HomeMy WebLinkAbout0102100-PlumbingOSHKOSH
ON THE WATER
.lob Address 3155 HALLIE HOLLOW CT
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH
Category 410 - Residential-Interior
Bathtub 2 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 2 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 4 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 4 Lndry Stndp 0 CIothesWshr 1 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 102100
Create Date 06/10/2003
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 #
$7,752.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$120.00
Date 06/11/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
06/]0/2003 15:48 #724 P,O01/O01
City of Oshkosh
Inspection Services Dtvisten
P 0 Box ! ~30
Oshkosh, WI 54903-11~0
Phone: (920) 236-5050
Fa~: (920) 236-5084
O_/HKO/H
Plumbing Permit Application
I hereby apply fo~' a perwat to 40 ~nd i~s~ll ~he fo]lowing plumbm~ o11 ~ pt~ses ~ desk'd, ~e work to co~o~ to ~e
Wbco~in S~te Pl~b~g Co~, ~ ~e p~o~e of whi~ all pa~es helm a~e to and ~e bo~d by said ~.
· A~lica~on(s) ~d ~c(s) c~ ~ &ouSt to Ci~ Hall, R~m 205 or ~il~ to ~e~gon S~ces, PO Box 1128,
Os~osh ~ 5~3-1128. do~c~ work ~thou~ ~t(s) ~II r~lt ~ fees b~ing doubled or $100.00 pl~ the
n~ p~ f~, w~eh ~ is
OR
If YOU are a contrac,,~or participating [n the ~er~/~ ~ee~ccount ~ystem and have adeauate funds, c~eck here
if vou want thi~ orocesxed throu~our account ~
JobAddr~s gl~ ~311(6 ~J[0~ Value(~n~msa~r~:mats). G~3~2 Date
Owner 0 ~M ~3t~ O~N 'ConWa~or ~TT~
' ~ingleFamfly ~Dupl~ . ~ulti-Fa~ly ~ent~ ~Comme~ial · ~Industrlal
Number of FiXtures:
bthtub ~ Lmt~y Smn~p Ikm. Oper.
Whirlpool ~l ~p wen
T~let ~ S~ Pu~ } Wail S~
Wampum ~ ~1 W~ ~ui~ Sink
Eiectric Contractor
Car Dram
Soda Oi~
O~ [~Eleetrlc lnstnllation Verificati&n form attached
(If RepMeemem)
Use / Nature of Work
Size
S;ani~aty Sew~
Sim'rn Sewez
Water Service
Material Typ~ # Co~a. Type
3/02