HomeMy WebLinkAbout0101210 POSHKOSH
ON THE WATER
,Job Address 1235 PHEASANT CREEK DR
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
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 3 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 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 101210
Create Date 04/08/2003
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 #
$5,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$102.00
Date
05/02/2003
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
VCL)
MAY 0 2 2005
DEPARTMENT Of
Plumbing Permit Application
.. O/HKO/H
ON T~E WATER
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 Stale Plumbing Code, in the performanCe of which all parties hereto a~ee to and are. bound by said itarutes.
· 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 in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
l£ vou are a contractor participating in the'Permit Fee Account System and have ad'equate funds.' check here
if you want this processed through vou-r account ~
Job Address [7~,5S' /fl~ _/~. Valne (,.ctudingtaborandmatm-ials) ~%q33. CX..~ Date
Owner ~-. r~. /~-~ Contractor ~ So-. ~ ~_ C~._.&~-~ ~/~/ ,
¢Single Family ['-]Duplex [--]Multi-Family [--]Rental [-]CommerCial [-']Industrial
Number of Fixtures:
Bathtub / Lndry Standp I Dent. Oper. Shamp Sink
Whirlpool Disposal [ Dip Well FtrAVst Sink
Lavatory ~ Dishwasher J Drink Ftn Catch Basin
Toilet ~ Sump Pump I Wait. St. Wash Fm
Res. Sink J Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater J Local Waste Sculry Sink Soda Disp
~)?tGas :Z Elect Z PwrVn~ Clothes Wshr Hand Sink Coffee Maker
Shower ~ Bidet F Prep Sink Ice Maker
Floor Drain
Beer Tap. Serv Sink Site Drain.
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
· Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Pla~er Sink'
Brcakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Size Material
San/taU Sewer
Storm Sewer
Water Service
[--]Electric Installation Verifi~ed
(If Replacement)
Type. Conn. Type
3/o2