HomeMy WebLinkAbout0107875 HOSHKOSH
ON THE WATER
.lob Address 704 W 19TH AVE
Contractor MCM AIR INC
Fuel ~J Gas
System ~J New
[~ Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner LEE S WERNER
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
107875
05/06/2004
Other J
Vent J
Use/Nature
of Work
2 ton 24,000 btu a/c *EIV from Seckar Elec
Fees: Valuation
Issued By:
$1,900.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$33.50
Date 05/06/2004
Parcel Id # 1408230000
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 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
920-582-4402
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 Installation Yeriflcatlon
b~vo b~m cont~,ctcd to perform ele~c ins~ll~liou work for ,~ff~~,
The ne,.,uze of the work con~s of:. ( .Ct~:k One or Descn~
R.econnecfion or new c~uit for repl~,~nent ~ PI~ ~xl/or A/C Conden~.
]~,onne~Ion or new cimuit f~ ~ ~c W~ H~ ~ ~w~ v~t~
~ U~S ~ ~o ~ ~ / ~t ~ Note: N~ S~
~p~ / ~.
el~ o~e~.
The vtl~ ~ti~is wozk is $ I ,'D~.~.
I bm,by verit~ ~ work will.be perfonned by an employee of t'nls company and ~ verify
~ l'~.on~octio~ / inst~,tion will be don~ in con~,~ wt~h m~nu.~turer ~xi ~tec~c code
(Print Nme of Office) (D~)