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108914
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
STEVEN L/NANCY LEATHERWOOD
Job AddressOwner
403 W SOUTH PARK AVE
Create Date06/24/2004
ContractorANDRESEN SHEET METALCategory502 - Residential-BothPlan
Oil üü Electric
üü GasSolarSolid
Fuel
üü New üü ReplaceOther
System
üü Forced AirRadiantSteam üü A/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue75,000 BTU and 2.5 Ton
Use/Nature
SFR/ Furnace upgrade and A/C add on. EIV from Seckar Elect. Install 3 inch chimney liner.
of Work
Plan Approval$0.00
Fees: Valuation$4,000.00Permit Fee Paid$65.00
Issued By:Date06/24/2004
Permit Voided
Parcel Id #0907120000
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.
SignatureDate
Agent/Owner
Address2913 WITZEL AVEOSHKOSHTelephone Number(920) 233-0323
WI54904-6539
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.