HomeMy WebLinkAbout0100290 POSHKOSH
ON THE WATER
,Job Address 1245 PHEASANT CREEK DR
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES
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 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 100290
Create Date 02/20/2003
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 #
$7,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$96.00
Date
03/19/2003
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 Ap l 6fl ' "'
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. m the performance of which ail parties hereto a~ee to and are bound by said ~tamtes.
· Appl!cation(s) and fee(s) can be brought to CitY Hall, Room 205 or mailed to Inspecuon Services, PO Box t 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 processed through your account ~
Job Address ]o~q~- ~,/~a.~(__,--,-~ C-g, Value (mcmding labor an4 m~t~ais). ',]~O0 'CD
Owner ~_4:~ f_.~>, Contractor
ingle Family [-']Duplex ['-]Multi-Family ['-]Rental [--]Commercial
Date
f-]Industrial
Number of Fixtures:
Bathtub ] Lndry Standp ] Dent. Oper.
Whirlpool Disposal ] Dip Well
Lavatory 3 Dishwasher ~ Drink Fm
Toilet -~ Sump Pump ~ Wait. St.
Res. Sink t Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater ] .... LOCal Waste Sculry Sink
~1 Gas '2 Elect - PwrVnt
Clothes Wshr Hand Sink
Shower
] Bidet F Prep Sink
Floor Drain ]
Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink
Surgeons Sink Ext Grease Trap
Plaster Sink
Breakrm Sink
Sterilizer
Shamp Sink
FlrAVst Sink
Catch Basin
Wash Ftn
Urinal
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
Storm Sewer
Water Service
I--]Electric(if Replacement)Installation Verificatid~ed
Conn. Type
3/02