HomeMy WebLinkAbout0107876 HOSHKOSH
ON THE WATER
.lob Address 501 W 18TH AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner SLAVKO/MILENA MANOJLOVIC
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
107876
05/06/2004
Other J
Vent J
Use/Nature
of Work
1.5 ton a/c unit. *EIV from Seckar Elec
Fees: Valuation
Issued By:
$1,100.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$21.50
Date 05~06~2004
Parcel Id # 1405140000
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 600 OREGON ST OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
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.
05/06/2004 05:24 19204261890 STEINBRUNER HEATING: PAGE 02
(Ad~
have been col
at the followi:
The nature of
×
The value oft
I hereby verif
the reconnecfi
r~quirements.
{Signature r
Electric Installation VeHficati¢
(Electrical Conlractor Name)
.'o COUCl~='~/' Pc~u,~,.~C_.~b.
Iress) (City)
ti'acted to perform electric installation work for
(Address where work will be pc
he work consists of: (Check One or Describe the Natu'
econnection or new circuit for replacement Heating PI;
,econnection or new circuit for replacement Electric W:
water heater.
econnection of the Service Entrance Cable, Meier Box
and lighting fixtures due to siding / so~t installation
Entrance Cables will require a separate pem~it.
.ecoRnection or new circuit for the replacement ofothel
appliances / fixtures.
Iew circuit for the addition o{'A/C to an individual dwe
individual systems in a duplex or condominium),
electrical outlets.
Ither
tis work is $ 1 7. ~o~
t this work will be performed by an employee of this cc
~n / installalion will be done in compliance with manui
(State) (Zip Cod~)
~ of puny contracted to)
e of Work)
nt and/or A/C Condenser.
ter Heater or power vented
alterations to receptacles
Note: New Service
~ermanently wired
ng unff (house or the
luding required service
npany and further verity
cturer and Electric code
~ ' tcer
f Compan~v-Offi
(Print Name of Officer)
(Date)