HomeMy WebLinkAbout0103693-PlumbingOSHKOSH
ON THE WATER
,Job Address 1285 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 410 - Residential-Interior
No 103693
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 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 NSFR/includes gas water heater
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 $5,400.00 Plan Approval $0.00 Permit Fees $102.00 ~ Permit Voided
Issued By
Date
08/26/2003
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.
Cify of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-I 130
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 parties hereto a~ee to and are. bound by said ~tatutes
· Application(s) and fee(s) can be brought to Cit3; 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 o contractor porticipating in the Permit Fee Account System and hove ad'equate fun~s.' check here
if you want this processed through vou.r account ~
Job Address
Owner ~i/~
[-~Single Family [~Duplex
Value (Including labor and materials) ~"O--(//OZ)-C~) Date
Contractor 3cRop.scab C~o_~e f2//~.
[--]Multi-Family [--]Rental FtCommer¢ial ["']Industrial
Number of Fixtures:
Bathtub / Lndty Smndp
Whirlpool Disposal
Lavatory ff Dishwasher
Toilet ]'~ Sump Pump
Res. Sink / Ejector/Grind
Bar Sink Water Sofmer
Water Heater / Local Waste
)~Gas -- Elect 7. pwrVn{ Clothes Wshr
ShoWer '~' Bidet
Floor Drain ) Beer Tap
Lndry Tray Classrm Sink
Lab Sink
Surgeons Sink
Plaiter Sink' Brcakrm Sink
Sterilizer
Dent. Oper. Shamp Sink
Dip Well FlrAVst Sink
Drink Fm Catch Basin
Wait. St. Wash Fm
Ice Chest Urinal
Exam Sink Gar Drain
Scull' Sink Soda Di~p
Hand Sink Coffee Maker
F Prep Sink lee Mak~
S~r~ Sink . . Site Drain
Iht Grease Trap Roof Drain
Ext Grea~e Trap Standp Ree
Electric Contractor
Use / Nature of Work
[~]Electric Installation Verificati6n form attached
(If Replacement) ~
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn. Type
~/o2