HomeMy WebLinkAbout0107961 HOSHKOSH
ON THE WATER
.lob Address 906 W 18TH AVE
Contractor TENTH STREET STATION INC
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
Electric
Oil
Radiant
Hot Water
Owner SCOTT J/CINDY SCHAICK
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
107961
05/10/2004
Other
Vent J
Use/Nature new 1.5 ton a/c.
of Work
Fees: Valuation
Issued By:
$1,400.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$26.00
Date 05/10~2004
Parcel Id # 1410080200
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number
236-8770
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
FRIDN ;T~NTH STREET STRT]ON~]NC,
FAX NO, :920-23E,-0150 Ha~j. 07 L::~I~4 II:S~M PS
'. ' Electric Installation VerifiCation
· (Electrical Contractor Name)
· (address) I'
~' (City) -- '
(State) (Zip Code)
~ ha~,e been contracted to perform electric installation work for ~-~dT/./
' ' ' :. (Name of party contracted tO) .'
atthe, following'address: ~1:9~ Z-/',
(Addre$,s Where work vdll be performed) --'
.,- ': The nature of the wo~k consists of: (Check One or Describe the Nature of WOrk)
~ .~' ReconnectionorneWefl-cuitforreplacembntHeatingPlamand/orA/CCondenser'
__ Reco~mection or new circuit for replacement Electric Water Heater or ewer v
water heater. . P ented
· '~ . nSm~latlon. Note. Now Service
Entrance Cables will require a separate permit,
Recormection · ·
,.-- or new e~rcmt for the replacement of other permanently wired
appliances/fixt~lres,
' : _ New circuit for the addition o£A/C to an inddn~idual h~velling unit (hotme or the
individual systems in a duplex or condominium), incbading zequired service
.. electri~aJ outlets.·
,~_ Other'
The valt~e of this wokk is $
i hereby Verify this work will be perfomied by an'emPloyee of this company and fitCther verify
the. r.econnection / installation will be d3ne in compliance with manufacttn~r and Electric code
requirements. : '.. ·
. ( 'gn e of Company Officer)
. (Print Name of ~-~llcer) (Date)
':" : ' · ~102 '" '"