HomeMy WebLinkAbout0100805-PlumbingOSHKOSH
ON THE WATER
.lob Address 195 199 CHERRY PARK CT
Contractor LARRY HANSEN PLBG
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RONALD C LEICHTFUSS
Category 410 - Residential-Interior
Bathtub 2 Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 2 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 4 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 4 Lndry Stndp 0 ClothesWshr 2 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 2 Disposal 2 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 2 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 2 Sump Pump 2 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
No 100805
Create Date 04/08/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$10,520.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$156.00
Date
04/15/2003
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 N-1044TOWER VIEW DR GREENVILLE WI 54942 - 8683 Telephone Number
(C)851-6863
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
O./'HKOJ"H
ON THE WATER
DEPARTMENT OF
· ,~r, E E
Plumbin
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 ndaressiqco ~- lqq eh~(~,j ~-Valfle (hcluding labor and materials) i0: .c);:::)x~ ~ 0(~ Date q--' ~.O-
[--]Single Family [~DUplex [--]Multi-Family I-]Rental ~]Commercial F-11ndustrial
Number of Fixtures:
Bathtub t~ Sterilizer Breakrm Sink
Whirlpool Lndry Standp Dent. Oper. Shamp Sink
Lavatory ~4 Disposal ~ Dip Well Flr/Wst Sink
Toilet t~ Dishwasher 0~- Drink Ftn Catch Basin
Res. Sink ~ Sump Pump ~ Wait. St. Wash Ftn
Bar Sink Ejector/Grind Ice Chest Urinal
Water Heater ~ Water Softner Exam Sink Gar Drain
~Gas D Electric [] Power Vent
Local Waste Sculry Sink Soda Disp
Shower ~
Floor Drain ~'~ Clothes Wshr ,~. Hand Sink Coffee Maker
Bidet F Prep Sink ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink Iht Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Electric Contractor
Use / Nature of Work
OR
[] EIV form attached (If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
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
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