HomeMy WebLinkAbout0100802 POSHKOSH
ON THE WATER
.lob.Address 1275 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 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 4 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 4 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 100802
Create Date 03/06/2003
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 #
$8,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$120.00
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 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
[ EIVED
APR 1 5 2003
D2PARTMENT OF
O/HKO/H
ON THE WATER
I hereby apply for a perrrfit to do and install the following plumbing on the prerrdses 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 ~tamtes.
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result m fees being doubled or $100.00 plus the
normal permit fee, which ever ~s greater.
I£ vou 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/~7~-~//~~ ~---/~ Value (including labor an? materials)~'O,:6~ Date
C
' t;~Single Family [-"]Duplex F-]Multi-Family ['-]Rental [~]Commereial [~Industrial
Number of Fixtures:
Bathtub / Lndry Standp t Dent. Oper. Shamp Sink
Whirlpool Disposal [ Dip Well Ftr?vVst Sink
Lavatory ~ Dishwasher ]/ Drink Fm Catch Basin
q
Toilet Sump Pump ~/ 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 E Elect 2 PwrVnt
Clothes Wshr Hand Sink Coffee Maker
Shower ~ Bidet F Prep Sink Ice Maker
Floor Drain I Beer Tap Serv S ink Site Drain
Lndry Tray Classrrn Sink Int Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Standp Ree
Plaster Sink
Breakrm Sink
Sterilizer
Electric Contractor,
Use / Nature of Work
Sanitary Sewer
Size
Material ' Type.
[-]Electric Installation Ver~d
(If Replacement)
# Conn. Type
Storm Sewer.
Water Service
3/02