HomeMy WebLinkAbout0099946-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3242 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES
Category 410 - Residential-Interior
Bathtub 2 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 3 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 Lndry Stndp 1 CIothesWshr 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 SculrySink 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 1
No 99946
Create Date 02/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$7,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$96.00
Date
02/26/2003
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
· /~ '~ ~ .-
236 5084
Fax: (920) -
Plumbino Perffi n catlon '
I hereby apply for a pemt to do
Wisco~in State Plmbmg Code, ~ ~e peffomnce of which all pa~es hereSo a~ee to and are. bo~d by smd statutes.
· Application(s) and fee(s) can be brought to Cit,j 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 your account ~
Owner
[-']Single Family ~2]Duplex
Value (Includinglab~fap~matcrials) 'Y~} '("~ Date
Contractor
~Multi-Family ~Rental ~Commereial ~Industrial
Number of Fixtures:
Bathtub
Whirlpool
LavatoD'
Toilet
Res. Sink
Bar Sink
Water Heater
CGas E Elect .2 PwrVnt
Shower
Floor Drain
Lndry Tray
· Lab Sink
Plas~ter Sink
Sterilizer
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ej ector/Grind
Water Sofmer
Local Waste
Clothes Wshr
Bidet
Beer Tap.
Classrm Sink
Surgeons Sink
Breakrm Sink
Dent. Oper. Shamp Sink
Dip Well Ftr/Wst Sink
Drink Fm Catch Basin
Wait. St, Wash Fm
ICe Chest Urinal
Exam Sink Gar Drain '
Scutry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink· Ice Maker
Serv Sink Site Drain.
Iht Grease Trap Roof Drain
Ext Grease Trap Standp Roe
Electric Contractor
Use / Nature of Work
Size Material Type.
[--]Electric Installation Verificati6n form attached
# Conn. Type
Sanitary Sewer
Storm Sewer.
Water Service
3102
Plumbing Permit Work Card
Joe Address 3242 BELLFIELD DR Permit Number 99946 Create Date 02/03/2003
Owner CREATIVE CUSTOM HOMES Contractor HANSON QUALITY PLUMBING
'egory 410 - Residential- Interior Plan Value $7,000.00
i3athtub '2 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sery 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 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 Sculry Sink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 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 1
Use /Nature —
'NSFR _
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0 v is \ -- it -- fJ k
0
V`
7 /a-s / ,03
0
0 _ .
Storm Sewer 0 CA &-"--- yr�
0 3o
0
Water Service 0
0
0
F 6/3
0
Date Type Inspector
1
Date /Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid