HomeMy WebLinkAbout0095480-Plumbing
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OSHKOSH
ON THE WATER
Job Address 2720 HAMILTON ST
CITY OF OSHKOSH No 95480
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor HANSON QUALITY PLUMBING
Category 410 - Residential-Interior
Owner CREATIVE CUSTOM HOMES Create Date 06/26/2002
Plan
Bathtub 1 Shower 1 Ejector/Grind 0 Dip Well 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 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- -
Toilet 3 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FlrlWst 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 Sculry Sink 0 Wash Ftn 0
Water Heater 1 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
Use/Nature NSFR
of Work
Size
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
# Conn. Type
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Valuation $6,000.00
Issued By JLVV'
Plan Approval
$0.00
Permit Fees
$90.00
Date 06/26/2002
o Permit Voided I
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Address 550 N BLUEMOUND RD
Agent/Owner
APPLETON
WI 54914 - 0000 Telephone Number 730-0205
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ON THE WATER
City. of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
. Plumbint! Permit AIDllication
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 agree to and are bound by said statutes.
Job Addressr:77)o
Owner cell
~ingle Family
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Value (Including labor and materials)
c'tlll",. d.
Date
DDuplex
Contractor
DMulti-Family
Industrial
Number of Fixtures:
Bathtub -L Lndry Standp --L Dent. Oper. Shamp Sink
Whirlpool Disposal ---L- Dip Well FlrlWst Sink
Lavatory ~ Dishwasher --L- DrinkFtn Catch Basin
Toilet Xd. Sump Pump --1- Wait.St. Wash Ftn
Res. Sink -1- Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater --L- Local Waste Sculry Sink SodaDisp
Shower ~ Clothes Wshr Hand Sink Coffee Maker
Floor Drain -L Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Sterilizer Breakrm Sink
Electric Contractor
OR
o EIV form attached (If Replacement)
Use / Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
· App1ication(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
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