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CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
MIKE DAVIS CONSTRUCTION
Job AddressOwner
3895 SHOREBIRD CT
Create Date12/29/2003
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/ 2 story home with a 3 car attached garage HVAC
of Work
Plan Approval$0.00
Fees: Valuation$6,840.00Permit Fee Paid$108.50
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.
( ily of OLhhos,h
of frispectio» Services
'
P.O. 3 J 130•
•
(kbhosh, .W1 54903-1130
Ph(me (920) 236- SOO
Pa): (920) 236-5084
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(
na• . Aiha I -
HVAC PERMIT APPLICATION
infoirroion 3 fU2r boki c:Ife; must 1..d• plovided.
33,cJ) i iji1 1 e applic;iiiom win not I p occ:,scd
Application(s) and fcc(s) can be bronghl lo Cily 11a1l, Room 205 or mailed to inspection Services, PO Bo 3 28,
Oshkosh WI 54903-] 328. Commencing work without permit(s) result in fees being doubled or 5;300.00 plus the
normal perrnit fee, which ever is greater.
OR
•
vou ore o confr(Jcior orfici win ! in 112e Permit ee Account S , siem and hove oderuote unds. check here
i vou woo Ibis roces ihrou h your account II
DATE -q : 0 9
30B ADDRE,SS 32q5 SP° 1 R 4 )
D Con) 5T Ct
\( P f3REIJAii FAT( N6, ) NC .
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(1.11i 2f ALL APPLiCA Di A'
USE. CATEGORY
NSinglie Fjj3v ODuplex DMu]li-F LiRental DConunercial DIndustrial
FUEL XfGas OSolid i'). 1:11 :CW D1 epace
Ejilacr _
)(Forced Air L DS t:M D4A./c OVLJ,1 L; DSuppl.LiCon. Burner
:.1.y LiNo 1 :Yes - Li NI .6 :\70.F/' . .
Noie: A)1 chimneys !)e si per the 1.3113's
CitM 'EY T E EC:liimney A Liannincy B KL; feet Vein 00ther
DAs Approved DExisting liNot Appli(% ;Ac
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION OF ALL WORK BE)NG DONE A-C.'
_ .
7.A.1 uv, Onel, di»; ab an.1 Int fixt..res) . ; 6:IVQ
- :I.Fr . 7),1; :CA L C.c)N"! RA( TC1
i? 1 ic lion form ,, 11::..b000 - Nc i Anrei,,,rio
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inn 'Patio of ne.vircy%I.-.• efl, y llrr d t7darnek;rs.
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