HomeMy WebLinkAbout0104481-PlumbingOSHKOSH
ON THE WATER
,Job Address 1235 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 410 - Residential-Interior
No 104481
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 $5,700.00 Plan Approval $0.00 Permit Fees $102.00 ~ Permit Voided
Issued By
Date
09/30/2003
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
RECEWED
SEP 5 0 2003
DEPART ENT OF.
CO IUNITY DE
ELOP , E, I
Plumbing Permit Application
· ._C)/HKO/H
I hereby apply for a permit to do and imtall thc following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the pefformande of which all parties hereto a~ee to ~nd are. bound by said ~tarutes.
· Application(s) and fee(s) can be brought to Cit,j Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without perrmt(s) will result in fees being doubled or $I00.00 plus the
normal permit fee wkich ever is greater.
OR
If you are a contractor participatin~ in the'Permit Fee Account System and have ad'equate funds.' check here
if you want this ~rocessed through your account ~ '
Job Address /Z,~F ~/--~///~/ Value (Inc,u~ing l.bor aha mat~-ials) ~'~ (f?,), c jO)
· ~ingle Family _ Contractor ff-t)~
[-]Duplex [-]Multi-Family [--]Rental rlcommereial
D ate
[[]Industrial
Number of Fixtures:
Badatob., ] L~dry Standp
Whirlpool Disposal
Lavatory ~ Dishwasher
Toilet ..¢~ Sump Pump
Re~. Sink / Ejector/Grind
Bar Sink Water Sofmer
Water Heater
~x,~az :~ Elect Z PwrVni Local Waste
Sho~'e~' C~ Clothe~ Wshr
Bidet
Floor E~rain I B~r Tap
Lndry Tray -'
CIa~srrn Sink
. Lab Sink
Surgeons Sink
Pla~er Sink Br~akrm Si~k
Sterilizer
DeaL. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Fm Catch Basin
Wail St. Wash Fm
Ice Ch~t Urinal
Exam Sink Gar Drain
Scuiry Sink Soda Di~
Hand Sink Coffee Make'
F Pr~p Sink Ice Maker
Serr Sink . , Site Drain.
Iht Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
[--]Electric Installation Verificati6u form attachet
(If Replacement)
Size Material Type. # Conn. Type
2/02