HomeMy WebLinkAbout0103278-PlumbingOSHKOSH
ON THE WATER
,Job Address 1270 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 410 - Residential-Interior
No 103278
Create Date 07/31/2003
Plan
Bathtub 1 Shower 2 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 3 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 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 #
$6,000.00 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 08/04/2003
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 Oshknsh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
ENED
DEPARTMENT OF
O/HKO/H
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 pames hereto a~ee 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
If you are a contractor participatinff in the Permit Fee Account System and have adequate funds, check here
if you want this prof-e-ys~d-tnro~ accounz
Owne Co.tractor
gle Family [--]Duplex --}Multi-Family [--]Rental [--]Commcrcial [--Ilndustrial
Number of Fixtures:
B~thtub / Lndry St~ndp / Dent. (]per. Sh~mp Sink
Whirlpool Disposal [ Dip Well Flr/Wst Sink
Lavatory ~ Dishwasher ] Drink Fm Catch Basra
Toilet ~ Sump Pump [ Wait. St. Wash Fm
Res. Sink ] Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Wa~er Heater } Local Waste Sculry Sink Soda Diso
~Gas 7z Elect Z PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower ~ Bidet F Pree Sink Ice Maker
Floor Drain ] Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Tray Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Staodv Rec
Pla~ter Sink Breakrm Sink
Stefilizer
Electric Contractor
Use / Nature of Work
[--]Electric Installation Verificatidn form attached
(If Replacement) ~
Size Material ' Type # Conn. Type
Saintary Sewer
Storm Sewer
Water Service
~/o2