HomeMy WebLinkAbout0098969-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3191 REBECCA RUN
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH
Category
410 - Residential-Interior
Bathtub 1 Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sen/Sink 0
Lavatory 4 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 4 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater I Sump Pump 1 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 0
No 98969
Create Date 11/21/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
NSFR
Sanitary Sewer
Storm Sewer
Water Sen/ice
Size Material Type #
Valuation $7,700.00 Plan Approval $0.00 Permit Fees
Issued By
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$108.00
Date
12/06/2002
[] 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
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing
CECENED
DEC O 6
O/HKO/H
ON THE WATER
I hereby apply for a pemut 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 agree 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through Vou.r account [--]
Job Address ~'i~}$! ~/~e ccc. ~,,. Value (Including labor and materials) -")'-)f00' rO-~ Date
Owner ~6r~cc~ C,,_.5-o~._ {3~,~_ Contractor k"~3oh'$,. ~t,,.J,d.,j/~/~d. T-ye,
ingle Family [-]Duplex [-]Multi-Family [--]Rental I-]Commercial ['-]Industrial
Number of Fixtures:
Bathtub / Lndry Standp [ Dent. Oper. Shamp Sink
Whirlpool Disposal I Dip Well Flr/Wst Sink
Lavatory q Dishwasher [ Drink Fm Catch Basin
Toilet L~ Sump Pump / Wait. St. Wash Ftn
Res. Sink t Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
W~er Heater / Local Waste Sculry Sink Soda Disp
Gas E Elect rn PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower ,-~ Bidet F Prep Sink Ice Maker
Floor Drain ]
Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Size Material Type
Sanitary Sewer
Installation V erificati6n/~-~-~f~mattached
~Electric
# Conn. Type
Storm Sewer
Water Service
3/02