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HomeMy WebLinkAbout0099947-Plumbing (interior)OSHKOSH ON THE WATER ,Job Address 3218 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 99947 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 City. of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing I hereby apply for a permit to do and install the following plumbing on the prermses hereinafter described, the work to conform to the Wisconsin State Plumbing Code, m the performance of which ali parties hereto a~ee to and are bound by said statutes. · Application(s) and fee(s) can be brought to city Hail, 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 ~ Permit Appllc /' ' Job Address .~/c0 ,/jP.~ff/~//F/~, Value (Including lab.~rl~d mater/als)57/~. ~ ~ ,Date Owner CCi+ Contractor ' V 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 ] Lndry Troy Lab Sink Plaster Sink Sterilizer Lndry Standp [ Dent. Oper. Shamp Sink Disposal [ Dip Well Flr/Wst Sink Dishwasher ~ Drink Fm Catch Basin Sump Pump } Wait. St. Wash Ftn Ejector/Grind Ice Chest Urinal 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 Iht Grease Trap Roof Drain Surgeons Sink Ext Grease Trap Standp Rec Breaknm Sink Electric Contractor Use / Nature of Work Size Material Type San/tary Sewer Storm Sewer Water Service [--]Electric Installation ~t Verificati(;n tached (If Replacement) # Conn. Type / / 3/02 Plumbing Permit Work Card Job Address 3218 BELLFIELD DR Permit Number 99947 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 I/ 2 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 Lavatory 1 1 1 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet I i 1 3 Lndry Stndp j 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 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 n I 2 , / .2.. / © 3 0 R. 0 ___.____------____ 0 0 Storm Sewer 0 r V/. -5 0 0 , 0 / 111 / - 0 Water Service .„:„�'"--- 0 0 4 , 0 - 0 Date Type Inspector Date/Time requested: Notice Type: Telephone Number: Access: Ready Date/Time: Requested By: O Reinspect Fee O Fee Waived ❑ Reinspect Fee Paid 0 1 „i..-J .." / gig_ .e,,L 1 U,T- `(C)