HomeMy WebLinkAbout0102530-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 3011 MOCKINGBIRD WAY
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARKW/KELLIE S SHOWERS
Category 410 - Residential-Interior
Bathtub 1 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 4 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 4 Lndry Stndp 1 ClothesWshr 0 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 102530
Create Date 04/24/2003
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 #
$9,200.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$108.00
Date
06/30/2003
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
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
..,.OJ'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 ~tatutes.
· Application(s) and fee(s) can be brought to Cit3; Hal1, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Vli 54903-1128. Commencing work without permit(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 participating in the'Permit Fee Account System and have ad'equate funds.' check her,,
if you want this processed through your account ~ '
Owner ~ V~ Contractor ~.~.~ ~[/~ ~/~,
' ~ingle Family ~Duplex ~Multi-Family ~Rental ~Com~ercial ~Industfial
Number of Fixtures:
Bathtub / Lndry Standp [ Dent. Oper. Shamp Sink
Whirlpool Disposal [ Dip Wctl Flr/Wst Sink
Lavatory . L~ Dishwasher / Drink Fm Catch Basin
Toilet L~ Sump Pump I Wait. St, Wash Fm
Res. Sink ~ Ejector/Grind Ice chest Urinal
Bar Sink Water Softuer Exam Sink Gar Drain
Water Heater / Local Waste Sculry Sink Soda Disp
~Gas Z Elect Z PwrVni Cloth~ WsN- Hand Sink Coffee Maker
ShoWer ' ] Bidet F P~p Sink Ice Maker
Floor Drain I Beer Tap Serr Sink . . Si~e Drain
I.ndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grea~ Trap Standp Rec
Pla~ter Sink
Brealc~m Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Size Material · Type.
Sanitary Sewer
Storm Sewer.
Water Service
3/02
Job Address 3011 MOCKINGBIRD WAY Plumbing Permit Work Card
Permit Number 102530 Create Date 04/24/2003
Owner MARK W /KELLIE S SHOWERS Contractor HANSON QUALITY PLUMBING
9gory 410 - Residential- Interior Plan Value $9,200.00
..dthtub / 1 Shower / 1 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain / 0
Whirlpool 0 Floor Drain / 1 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory /I ' 4 Lndry Tray i 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet • ' 1 4 Lndry Stndp / 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 1 1 Disposal 1 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher ? 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater / 1 Sump Pump r 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
Use /Nature
NSFR
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0 n ,
0 ) i- 7
0
0
F i /4/63
Storm Sewer 0
0
Nif, IV r v;
o
0
Water Service 0
0
0
0
0
Date Type
(A & Inspector
*ItEg= 7x
F -JJ 0'1%. - ° —
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: • Requested By:
O Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
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