HomeMy WebLinkAboutHVAC i� CITY OF OSHKOSH No sas�a
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1237 LIBERTY ST Owner LOIS P HODGELL Create Date 01/17/2001 I
Contractor TENTH STREET STATION WC Category 500-Residential-Heating 8 Ventilating Plan �
Fuel '�. Gas �1��, �. e�l �,�So ar S�� �
System �✓�New � � - � � � ��-Replace �� j Othe� � � '�.
orce ir �. a ian eam ��. �C—� en ��,
'�.—Electnc� �foT�� I— up�� Con�. umer
Chimney Type ( ': imney � imney � irec en � o pp ica e ;
Heat Loss s pprove xis ing o pp ica e Value
BTU Rate s er an aria e ' er Value
Use/Nature �SFR7A6D ��
of Work I '�.
Fees: Valuation 5500.00 Plan Approval �0.00 Permit Fee Paid $20.00
y�f �
Issued By: �;.i i �u^ Date 03/OS/2001
�PermifVoitled I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236-8770, MOBILE
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uii:7i���. �.:�� �����u�.5� T��iTUJTo��T�T�T.�": �h�� �F .
' '�-y'� Di`-•193�. L: .I:1e'y2C'aiOn Setv'yce9
t-� a15 Church Avenue
��J P.G. 9os li]o
U/� v9•iwveY. Hi j�YVJ-l1JV
Fax M 19201 236•Soea
Phone �920) 736-5oa8
HVAC` DF.AMST . Lb�ni.r.nrmrnax
L i t..ea i 1 Vt\
All f=..��e/_pFp�;.w`��� -L`E� �,'v.0 cace ories m
9 uet be provided.
Ineomnlecn _sr�1_ytle^s. _yy± .,.,L bc f+iaceeceu.
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. DAT&. ���Z�QI.
JOs AS�4R6Cst IZ�i�7 � � �.,-YLTI. c7
� i rh �
OwNER 1i09�C�CZ-L. � . �
c:'v3vi-FWCiu1t f�i�+�iti�7{-Y"s�C� S�iR�1UN � -
CIRCLB ALL APPLICA87.u.
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US8 c�.AT8Ci6RY �TNGLE FAMILY� DUPLEX MULTI-EAMII.Y. C�MMF.RCipi. �p7�t,)�morp�
'II8�- GnS � vIi ELECTRIC SOY.AR SOLID u
SY3T8M �NEW7 crorarq
�`�� ..-•••••�•.•• vTrifiic p�1C (LUO�'i�
TYPB FORCED AIR RP.Dj,qNT STFatd n/r ..o„�.
� ELECTAiC HQT WATER. cnnos.
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'+o a:iii5e2r'ax FssZivc� LZ27YB vvv LSNER SfZ£ MANUFACTURER
.,�.�_. iell enimneya Bhall be sized per [fte BTU'e being vented.
CffiMNHY TYPF. rvru�st.e .. � ,..._'"""' _. i ____ . ..
---- •.•••,-�••�•-.,-•... ��lmwnr tf- � ♦. lltRECT VEN�• OTHER
x�'T LO33 AS APPRQVEI! EXISTING� .IdOT-&PPLICABL
8?'O I2AT8 . AS PER pi,Rtv VARIpgLE. OTHER-�IAS.LTE
NATURfi OP WORK_ f�� SuPFLy kM �7UYe! D��TW02[G
VALUE (Snc2udiag labor and matesia}�) g �QO •4'� F�� �`Zn;�
ELaCTRICAL CONTRACTOR
slecCi'ical inetallation of new/replacement equipmenc ehall be done by licenaed
�ontzecto:s.
valuation
Feee
50 to $1.OG0.6o........-'-'-------.__..._.................._..__.........._..... .$20 .00
$1,000.01 to 510, 000 .00.._........................._............_ ..............._...--`--'-�- --..520.oo for f irst
- --.._...._....... _
$1, 000-.QQ. g:u¢-� 52.-56 �s $�6F3. 66� vaInation or par[ thereo: �
516, 000.01 to 525, OOD.00...........__................._._........................ ...............5155:00 _'or firec
� $10, 000 . 00 plus 51 .0o per $100. 00 valuation or parc chereof
Over 525,000.00.....................................__.........._..... .. ................._5305�.00 plus 50 . 50 .,
. ............................'...___..............._.
per $100 . 00 valuation or parc thereof
• submit paymenc with application. Failure [o pay within 30 days wilt result in
ieea being doubled or $100.00 plue the nnrmal permi�c fee, vhich ever is
9reacer.