HomeMy WebLinkAbout0099951-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3214 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
Bathtub 1 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 99951
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date
Category 410 - Residential-Interior
2 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
1 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 #
$5,700.00 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
Inspection Services Division/' / / / / // )/,~ //
,osoxll30 --? I 21r l/ AIIl
' Plumbing
Application( ) ( ) g '~
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 vou.r account
Job Address ;~2, ~e//fre/cf Date
h~0n e r
,I kv_lSingle~ Family ['-]Duplex [~Industrial
Value (Including labor and materials)
Co ra to
[--]Multi-Family ['-]Rental ['-]CommerCial
Number of Fixtures:
Bathtub / Lndry Standp } Dent. Oper.
Whirlpool Disposal ] Dip Well
Lavatory ,~ Dishwasher ! Drink Ftn
Toilet .2 Sump Pump [ Wait. St,
Res. Sink [ Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater ] Local Waste Sculry Sink
~-~Gas C Elect ~ PwrVnt Clothes Wshr Hand Sink
Shower e~ Bidet F Prep Sink
Floor Drain I Beer Tap Serv Sink
Lndry Troy Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grea~se Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fm
Unnal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Size Material Type.
Sanitary Sewer
[-']Electric Installation Verificatidn f~d
# Conn. Type
Storm Sewer
Water Service
3/02
y ..__
Plumbing Permit Work Card
Job Address 3214 BELLFIELD DR Permit Number 99951 Create Date 02/03/2003
Owner CREATIVE CUSTOM HOMES & DEVELOP Contractor HANSON QUALITY PLUMBING
egory 410 - Residential- Interior Plan Value $5,700.00
.athtub i 1 Shower r i 2 Ejector /Grind 0 Dip Well O F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain f 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 'i ' 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet ';' 3 Lndry Stndp 1 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink i 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 ■ 1
Use /Nature NSFR
of Work 1
Size Material Type # Conn.Type
Sanitary Sewer 0
l
0
0 .
0
Storm Sewer 0
( A C i1 � / , . /. -
()t 0 (
o /I)
o . T T
Water Service 0 C ,i
�� 0 0
0
0
Date Type Inspector
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: • Requested By:
O Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
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C [ C (i r- (3 -'-" W L- V° °IL *-- 0 K