HomeMy WebLinkAbout0104790-PlumbingOSHKOSH
ON THE WATER
.lob Address 180 190 CHERRY PARK CT
Contractor LARRY HANSEN PLBG
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RONALD C LEICHTFUSS
Category 410 - Residential-Interior
No 104790
Create Date 10/10/2003
Plan
Bathtub 2 Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 2 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 4 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 0 ClothesWshr 2 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 2 Disposal 2 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 2 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 2 Sump Pump 2 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash 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 0
Use/Nature DUPLEX
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 $11,950.00 Plan Approval $0.00 Permit Fees $156.00 ~J Permit Voided
Issued By
Date
10/15/2003
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 N-1044TOWER VIEW DR GREENVILLE WI 54942 - 8683 Telephone Number
(C)851-6863
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 or'Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
OCT 1 5 2003
Plumbing erm t ppncauon
O/HKO/H
OBI TlaE WATER
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 agree to and are bound by said statutes.
Job Address L~ ~F-I C~ ~ ~L~EC~.~ Value (In¢ludinglaboraod~te.als) ~, q~ .~
Owner ~ b ~ ~ Contractor
~Single Family ~Duplex ~Multi-Family ~Rental ~Commercial
Date
[-~lndustrial
Number of Fixtures:
Bathtub C~x Sterilizer Breakrm Sink
Whirlpool Lndry Standp Dent. Oper.
Lavatory ~ Disposal ~ Dip Well
Toilet ~ Dishwasher r~ Drink Fm
Res. Sink t~ Sump Pump ~_ Wait. St.
Bar Sink Ejector/Grind ice Chest
Water Heater <~ Water Sofiner Exam Sink
~Gas [] Electric D Power~Vent Local Waste Sculry Sink
Shower C7~ Clothes Wshr ~ Hand Sink
Floor Drain ~-,~, Bidel F Prep Sink
Lndry Tray Beer Tap Serv Sink
Lab Sink Classrm Sink Iht Grease Trap
Plaster Sink Surgeons Sink Ext Grease Trap
Shamp Sink
FIr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Ree
Electric Contractor
Use ! Nature of Work
OR
[] EIV form attached (If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type ~ Coma. Type
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box 1128. Oshkosh WI
54903-1128. Commencing work without permit(s) wilt result in fees being doubled or $100.00 plus the normal permit fee,
which ever ~s greater.
OR
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