HomeMy WebLinkAbout0104400-PlumbingOSHKOSH
ON THE WATER
,Job Address 1275 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 410 - Residential-Interior
No 104400
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 $5,300.00 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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
SEP 2 5
- ...C)J'HKO. fH
hereby apply for a permit to do and install the following plumbing on the premises' hereinafter descn~aed, 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 itarutes.
Applica~on(s) and fee(s) can be brought to Civ) 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 $I00.00 plus the
normal permit fee, which ever is greater.
OR
[f vou are a contractor participating in the'Permit Fee Account System and have ad'equate funds.' check her~
if you want this processed through vou.r account ~
JObownerAddress~i'Z~7~'r 4 /~~ ' ValUecontractor(l~¢tuding ,,bo~ and mat~s)7~ pS~TCcO ' c-O
~8ingle Family [--]Duplex I-]Multi-Family ['-]Rental [--]Commercial
Date
[-]Industrial
Number of Fixtures:
Bathtub / Lnd~, Standp ) Dent. Oper.
Whirlpool Disposal } Dip ~/etl
Lavatory _~ Dishwasher .... $ Dr/nk Ftn
Toilet ff Sump Pump [ Wait. SC
Rr~. Sink , ] Ejector/Grind Ice Cl~eat
Bar Sink Water Softer Exam Sink
Water Heater / Local Wa~tc $cui~y Sink
'x~/'Oa.s ~- Elect ~' PwrVn{ Clothe~ Wshr Hand Sink
Shower c~ Bidet F Prep Sink
Floor Drain / Beer Tap Sen' Sink
Imdry Tray
, Lab Sink Cla$arrn Sink Iht Cn-eaae Trap
Surgeons Sink Ext Grease Trap
Pla~ter Sink , Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wazh Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Make
Site Drain.
Roof Drain
Standp Roe
Electric Contractor
Use / Nature of Work
Sardtary Sewer
Storm Sewer
Water Service
O.~ [-']Electric Installation Verificati6n form attachet
(If Replacement)
Size
Material
Type. #
Conn. Type [
s/o2