HomeMy WebLinkAbout0103187 POSHKOSH
ON THE WATER
,Job Address 1481 WELLINGTON CT
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH
Category 410 - Residential-Interior
No 103187
Create Date 07/08/2003
Plan
Bathtub 2 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 4 Lndry Tray 2 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 1 ClothesWshr 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 #
$8,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$126.00
Date 07/30/2003
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-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
....O_FHKO/H
I hereby apply for a permit to do and in.stall 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 a~ee to and are.bound by said ~tatutes.
· 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 perrmt(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 ,4ccount System and have ad'equate funds.' check her~
if you want this processed through your account ~ '
Number of Fixtures:
Bathtub ~7, Lndry Standp / De~t Opcr. Shamp Sink
Whirlpool Disposal { Dip Well Flr/Wst Sink
Lavatory (7i Dishwasher I Drink Fm Ca~:h Basin
Toilet L( Sump Pump ] Wait SL Wash Fm
Res. Sink ] Ejector/Grind Icc Chest Urinal
Bar Sink Water Sot'mcr Exam Sink Gar Drain
Water Heater / Local Waste Scull, Sink S~Ja Disp
~Gas Z Elect Z pwrVni Clothes Wshr Hand Sink Coffee Maker
Shower ] Bidet F Prep Sink Ice Maker
Floor Drain [ Beer Tap Ser~ Sink , . Site Drain
l. ndry Tray ~ Classrm Sink Iht Grease Trap Roof Drain
· Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Plaiter Sink
Breakrm Sink
Sterilizer
f
Electric Contractor
Use / Nature of Work
Size Material · Type # Conn. Type
Sanitary Sewer
Stoma Sewer
Water Service
[-~Electric(ir ~¢~=t)Installati°n Verificat'~d
2/02