HomeMy WebLinkAbout0102949-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3213 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 102949
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date 07/21/2003
Plan
Category 410 - Residential-Interior
Bathtub 2 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 1 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 3 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 3 LndryStndp I CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
Res. Sink I Disposal I Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump I Dent. Oper. 0 Hand Sink 0 Urinal 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
NSFR
Use/Nature
of Work
Valuation $7,000,00 Plan Approval $0.00 Permit Fees $96.00
Issued By
Date 07/21/2003
[] 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 described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parries hereto agee to and are bonnd by said ~tamtes
· Application(s) and fee(s) can be brought to Cie 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 $I00.00 plus the
normal perm/t fee, which ever is greater.
OR
If you are ct contrctctor 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 ~/ff
Owner
[]Single Family
C Contractor
[--lDuplex [-']Multi-Family [~Rental I--]Commercial
Date
0/,3/.,
Industrial
Number of Fixtures:
Bathtub ~ Lndry Standp / Dent. Oper.
Whirlpool Disposal ( D/p Well
LavatoEt _~ Dishwasher [ Drink Fm
Toilet .s~ Sump Pump ] Wait. S~
Res. Sink / Ejemor/Grind Ice Chest
Bar Sink Water Saftner Exam Sink
Water Heater ~ Local Waste Sculry Sink
~Ga~ Z Elect E PwrVn/
Clothes Wshr Hand Sink
Shower
Bidet F Prep Sink
Floor Drain / Beer Tap Scrv Sink
Lndry Troy Classrm Sink Int G~ease Trap
· Lab Sink
Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Roe
Electric Contractor
Use / Nature of Work
[--]Electric Installation Verificatidn for~ached
(lf Replacement) ~
Size Material Type # Conn. Type
San/taU Sewer
Storm Sewer
Water Service
3/02