HomeMy WebLinkAbout0097676-Plumbing (interior) CC ITY OF OSHKOSH No 97676
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2728 MINERVA ST Owner THOMAS N RUSCH Create Date 10/01/2002
Contractor HANSON QUALITY PLUMBING Category 410 - Residential- Interior Plan D2- 59- 0902 -P
Bathtub 8 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 2 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 8 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 8 Lndry Stndp 0 Clothes Wshr 2 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 8 Disposal 8 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 8 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 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 0
Use /Nature NEW 8 UNIT APARTMENT BUILDING
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $23,000.00 Plan Approval $0.00 Permit Fees $312.00
Issued By KW\ Date 10/01/2002
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 39 —I
P O Box 1130
Oshkosh, WI 54903 -1130 (} �(„ 0
Phone: (920) - 508450 C
Of-KOJH
Fax: (920) 236 -5084 (a0U
ON THE WATER
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 agree to and are bound by said statutes.
• Job Address �'1 MI f 1t k- Value (Including labor and materials) / CD Date 6)-13= C2_
Owner TI GYYi LL-C Contractor 1.7 ■ybS
Li
❑Single Family ❑Duplex DMulti-Family (Rental ECommercial ❑Industrial
Number of Fixtures:
Bathtub 0 Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal I Dip Well Fir/Wst Sink
Lavatory Dishwasher & Drink Ftn Catch Basin
Toilet ÷ Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector /Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Scuiry Sink Soda Disp
n
Shower Clothes Wshr !.. Hand Sink Coffee Maker
Floor Drain Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Sery Sink Site Drain
Lab Sink Classrm Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Sterilizer Break= Sink
Electric Contractor OR ❑ EIV form attached (If Replacement)
Use / Nature of Work 0 et() CWIS fruCjn
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
• 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
Check here if you want this processed through your account ❑