HomeMy WebLinkAbout0104401-PlumbingOSHKOSH
ON THE WATER
,Job Address 1260 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 410 - Residential-Interior
No 104401
Create Date 08/07/2003
Plan
Bathtub 1 Shower 2 Ejector/Grind 0 DipWell 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 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 1 CIothesWshr 0 Ice Chest 0 FIr/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 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 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
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $7,400.00 Plan Approval $0.00 Permit Fees $102.00 ~ Permit Voided
Issued By
Date
09/25/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 550 N BLUEMOUND RD APPLETON WI 54914 - 0000 Telephone Number
730-0205
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~it7 of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
SEP 2 5 2003
DEPARTMENT OF
COMMUNITY DEVELOPMENT
Plumbing Permit Application
· .'_OSHKOSH
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~rce to and are. bound by said ~tarutes.
Application(s) and fee(s) can bc brought to Ciw Hail, Room 205 or mailed to Inspection Se~ices, 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.
If you are a contractor participatin~ in the' Permit Fee ~lccount System and have ad'equate funds.' check he~,,
if you want this processed through your account
Owner ~oc/~ '~/>~v(~ Contractor· 7L~o/
' ~Single Family r-]Duplex [--]Multi-Family [-1Rental f--]Commercial
Date
E]Industriai
Number of Fixtures:
Whirlpool
· Floor Drain /
Pla~er Sink
Lndry Standp
D~t Over.
Disposal ~ Dip Well
Dishwasher I Drink Fm
Suing Pump , [ Wait. St.
Ej ¢cmr/C'rind Ice Chest
Water Sofmer Exam Sink
Local Waste Sculry Sink ·
Clothes Wshr Hand Sink
Bidet F Prep Sink
Beer Tap Serv Sink
Classrm Sink Iht Grease Trap
Surgeons Sink Ext Grease Trap
Breakrm Si~k
Shamp Sink
Ftr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Di~
Coffee Maker
lee Mak~
Site Drain,
Roof D~in
Standp Rec
Electric Contractor
{-']Electric Installation Verificati6n form attachet
(if Replacement)
# Co=. T~e ~.~
Use / Nature of Work
Size Material ' Type.
Sanitary Sewer
Storm Sewer.
Water Service
3/02