HomeMy WebLinkAbout0103279-PlumbingOSHKOSH
ON THE WATER
,Job Address 1245 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 410 - Residential-Interior
No 103279
Create Date 08/04/2003
Plan
Bathtub 2 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 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 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
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $7,700.00 Plan Approval $0.00 Permit Fees $96.00 ~ Permit Voided
Issued By
Date
08/04/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
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-$054
-. Of HKO/H
Pll F
:LOPiVIEN
I hereby apply for a permit to do and install the following plumbiag on the premises hereinafter described, the work to conforra to the
Wisconsin State Plumbing Code, ia the performance of which all parties hereto a~ee to and are. bound by said ~tarutes.
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 m 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 her~
if you want this ~rocessed t-~ account ~
~{JS ilgg~Family~lex [--]Multi-Family {'-]Rental [-~Commercial [--llndustrial
Number of Fixtures:
~irlp~l Di~l ~ ~p Well ~r~st Sink
~vato~ ~ ~sh~h~ { ~nk Fm Cash ~in
Toilet ff Su~ Pu~ { Wait. SL W~h Fm
R~. Sink / Ej~lor/~nd lee ~t Urinal
Bar Sink Wa~ So~ E~m Sink Gar ~in
Water Heat~ / ~al W~te Sculw Sink S~a Di~
~O~ 2 Ele~ E P~Vnt Clo~es Wshr Hand Sink Coff~ Mak~
Shower / Bidet F Pr~ Sink lee Mak~
Be~ Tap S~ Sink . , Site ~in.
~b Sink
Pla~l~ Sink B~a~ Sink
Electric Contractor
Use / Nature of Work
]--]Electric Installation Verificati6n form attached
(If Replacement)
Size Material ' Type # Corm. Type
Sanitary Sewer
Stoma Sewer
Water Service
OSHKOSH
Oi'4 THE WATER
Job Address 1265 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
Bathtub 2 Shower
Whidpool 0 Floor Drain
Lavatory 3 Lndry Tray
Toilet 3 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater t Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
Use/Nature ~NSFR
of Work
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Ejector/Grind
0 Water Soffner
0 Local Waste
Clothes Wshr
Bidet
Beer Tap
Dent. Oper.
0 Lab Sink
0 Sterilizer
Category 410- Resident[alqnterior
0 Dip Well
0 Drink Ftn
0 Wait. St.
0 Ice Chest
0 Exam Sink
0 Sculry Sink \ ~/~V~ash Ftn
0 HandSink ~ /~Jrinal
0 Pla~ter Sink ~//Standp Rec
__ Surleorlpink ~V ,ce Maker
Sanitary Sewer Size ~ Material Type
Storm Sewer
No 103279
Create Date 08/04/2003
Plan
I
F Prep Sin~/ 0 Gar Drain
Serv[Sinl~,~ Soda Disp
S~a~ S_.f~. ~ Coffee Maker
FIl~d~Sink _0 Int Grease
Catch B~sin 0
0 RPZ
0 Cash Statn
0
# Coen. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $7,700.00 $0.00 Permit Fees $96.00
Issued By
Date 08/04/2003
[] Permit Voided ]
In the performance of this work,
Signature
Address 550
all work pursuant to rules governing the described construction,
Date
Agent/Owner
APPLETON WI 54914 - 0000 Telephone Number 730-0205
To schedule call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i 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.