HomeMy WebLinkAbout0104669-PlumbingOSHKOSH
ON THE WATER
,Job Address 1265 FAIRFAX ST
Contractor HANSON QUALITY PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 410 - Residential-Interior
No 104669
Create Date 08/07/2003
Plan
Bathtub 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 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 $7,000.00 Plan Approval $0.00 Permit Fees $96.00 ~ Permit Voided
Issued By
Date
10/08/2003
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
O/HKO/H
Plumbing Permit
Wisconsin Sram Plumbing Code, in the performance of which all parties hereto a~ee to and are bound by said statutes.
Application(s) and fee(s) can be brought to CiW Halt, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pernnt(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
I£ voa are a contractor participating in the Permit Fee Account System and have ad'equate £un~s.' check here
if you want this processed through your account F~
SingleFamily [-]DUplex
['-]Multi-Family [~Rental [-'lCommer¢ial
D ate
[--]Industrial
Number of Fixtures:
Whirlpool Disposal / Dip Wctl
Lavatory ~ Dishwasher / D~nk Fm
Toilet ~ Sump pump / Wait.
Res. Sink } Ejector/Grind lee Chest
Bar Sink water Sofmer Exam Sink
Water Heater / Local Waste Sculry Sink
~Gas ~ Elect Z PwrVnt Clothes Wshr Hand Sink
Shower / Bidet F Prep Sink
Floor Drain / Be~r Tap Serv Sink
Lndry Tray Classrm Sink Iht Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaiter Sink Breakrm Sink
Sterilizer
Shamp Sink
FlrAVst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Di~p
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
]--[Electric Installation Verificati6n~xfor~d
(If Replacement) / .~'/
Size Material Type. # Conn. Type
Sanitary Sewer
Storm Sewer ..
t Water Service