HomeMy WebLinkAbout0101209 POSHKOSH
ON THE WATER
,Job Address 1145 PHEASANT CREEK DR
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES
Category 410 - Residential-Interior
Bathtub 2 Shower 1 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 101209
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 #
$7,910.00 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-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
HAY 0 $ O./'HKO/H
ON T~E WATER
Plumbing Permit :iJ0 Jia
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 a~ee to and are. bound by said ~mtutes.
· Application(s) and fee(s) can be brought to city Hall, Room 205 or mailed to Inspection Sere/ces, PO Box 1 I28,
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
[£ vou are a contractor participating in the' Permit Fee Account System and have ad'equate funds.' check here
if you want this processed through your account ~
'Job Address /'77<~ f~~~ 'Value (Including laboran~tmatehMs) ~"~/~)-o'o Date
~Owngr ~4~-~C/~' ~ Contractor' ~~3~ /~c~7_~ /~'JX, ,. - '
~ngle Family [--1Duplex [--]Multi-Family E]Rental I-']CommerCial /[--]Industrial
Number of Fixtures:
Bathtub ~. Lndry Standp [ Dent. Oper. Shamp Sink
Whirlpool Disposal } Dip Well Flr/Wst Sink
Lavatory ~ Dishwasher ] Drink Fm Catch Basin
Toilet ~ Sump Pump J Wait. St. Wash Fm
Res. Sink [ Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater / Local Waste Sculry Sink Soda Disp
~Gas Z Elect 2 PwrVnt
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 Iht Grease Trap Roof Drain
· Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Plas'ter Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Size Mater/al ' Type. # Conn. Type
Sanitary Sewer
Storm Sewer.
Water Service
[-']Electric Installation
Verificati6n form attached
(If Replacement) ~"'"~ ~
3/02