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0100950 P
e CITY OF OSHKOSH No 100950 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1205 PHEASANT CREEK DR Owner RUSCH HOMES LLC Create Date 04/01/2003 Contractor HANSON QUALITY PLUMBING Category 410 - Residential-Interior Plan Bathtub 1 Shower 2 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 - - - - - - Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 - - - - - - Toilet 3 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0 - Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 - - - - - Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 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 Use/Nature of Work NSFR/ 1 story home w/ 2 car attached garage, 14'x14' rear concrete patio. Gas water heater Size Type Material Sanitary Sewer Storm Sewer Water Service # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $102.00 Valuation $5,300.00 $0.00 Permit Fees Plan Approval Issued By Date 04/23/2003 U Permit Voided I Signature In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Date Address Agent/Owner APPLETON 730-0205 550 N BLUEMOUND RD WI 54914 - 0000 Telephone Number "'" ," City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 (IJ - ". OfHKOfH ON THE WATER Plumbing Permit Application .' I hereby apply for a pennit 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. . 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 nonnal permit fee, which ever is greater. OR " " J(yOU are a contractor participatinf? in the Permit Fee Account System and have adequate funds. check here if yOU want this processed throuf?h your account n Job Address 120'); P!vá--:J{hJ è; , Owner -~cÁ(~ "\:ßfSingle Family Number of Fixtures: Bathtub -L Whirlpool Lavatory ~ ToiJet -L Res. Sink -L- Bar Sink Water Heater I ~Gas ::: Eject ::: PwrVnt Shower' "~ Floor Drain ~ Lndry Tray Lab Sink Plaster Sink Sterilizer Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer VV ater Service DDuplex Lndry Standp Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Size Material Value (Including labor and materials) S 3 Úb ' (.J-b ~t4I1'tJy,.5 DRental Date Contractor DMulti-Family áu.-c-Lj ¡;; / fJ - ~ J DCommerciaI DIndustrial -L- -1- ~ Í- Dent. Oper. DipWeJl DtinkFtn Wait.SI. Shamp Sink FJr/Wst Sink Catch Basin Wash Ftn Urinal Ice Chest Exam Sink Gar Drain Soda Disp Coffee Maker Sculry Sink Hand Sink F Prep Sink Ice Maker Site Drain -L Serv Sink 1m Grease Trap Ex{Grease Trap Roof Drain Standp Rec OR DElectric Installàtion Verific .- (If Replacement) Type Conn. Type # 3/02 Plumbing Permit Work Card Job Address 1205 PHEASANT CREEK DR Permit Number 100950 Create Date 04/01/2003 Owner RUSCH HOMES LLC Contractor HANSON QUALITY PLUMBING Category 410 - Residential-Interior Plan Value $5,300.00 Bathtub 1 Shower 2 Water Softner 0 WaitSt 0 Shamp Sink ~ Coffee Maker 0 Whirlpool ---2 Floor Drain 1 Local Waste 0 Ice Chest 0 Flr/Wst Sink ~ Int Grease Trap ~ Lavatory ~ Lndry Tray 0 Clothes Wshr 0 Exam Sink ~ Catch Basin -~ Ext Grease rrap 0 Toilet _1 Disposal 1 Bidet 0 Sculry Sink ~ Wash Ftn ~ RPZ Valve ~ Res. Sink 1 Dishwasher 1 BeerTap 0 Hand Sink ~ Urinal ~ Eye Wash Statn 0 Bar Sink ~ Sump Pump -----1 Lab Sink 0 Plaster Sink 0 StandpRec ~ Wtr Sewer Mtrs 0 Water Heater 1 Classrm Sink -.--2 Sterilizer 0 Surgeons Sink ----2 Ice Maker --.! Deduct Meters -.--2 Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain -.--2 Wtr Usage Mtrs -.--2 Roof Drain -_JJ Ejector/Grind 0 Drink Ftn 0 Serv Sink ----2 Soda Disp -.--2 Misc. 0 Fixtures Use/Nature ofWork NSFR/1 story home w/2 car attached garage, 14'x14' rear concrete patio. Gas water heater Size Type Conn.Type Material # 0 0 0 0 0 0 0 0 0 0 Sanitary Sewer Water Service Date Type Underground Inspector WJ (Chip) Callies l 1- ~"~ DatelTime requested: 4/24/200307:33 AM Notice Type: Telephone Number: 730.0205 Access: L-_-~--- Ready DatelTime: <4I?~2003 07:33 AM Requested By: ~.t:ISON QUALITY PLUMBING-Mark -- 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Plumbing Permit Work Card Job Address 1205 PHEASANT CREEK DR Permit Number 100950 Create Date 04/01/2003 -- Owner F<LI~H HOMES LLC Contractor HANSON QUALITY PLUMBING Category 410. Residential.lnterior Plan Value $5.300.00 Bathtub 1 Shower ~ Water Softner 0 Wait.St. 0 Shamp Sink ~ Coffee Maker ~ Whirlpool -_J' Floor Drain 1 Local Waste 0 Ice Chest 0 Flr/Wst Sink ~ Int Grease Trap 0 Lavatory --~ Lndry Tray ~ Clothes Wshr 0 Exam Sink ~ Catch Basin ~ Ex! Grease Trap ~ Toilet ~ Disposal 1 Bidet 0 Sculry Sink ~ Wash Ftn ~ RPZValve ~ Res. Sink 1 Dishwasher 1 Beer Tap 0 Hand Sink ~ Urinal ~ Eye Wash Statn 0 Bar Sink ------2 Sump Pump 1 Lab Sink 0 Plaster Sink --2 Standp Rec ~ Wtr Sewer Mtrs 0 Water Heater 1 Classrm Sink ------2 Sterilizer 0 Surgeons Sink ~ Ice Maker ---.! Deduct Meters ~ Site Drain -_JJ Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain ~ Wtr Usage Mtrs 0 Roof Drain --.--2 Ejector/Grind ------2 Drink Ftn 0 Serv Sink _2 Soda Disp ~ Misc. ---.-2 Fixtures Use/Nature ofWork NSFR/1 story home w/2 car attached garage, 14'<14' rear concrete patio. Gas water heater Size Type # 0 0 0 0 0 0 0 0 0 0 Material Conn.Type Sanitary Sewer Stonn Sewer Water Service Date 4/29/2003 Type Rough In ---.- Inspector WJ (Chip) Callies approved Faxed request DatelTime requested: 4/29/2003 07:41 AM -- Notice Type: relephone Number: 730-0205 Access: Ready DatelTime: ~!29/2003 07:41 PM Requested By: HANSON QUALITY PLUMBING.Mark ----,- 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Job Address 1205 PHEASANT CREEK OR Owner RUSCH HOMES LLC Plumbing Permit Work Card Permit Number 100950 Category 410 - Residential.lnterior Bathtub 1 Shower 2 Whirlpool ~ Floor Drain 1 Lavatory ~ Lndry Tray 0 Toilet 3 Disposal 1 Res. Sink 1 Dishwasher 1 Bar Sink ~ Sump Pump ---1 Water Heater -----"l Classrm Sink ~ Site Drain ~ Breakrm Sink 0 Roof Drain ----" Ejector/Grind ~ Misc. ~ Fixtures Water Softner 0 Local Waste 0 Clothes Wshr 0 Bidet 0 Beer Tap 0 Lab Sink 0 Sterilizer 0 Dip Well 0 Drink Ftn 0 Contractor Plan HANSON QUALITY PLUMBING ---- Wait. SI. ~.Q Shamp Sink ~ Ice Chest ~ FlrlWst Sink ~ Exam Sink ~ Catch Basin ~ Sculry Sink ---.2 Wash Ftn ~ Hand Sink ~ Urinal ~ Plaster Sink ~ Standp Rec ~ Surgeons Sink ~ Ice Maker ~ F Prep Sink ~ Gar Drain ~ Serv Sink ----" Soda Disp ~ INSFR/1 story home w/2 car attached garage, 14'x14' rear concrete patio. Gas water heater Size Material Type # Conn.Type 0 0 0 0 0 Use/Nature of Work Sanitary Sewer Storm Sewer Water Service Date ~~ Type Final [~w= approved DatelTime requested: 7/10/2003 07:18AM Notice Type: Telephone Number: Access: ~1640. Ready DatelTime: 7/10/2003 07:18 AM Requested By: HANSON QUALITY PLUM!3ING - Mark 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid, Create Date 04/01/2003 Value Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs 730.0205 ~ 0 0 0 0 0 Inspector WJ (Chip) Callies $5.300.00 0 ~ 0 ~ ~ ~ ~ 0