HomeMy WebLinkAbout0104483-PlumbingOSHKOSH
ON THE WATER
,Job Address 1255 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 410 - Residential-Interior
No 104483
Create Date 09/15/2003
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 .
o ox. o 'RECEWED
Oskkos~ W[ 54903-1130
Phone: (920) 236-5050
Pa,: (92o) 236. o 4 SEP 3 0 2003 ' ...Q/HKO/H
DEPART¢C. ENT OF '
Plumbing Perffi, il glgl}iOalti rClV1ENT' -"
I hereby apply for a permit to do and install the following Dlumbing on the premises bereiaafter descn4o¢~ the work to conform to the
Wisconsin State Plumbing Code, in the performance o£whifh all Bard. es hereto agree to and are. Bound by said ~tatates.
· Application(s) and fee(s) can be brought to Cit~ l-Iall, R. oom 205 or marled to laspeftiou Services, ?O Bo× 1128,
Oshkosh WI 54903-1128. Commeu¢in§ work without pcmn/t(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
03[
.lf, vou are a contractor participating in the'Permit Fee Account System and have ad'equate funds.' check here
if you want this processed through your account ~
Job Address ]~_~f f,~
Owner
Single Family [--]Duplex
Value (ln¢ludthg labor and materials)
Contractor '
E]Multi-Famfly [--]Rental
D ate
[]]Industrial
Number of Fixtures:
Bathtub / I. ndry S~andp
Whirlpool Disposal
LavatoE~ ~ Dishwashe~
Toilet ~ Sump Pump
R~. Sink } Ejector/Grind
Bar Sink Water Softuer
Floor I~ath Beer Tap
Pla~ter Sink Surg~om S!nk
Dent. Oper. Shamp Sink
Dip ~etl Ftr/Wst Sink
Drink Fm Cater Basin
Wait. St, W~sh Fm
Ice Chest Urinal
Exam Sink Gar Drain
Scutry Sink · Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serr Sink . . Site Drain
Iht Grease Trap Roof Dlain
Ext Grease Trap Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
]--]Electric Installation Verificati6n form attache~
(if Replacement) /~-~ ....
Size Material ' Type. # Corm. Type
3/02