HomeMy WebLinkAbout0109130-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 733 W 9TH 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 ANN M LEITL
Category 501 - Residential-Air Conditioning
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
109130
06/28/2004
Other
Vent J
Use/Nature
of Work
Replace 2T A/C
Fees: Valuation
Issued By:
$1,400.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$26.00
Date 07/06/2004
Parcel Id # 1305711900
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.
Electric Installation Verification
(El~2ical Co,reactor H~e)
(Ci~) (Sta~e) (Zip Code)
have ~ contracied to p~fo~ electric inst~lafion work for ~ ~~
~ame ofp~y con~act~ ~o)
at the following ~,: ~ 733
(Ad~es~ where work will be peffom~)
The nature of fl~e work consists of:' (Ch<k One or Describe ~e Na~e 0f Work)
~ R~o~ection or n~ ckeuit for replac~ent Hinting Pl~t ~d/or ~C Condenser.
- Recmmecti~ or new ¢kcuit f~ r~laeement Electric Wat~ H~t~ or pow~ vmted
water heater.
~ R~eetion of~e S~viee EnCee Cable, Meter Byx, ~te~ions to ~taeles
· ~d lighting fix~u'es due to sidi~ / soffit in~laaon. Note: N~ S~ice
En~ce CaNe, will reqnke a separate p~mit.
~ Recom~hon or new c~rcmt for tho r~laeem~t.of 0~r pem~en~y wired
appl~ees / fixings.
New cire~t for the addition of ~C to an indivMualdwelling unit 0ouse or the
individ~ ~ms in a duplex or eondom~im), including r~uked $e~ice
el~Meal outlets. -
The value of this work is $ J{D~.~ ~-,.-' ~
hereby verify this work will be perfonn~ by an ~nploye¢ ofthi~ company and further verify
the reconnection / installation will be done in compliance with manufactarer and Electric ¢od¢
requirements.
o any offi&)
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