HomeMy WebLinkAbout0102725-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 2764 HAMILTON ST
Contractor MCM AIR INC
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner CORY L/NICOLE V HELM
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102725
07/09/2003
Other
Vent J
Use/Nature SFR/Install Carrier 24m btu A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,400.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$26.00
Date 07/09/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
Ci{~ of O~sh
Division of~on S~,ices
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
lax (920) 236-5084
. JUL 0 9 2003
HVAC PERMIT APPLICATI~ccuP;~dENT
~ ~o~fion ~r ~ld ~gofi~ ~,~ ~ ~
· Application(s) and fcc(s) can bc brought to City Hall, Room 205 or mailed to ~on Services, PO Box 1128,
Oshkosh WI 54903-1128; Corem*ricing work without t~nnit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I£vou are a contractor oarticivatin~ in the ~ermit £ee Account System and have adeauate £unds. cltqqk hqrq
i£ vou want this orocessed through your account ~']
JOB ADDRESS
OWNER
CONTRACTOR
MCM AIR. INC. 6122 COUNTY RD M,
582-4402
WINNECONNE, WI 54986
FAX 582-0136
CH ~:CK li~ A~ J. APPLICABLE
RSE CATEGORY
ingle Family [3Duplex [2Multi-Family EIRental
FUEL ~]~3as [3Electric BSolid SYSTEM
[:]Oil ElSolar
rlComm~rcial ClIndustrial
~tForced Air nRadiant mSteam C [:]Vent mEleclric
IS CH ~INEY BEING LINED BNo [:]Yes - LINER SIZE.
Note: All chimneys shall be sized per the BTU's being vented,
Elliot Water BSuppl.
. & MA31~AC'IIJRI~
~Con. Burner
CHIMNEY TYPE BChinmey A BChimney B BDircct Vent BOther
FIEAT LOSS nAs Approved nExisting · BNot Applicable
BTU RATE [3As Per Plan DVariable BOther Valu~
DESCRIPTION OF ALL WORK BEING DONE CA-{~_-~I R- fz~ 172~T la {-7~ O Z q
VALUE (Including labor and all nmte~als includin: light
ELECTRICAL CONTRACTOR ~ E CV--/k [2_
· 'i~/For applicable projects, an Elccwic Installation Verification form, signed by tl~ Electrical Contractor, must b~
'attached. If not attached or not applicable, a sqmrate El~'aical P~..;t is required~ ' '
Electric XastJAhf~on Verification
'11~ nsm~ ~t~ wozir, co~s~ o~ ( .Cbck One or Descn'be tho ~Ta~;ure of'Work)
· bonSai ou~le~
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