HomeMy WebLinkAbout0102025 POSHKOSH
ON THE WATER
.lob Address 1175 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
Whirlpool 0 Floor Drain 1 Water Softner 0
Lavatory 3 Lndry Tray 1 LocaIWaste 0
Toilet 3 Lndry Stndp 1 CIothesWshr 0
Res. Sink 1 Disposal 1 Bidet 0
Bar Sink 0 Dishwasher 1 Beer Tap 0
Water Heater 1 Sump Pump 1 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
0 F Prep Sink
0 Serv Sink
0 ShampSink
0 FIr/Wst Sink
0 Catch Basin
0 Wash Ftn
0 Urinal
0 Standp Rec
0 Ice Maker
No 102025
Create Date 04/25/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature NSFR/1 story home with a 2 car attached garage. Interior plumbing.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$6,400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$114.00
Date
06/06/2003
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 No 102025
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1175 PHEASANT CREEK DF{ Owner RUSCH HOMES LLC Create Date 04/25/2003
Contractor HANSON QUALITY PLUMBING Category 410- Residential-Interior Plan
Bathtub 1 Shower 2 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 1
Whirlpool 0 Floor Drain I Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 3 Lndry Tray I Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp I Clothes Wshr 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 I Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater I 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
Use/Nature
of Work
ISFPJ 1 story home with a 2 car attached garagg. Intedor plumbing.
Valuation $6,400.00
Issued By.~
Sani~rySewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $114.00
[] Permit Voided ~
Date 06/06/2003
In the performance of this work, I agree to [~erform all work pursuant to roles governing the described construction.
Signature ~/ ~ f ~/-~,/ , Date y~///~--~ ~
IL{/ ~' 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
.. O_/HKO/H
Plumbing Permit Application
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 Cit'j Hall, Room 205 or ma!led to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without perrmt(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinff in the Permit Fee Account System and have adequate funds.' check here
if you want this processed through your account Fl
Job Address./J~)" ~.,/t/~'~ f &- Value (Including labor and rna,efials) bq ~, ~.) 0
Owner .~-~ (~ ,,~ ~ Contractor ff-~q ~('f/~ '~ (~/. ~._/'.~
~fingle Family r-]Duplex [--]Multi-Family [-"]Rental [--]Commercial
Date
[--]Industrial
Number of Fixtures:
Bathtub I' Lndry Standp I Dent. O~er.
Whirlpool Disposal ~ Dip Well
Lavatory ~ Dishwasher I Drink Fm
Toilet V3 Sump Pump } Wait. SL
Res. Sink ~ Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater / Local Waste Sculry Sink
-~.Gas Z Elect E pwrVni Clothes Wshr Hand Sink
Shower ~ Bidet F Prep Sink
Floor Drain / Beer Tap Serv Sink
Lndry Troy ~ Classrm Sink Iht Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Pla~ter Sink Breakrm Sink
Sterilizer
Shamp Sink
Fir/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
[--lElectric Installation Verificatidn foryn~-t-aetl,ed
3/02