HomeMy WebLinkAbout0106086 HOSHKOSH
ON THE WATER
.lob Address 1812 ALASKA ST
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
RASMUSSEN'S HEATING & A/C INC
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner KlM M VOSS
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
106086
01/16/2004
Other
Vent J
40,000
Use/Nature
of Work
Replacement furnace and a/c, and line chimney. * EIV form from Slim's Electric.
Fees: Valuation
Issued By:
$5,353.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$86.00
Date 01/16/2004
Parcel Id # 1406310000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 5154 DAVID DR OSHKOSH WI 54904 -8850 Telephone Number
920-235-6569
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Electric Installatio~ Verification
(21~rical Coni,,,c~r Name)
(city) (stme) (Zip
(A~ ~ work ~1
havo b~cn coniracted to pr~A;~m electric instal~on work for
at the following
The natme ofthe work consi~ o~.
Tl~valn, of~t~wo~is$ ~5~. o,
I hereby verify this work will be performed by aa employee of this company and further v~aify
the ~on / installation will be done in compliance with manufactmer and Electric code
/~2- 30- 0.3