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CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
KURT A KOEPPLER
Job AddressOwner
650 WEATHERSTONE DR
Create Date11/13/2003
ContractorBREWER HEATINGCategory502 - Residential-BothPlan
OilElectric
üü GasSolarSolid
Fuel
üü NewReplaceOther
System
üü Forced AirRadiantSteam üü A/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
NSFR/ LATE PERMIT/ 1 story home with a 2 car attached garage, HVAC
of Work
Plan Approval$0.00
Fees: Valuation$5,430.00Permit Fee Paid$87.50
Issued By:Date02/06/2004
Permit Voided
Parcel Id #0000000000
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.
SignatureDate
Agent/Owner
AddressN8804 N DOUGLAS STRIPONTelephone Number920-748-6494
WI54971-0
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.
Cily of C./.1)1:osh
ol inspection Services
P,ox i 30
0s1,1;osli, W.1 34903-3 130 REc,Flyrn
Phone (920) 236-5030
Fax (920) 236-5084
FEB 05 • Cif I --- K0/1
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HVAC PERM IT APESEKANNVOF
An in filmal )fl flu bo1(40T4 '41144pirDEvatop
inct,),-,pi, le applications w3 j1 3 ..,„ 1 b p oecsse d .
App)ication(s) and fcc(s) can bc brought to City Hall, Room 205 or 10 inspection Services, PO Box J 328,
Oshkosh WI 54903-i 128. Commencing work without perinit(s) will result in fees being doubled or Si 00.00 plus the
normal permit fee, which ever is greater.
OR -
I vou ore a contractor artici win in the Permit ee Account S ISie717 and have ode uate unds check here
if you want this processed through vour account n
DATE_ .6 ci
:JOB ADDPESS tDSO WTThIJ
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elATISS
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CCNT;ZAC(;12 gal)U{ 1.1 E,f1 G )1QC •
CB ECK .ALL, Al';'LiCA131,E
USE CATEGORY
Single DDupl ex OMulti-Family EiRental DCommerci al Dinclustrial
FUEL Os.Gas L]hlec;ric 0Sohd :NSrn't\ 1 VjP;cw DPepace
FlOil IDSoi.c!
E.Othcr
(Forced Air L tadi:int DStt nC Vt eal. 01 ic:t1V1:.e.r ESuppLUCon. Burner
1L3 . : Li LjNo 1 Yes - 1,11\' -ELL _ MA , N 7 t.i.F,A C'D _
Noic: Al' chimneys shi:ti ! si7ed per the, BTU's br.;.
CI' i.M; 'EY T' E Eniiruney A LiChimncy 13 17411 Vent Daher
'AT LOSS DAs Approval ['Existing ['Not Applic; jlc
BTU RATE DAs Per Plan OVariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE AC
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VA) UE (Ind, in abc an." ifl 1bJs neI di 1 ';":;)1 fixt"res) .; — — — - —
..13■‘' 'TV 5 CAL C`)Nr: RA( :TC 93 ;-"? ' tioo form !
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