HomeMy WebLinkAbout0100006-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3226 BELLFIELD DR
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES
Category 410 - Residential-Interior
Bathtub 1 Shower 2 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 100006
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 #
$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
02/28/2003
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
Inspecuon 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 perrmt to do .and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, m the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City 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 Vou want this processed through your account ~
Job Address f~7_..(.~ ,f~'~'///~'ff' Value (Including labor and materials) ~7~-r ~ ' Date
Owner ~tDz Contractor
'~Single Family [-']Duplex [---]Multi-Family [~]Rental [--]Commercial ['-]Industrial
Number of Fixtures:
Bathtub / Lndry Standp / Dent. Oper. Stamp Sink
Whirlpool Disposal ] Dip Well FlrAVst Sink
Lavatory .-~ Dishwasher t Drink Fm Catch Basin
Toilet 3 Sump Pump t Wait. St. Wash Fm
Res. Sink / Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater [ Local Waste Sculry Sink Soda Disp
~,Gas ~z Elect r~ PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower ~.~ Bidet F Prep Sink Ice Maker
Floor Drain ~ Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Bmakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
[-']Electric(~f Replacement)Installation V erificati6n~ma~ /
/63, ov
d.
Sanitary Sewer
Storm Sewer
water Service
Size
Material
Type
# Conn. Type
3/02
Plumbing Permit Work Card
Job Address 3226 BELLFIELD DR Permit Number 100006 Create Date 02/03/2003
Owner CREATIVE CUSTOM HOMES Contractor HANSON QUALITY PLUMBING
egory 410 - Residential- Interior Plan Value $5,700.00
bathtub 1 Shower 2 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 Flr/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
Yp e
Sanitary Sewer 0 \ C
0
0 r / ' o 1/,
Storm Sewer 0
0
n 0
0
Water Service 0
A Kr 0
0
0
0
Date Type Inspector
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: • Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
V h;n✓t/
1 F /Licit) 5 k - o4.) wd,1
it IS i i
1 Q \ N