HomeMy WebLinkAbout091854 - Plumbing (NSFR) 0 CITY OF OSHKOSH No 91854
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2111 MOUNT VERNON ST Owner THOMAS N RUSCH Create Date 07/26/2001
Contractor HANSON QUALITY PLUMBING Category 410-Residential-Interior Plan
Bathtub 1 Shower 1 Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain 1 Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory 2 Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet 2 Lndry Stndp Clothes Wshr 1 Ice Chest FIr/Wst Sink Int Grease Trap
Res.Sink 1 Disposal 1 Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher 1 Beer Tap Scuiry Sink Wash Ftn
Water Heater 1 Sump Pump 1 Dent.Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature NSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $4,800.00 Plan Approval $0.00 Permit Fees $78.00
Issued By K lM Date 12/17/2001
❑ 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 54915 -0000 Telephone Number 730-0205
CITY OF OSHKOSH Ho
OSi iKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON TI IF:wnir:R p� J
Job Address �� I I ' '�►� Vern Owner %� ii„(,,'h,,zr, Create D Io I2 (b- )
Cnniroctor 1—CLASC i,j &,,,D.L.k.i eii:A . C. llegoty 410 • 17csiclrrtiial Interior. - flan
ilathtub 1 Shower ( E;ectorIGiinci Dip Well F ^rep Sink Gar f)r.,in
Whirlpool Floor Droin I Water Sofiner Drink Fht Set" Sink Soda Dist) _ . .`_
Lavatory 2 i.ndry Tray Local Waste. Wait.Si. Shmnp Sink Coffee Baker
Toilet 2 Lndry Sindp Ciotltes Wsitr a Ice Crest FitiWSt Sink Int Grease Trap
Res. Sink t Dlsposni I E3idet Extant Sink Catch Basin Ext Grr.ose Trap
fair Sink Dishwasher I Beer Tap Scuiry•Sink Wash Fln
Water!linter I Sump Pump I Dent. Oper. Band Sink Urinal —_—
Silo 0rnin c:r mm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Brerrkrnt Slink Sterilizer Surgeons Sink ice Maker
Use/Non:re
of Work NSF
Sizc i4iaterioi t ype 71 Lorin. type
Sanitary Sewer
Sionn Sewer
Water Servirr.
ii 2, etc
Vafuolion ` C Permit Fees
Icsrrrti Sy Dole I 17,-to 04
i---1 PCrrnii Voided
In the performance of tIA work, I ogree to perform oil work pursuant to rules governing the described construction.
. 75i)tattrre 'f lCt- �. ce-=-?L.. -`... Dote /,'A— / '
AgenUQwner
Address 70.10 I<NAPP Si"RD 05111(0Si I Wl 5l5 Q I - 0000 Telephone Number ,_,,5.7:r33
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