HomeMy WebLinkAbout0097658-Plumbing (added fixture)
~~ .
OSHKOSH
ON THE WATER
Job Address 2738 HAMILTON ST
CITY OF OSHKOSH
No 97658
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date 09/27/2002
Contractor HANSON QUALITY PLUMBING Category 410 - Residential-Interior Plan
Bathtub 0 Shower 0 Ejector/Gri nd 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 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- - - -
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
- - -
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 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 NSFRI Extra fixture to permit #95479.
of Work
Size
Material
Type
#
Conn. Type
Storm Sewer
o
o
o
o
o
o
o
o
o
o
Sanitary Sewer
Water Service
o
o
o
o
o
$50.00
Plan Approval
$0.00
Permit Fees
$20.00
Valuation ./
Issued By r
Date 10/01/2002
D Permit Voided I
r. e to perform all work pursuant to rules governing the described construction.
Date I ();; /c.r?
~ -
Signature
Address 550 N BLUEMOUND RD
AgenUOwner
APPLETON
WI 54914 - 0000 Telephone Number 730-0205
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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.
JobAddress~~g ~~l~&.
Cre~\ve C~~ ~. Contractor
~Single Family Dnuplex DMulti-Family
Value (Including labor and materials) 6~6D 69. Date ~ - 26 ...e2-
thffi~ ~'elbtr.
DRental DCommercial DIndustrial
Owner
Number of Fixtures:
Bathtub ~
Whirlpool -3-
Lavatory
Toilet -3-
Res. Sink -L
Bar Sink
Water Heater ---L
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
. ~ r 1
.p .' ...<Jb.................................
\Jolw O~"~~"",.,.,"",.~.,."..,_,:'O
I
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breaknn Sink
-L
--L-
-1-
w
Electric Contractor
Use/Nature of Work flew C<5Y\~
Dent. Oper.
Dip Well
Drink F1n
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
lee Maker
Site Drain
Roof Drain
Standp Rec
Wait. St
Ice Chest
Exam Sink
Seulry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
OR
~qLP@..
o EN form attached (If Replacement)
Sanitary Sewer
#
Conn. Type
RECEIVED
SEP 2 7 2002
DEPARTMENT OF
MUN1TY DEVELOPMENT
Storm Sewer
Water Service
Size
Material
Type
co
. 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
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