0Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink11Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink010Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
RPZ Valve0
Water Heater110Urinal0
Sump PumpDent. Oper.0Hand Sink
0
Eye Wash Statn
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker1
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature NSFR
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
0
$0.00
Valuation$7,400.00Plan ApprovalPermit Fees$84.00
Issued ByDate07/24/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Signature
Agent/Owner
Address550 N BLUEMOUND RDAPPLETONWI54914-0000Telephone Number730-0205
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Div/sion
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
...(DJ'HKO/H
Plumbing Permit Application
I hereby apply for a permSt to do and install the following plumbing on the prem/ses hereinafter described, the work to conform to the
Wiscomin State Plumbing Code, in the performance of which all parties hereto a~ee to and are bound by said ~tamte$.
· Application(s) and fee(s) can be brought to Cit,) 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 $I00.00 plus the
normal perm/t fee, which ever is greater.
OR
If you are a contractor participating in the'Permit Fee Account System and have ad~eeuate funds.' check her,
if you want this processed through your account [~
Job Address ~Lg~ //~'//~F/~/ Value (Including labor and ~t~als) 7~- ~ Date
~ner ~ Contractor ~?~f ~{d //~/,
~Single Family ~Duplex ~Mulfi-Famfly ~Rental ~Commercml ~Industfial
Number of Fixtures:
Whirlpool Disposal [ Dip Well
lavatory ~ Dishwasher ~ D~nk Fm
Toilet ~ Sump Pump [ Wait. St.
Res. Sink [ Ejector/Gdnd Ice Chest
Bar Sink Water Sofmer Exam Sink
Floor Di3in ] Bidet F Prep Sink
B~'r Tap Serv Sink
. Lab Sink
Pla~t*r Sink Bmakrm Sink
Shamp Sink
Flr/Ws/Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof D~ain
Standp Rec
Electric Contractor
Use / Nature of Work
Size Material Type.
Sanitary Sewer
Storm Sewer
Water Service
2/02