HomeMy WebLinkAbout0097655-Plumbing (added fixture)
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OSHKOSH
ON THE WATER
Job Address 2746 HAMILTON ST
CITY OF OSHKOSH No 97655
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date 07/17/2002
Contractor HANSON QUALITY PLUMBING
Category 410 - Residential-Interior
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
-
Whirlpool 0 Floor Drain 0 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 1 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 NSFR/ Extra fixture to permit #95478.
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
o
o
o
o
o
Storm Sewer
o
o
o
o
o
Water Service
o
o
o
o
o
Valuation ./ $100.00
Issued BY~
Plan Approval
$0.00
Permit Fees
$20.00
Date 10/01/2002
o Permit Voided I
e to perform all work pursuant to rules governing the described construction.
, ) Date
Agent/Owner
Jo! 10 L
Address 550 N BLUE MOUND RD
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 perfonnance of which all parties hereto agree to and are bound by said statutes.
Job Address ~l fu tk.mll-hn ~t. Value (Inc1udinglaborand materials) (PI t}O@ Date q -2.,~ ..()2.
Owner Cr'e~+-\\it'Cu&--hrn tfrsrnc.r Contractor r\lkn~~',s ~~ ~ p,~ .
[]Single Family DDuplex DMulti-Family DRental DCommercial DIndustrial
Bathtub
Whirlpool
Number of Fixtures:
-L
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
~
2-
-L
.
+
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
Surgeons Sink
Breakrrn Sink
~alw: _~~fi,.,9.'[,.l:j~;;)
-L
,
--L
@
Electric Contractor
Use I Nature of Work New ~~~
Sanitary Sewer
Storm Sewer
Size
Material
Type
Dent. Oper.
Dip Well
DrinkFtn
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
lee Maker
Site Drain
Roof Drain
Standp Rec
OR
,. (0~
o EIV form attached (If Replacement)
#
Conn. T
- EIVED
SI P 2 7 2002
Water Service . f, E t'~Rrrt (IT
. Application(s) and fee(s) ean be brought to City Hall, Room 205 or mailed to Inspe~;o:~~~!Y, P&~MI;ilDrhkoSh 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
Check here if you want this processed through your account 0