HomeMy WebLinkAbout0102950-Plumbing (interior)OSHKOSH
ON THE WATER
Job Addra$$ 3209 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 3 Lndry Tray
Toilet 3 LndryStndp __
Res, Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater I Sump Pump __
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 102950
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date 07/21/2003
Category 410- Residential-Interior Plan
Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap __
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
BeerTap 0 SculrySink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 1
Use/Nature ISFR
of Work
Valuation $5,700.00 Plan Approval $0.00 Permit Fees $96.00
Issued By
Date 07121/2003
[] Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
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.
Cit~ of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
.. OSHKOSH
Plumbing Permit Application
I hereby apply for a perm/t to do aud install the following plumbing on the prem/ses hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all pardes hereto a~ee to and are. bound by said itatutes.
· Application(s) and fee(s) can be brought to CiW Halt, Room 205 or mailed m Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without perra/t(s) will result in fees be/rig doubled or $100.00 plus the
normal perm/t fee, which ever is greater.
OR
[£vou are a contractor participating in the'Permit Fee Account System and have ad'equate funds, check hera
if you want this processed through your account ~
Job Address .~'..-)-o~ ./¢'~t/'?~e/O/ Value (metuth,~ ~abor and ~atmals)
Owner C_~C~ Contractor t/-~,l'~/~7 ~[4~ /~/J, ,
~Single Family [--]Duplex [-]Multi-Family ["]Rental F-]CoLmer¢~al
Date
~]Industriai
Number of Fixtures:
Bathtub / Lndr7 Standp J D~nt. Open
Whirlpool D/sposal ) Dip Well
Lavatory 3 Dishwasher I Drink Fm
Toilet ,~ Sump Pump [ Wait. SL
Res. Sink / Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Healer / Local Waste Sculry Sink
5~- GM _m Elect _- PwrVn/ Clothes Wshr Hand Sink
Shower ~ Bidet F ~ Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Iht Grease Trap
Lab Sink
Surgeons Sink Ext Grease Trap
Pla~ter Sink
Breakrm Sink
Sterilizer
Shamp Sink
Ftr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
[--]Electric Installation Verificatidn form attached
(If Replacement)
Size Material ' Type # Conn. Type
Sanitary Sewer
Stoma Sewer
Water Service
3/02