HomeMy WebLinkAbout0100203 POSHKOSH
ON THE WATER
.lob.Address 1390 JUDY LEE CT
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH
Category 410 - Residential-Interior
Bathtub 1 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 2 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 100203
Create Date 01/22/2003
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 #
$6,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$84.00
Date
03/14/2003
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-I 130
Phone: (920) 236-5050
~ax: (920) 236-5084
\
O~ TH~ ~A/ATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all 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 Inspecuon Services, PO Box 1 I28.
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 ~rocessed through vou.r account ~'~
Address/ff~'O
Job e Value (Including labor and, matc~rials) ( ~)~-3 Date~
pwner ~~f~ /~ Contractor
' ~Single Family DDuplex ~Multi-Family DRental ~Commer~l ~Industrial
Number of Fixtures:
Bathtub / ~d~ S~ndp / Dent. ~.
~irlp~l Di~osal { Dip Well
~vato~ ~ Dish--her / ~nk Fm ~.~ ~t~~
Res. Sink ~ Ejector/Grind Ice Chest ~~ 'Ga~in
Bar Sink Wat~ Sofmer Exam Sink
tGas: Elect: P~Vn, Clothes Wshr Hand Sink
Floor ~ain
B~r Tap Se~ Sink Site ~in
Lndu Troy Classm Sink Int Grease Trap Roof ~in
~b S ink
Surgeons Sink Ext Grease Trap Standp Rec,
Pla~ter Sink
Brea~ Sink
Ster/lizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer.
Water Service
[-"]Eloere~t~i~ec I, mn~allation Verificat~ <m~t~ched
Size Material ' Type. #
Conn. Type
Z/02