HomeMy WebLinkAbout0099950-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3222 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
Bathtub 2 Shower
Whirlpool 0 Floor Drain
Lavatory 3 Lndry Tray
Toilet 3 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 99950
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
2 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker
1 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
1 Beer Tap 0 SculrySink 0 Wash Ftn 0
1 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
02/03/2003
Plan
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
$102.00
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
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to do and install the following ptumbmg on the premises hereinafter descr/bed, t to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto a~ee to and are bound by said ~tatutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sermces, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees be/rig 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 v. ou want this processed through your account ~
Job Address ~ ~7_~./fl///~F//F// Value (Including tabor and materials) 7/~), ~ Date
Owner ~,~6/ Contractor ~~j O~~ D/b/.
Single Family ['-]Duplex [~Multi-Family [-'~Rental [--]Commercial ['-]Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
~, Gas ~ Elect
PwrVnt
Shower
Floor Drain A
Lndry Tray
Lab Sink
Pl.a~ter Sink
Sterilizer
LndD' Standp / Dent. Oper. Shamp Sink
Disposal [ Dip Well Ftr/Wst Sink
Dishwasher ~ Drink Fm Catch Basin
Sump Pump ] Wait. St. Wash Fm
Ejector/Grind Ice Chest UHnal
Water Sofmer Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Serv Sink Site Drain
Classrm Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breakrm Sink
Electric Contractor
Use / Nature of Work
Size Material Type.
~-~ E loe:~crpi~c~ J~n~s~a,, at ion Verifica~ed
L v/%ff .
Sanitary Sewer
Storm Sewer
Water Service
3/02
Plumbing Permit Work Card
J ob Address 3222 BELLFIELD DR Permit Number 99950 Create Date 02/03/2003
Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING
egory 410 - Residential- Interior Plan Value $7,000.00
oathtub " 12 Shower 0 Ejector /Grind 0 Dip Well _ 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain i 2 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 11 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
Use /Nature NSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date Type F Inspector
ti / / / / 0 ??
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid