HomeMy WebLinkAbout0103080 POSHKOSH
ON THE WATER
.lob.Address 1290 PHEASANT CREEK DR
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES
Category 410 - Residential-Interior
No 103080
Create Date 05/20/2003
Plan
Bathtub 1 Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 1
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 4 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 1 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$7,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$120.00
Date 07/24/2003
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 Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
.. O/HKO/H
Plumbing Permit Application "'
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descr~bed, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parries hereto, a~ee to and are.bound by said statutes.
· Application(s) and fee(s) can be brought to Cit,j Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without perm/t(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 participating in the'Permit Fee Account System and have ad'equate fun~s.' check here
if you want this processed through your account ~
Job Address/~QO J?f/.gr,-o~/~. ' Value (Bcluding labor ~nd rattans) 7% ~ Date.
~ner .Y~rA ' Contractor ~.,Vn~ ~,.~ ~/~. ~ '
~Single Fa~ly ~Duplex ~Multi-ramily ~Rental ~Commereial ~Indust~ai
Number of Fixtures:
Bathtub / I.ndry Slandp
Whirlpool Disposal
Lavatory L~~ Dishwasher
Toilet L( Sump Pump
Res. Sink ~ Ej~ctor/Crfind
Bar Sink Water Sofmer
~Gas Z Elect ~ PwrVnt Clothes Wshr
Shower ~ Bidet
Beer Tap
I.ndry Tray Classrm Sink
Lab Sink
Surgeons Sink
Plaiter Sink Breakrm Sink
Sterilizer
Dent. O~er. Shamp Sink
Dip Well Flr/Wst Sink
Drink Fin Catch Basin
Wait. St, Wash Fm
Ice Chest Udnal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
S~x' Sink . . Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Roe
/
/
Electric Contractor
Use / Nature of Work
Size Material ' Type.
Sanitary Sewer
Storm Sewer.
Water Service
[~Electric Installation Verificat~ed
# Conn. Type