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HomeMy WebLinkAbout0102841-HVAC (furnace; a/c)(~ CITY OF OSHKOSH No 102841 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2791 FOND DU LAC RD Owner NATHAN M/ELITAB SCHROEDER Contractor TENTH STREET STATION INC Category 502- Residential-Both Fuel ~J Gas ~ ~J Oil b~ Electric ~J Solar I L~ Solid System ~J New ~ ~J Replace ~ ~J Other ~J Forced Air I ~J Radiant L~ Steam ~J A/C 1 ~J Electric I ~J Hot Water L~ suppl. ~J Con. Burner 1 Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I Heat Loss I~ As Approved O Existing ~ Not Applicable I Value 0 BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 75m heat & 24m cool Create Date 07/07/2003 Plan Vent J Use/Nature SFR/Replace furnace, A/C & duct system. *EIV form from Drexler Electric. of Work Fees: Valuation $5,600.00 Plan Approval $0.00 Permit Fee Paid $89.00 Issued By: Date 07/15/2003 Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236-8770 Electric Installation Verification · ~HVAC PERMIT APPLICATION · Apl~i~a~i~(s)i~'~(s) ~a 1~ bt~l~t to Ci;y Hall, P, oom ~0S or mailed to ~sp~ti~ S~ ~ ~ 1125, O~kko~hWI 54~0~-1125, Conmam~ing workwitho~tlxami~(s) will r~ulti~ f~es~ingdouble~ or $100.OOpl~s ~¢ i'lCoram~.,ial Elladustrial ~ltotWat~r lllb~ppl. ElC~ml~a'n~r .& MANUFA~ FROM :TENTH STREET STATION, INC. FAX NO. :920-236-0150 Jul. 07 2003 10:iGAM P1 Electric Installation Verification Cfr' 'Ro (Addxe~s) (Electrical Contractor Name) FI: (City) ' (State) (Zip Code) ' Oqam~ of party contracled to) at the following addmss: qql ,uo D" (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) ' ~ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Rcconuection or new circuit for replacement Electric Water Heater or power ventcd water heater. __ Reeonna~tion of the Servio¢ l.:.ntrauce Cable, Meter Box, alt~ralions to recepta, l~ and lighthug fixum~ due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. .~ P,.econne~tion or new circuit for th© repla~eme~R of 9thor peamanently wired applian¢-,s / fixtt~es. ' · .. / Ne~v circuit for file addition of A/C to an individual aSvelling unit (house or the individual systems in a duplex or condominium), including required service ' electrical outlets. Other The value ofthis work is$ 2'tg& ~ ~. I hereby verify this work will be performed by an employee of this company and further verify the reeonnection / installation Will be done in compliance with manufacturer and Electric code requirements. Print Name of Officer) ~" (Date)