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0103779-HVAC (a/c)
OSHKOSH ON THE WATER .lob Address 1042 COOLIDGE AVE Contractor GARTMAN MECHANICAL SERVICES Fuel System CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Gas J ~J Oil New J Forced Air I ~J Radiant Electric I ~J Hot Water Owner ORRIN H KING TRUST Category 501 - Residential-Air Conditioning L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I Heat Loss I~ As Approved ~ Existing O Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~ Solid 103779 08/28/2003 Other J Vent J Use/Nature SFR/Replace a/c unit. *EIV form from GMS. of Work Fees: Valuation Issued By: $1,550.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $29.00 Date 08/28/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number (920) 231-5530 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City n£ Osi~kosh 13iviaion of Inspection Services P.O. Box I O=hko:~b. WI 54903-1130 Phone (920) 236-5050 Fax (020) 236-5084 HVAC PERMIT APPLICATION All information after bald cst~god~ must b~'providcd. Incompl©!a applications w.|li aGlbc preCeaa~d. OA~kosh WI 54903-1128. Co~menoing work without ~it($) Will gat;l~ ia f~oa ~ing ~bl~ Pr $1~,00 PI~ I~ normal permit fcc, whioh ~vgLi9 ~oalcr. OR If '~ are a eon~OC partleipatln~n trio Per~n~ f~a daeaun( gvst~m and hays ads~at$ fimd~, afio~ hara ~ this at'ocess~d Ifir~tg~ voitr aecbunt ~ ........... ........ ~; CIIECK ~ ALL APPLICABLE . . P~E rccd Air ElRadiant ElSteam "~A/C vIVent ~Elea~o IS CIIIMNEY BEING LINED DNa DYes - L~R SIZE. Hate: All cld~oys shall be sized per the BTU'a b~ing vented. Elliot Water DSoppI, ~Ooo. Buroar CilIMNEY TYPE ElChimney A EIChinmoy B ElDireat Vent . EIOthar IIEAT LOSS ElAn Approved ~]Bxisting ElNol App]ioabio ~TO BATE ~Aa P~r Plan ~Va~ja~o ~Other Valao EI,E~RICAL CONTRA~OR ~ For applioablo projecls, an E!~offio Installation V~rifioation fnma, si~d by ~hO EI~o~] O0n~ ~$t b~ attached. If not attached or not appl$oab!o, a acparalo Eloclrioal Pe~it js f~qujrad. ~ RUG-28-2003 THU 09:52 ,~1 Electric Installation:Verification. I ~lcctrical ContmtorNm) (Address) ~, (City) ~ (Sta~) (~ Code) ~c ~ I~ o~the ~k con~ts o~ (~cc~ ~c or Des~ibe ~e N~e of Wo~) ~ Reco~ccU~ or ]teW c~mml for ~l~t H~g pl~:g ~or ~C C~d~s~. R~tion ~ hew cim~t for r~l~cm~t ~[~c Wat~ He~ or ~ vmt~ ~ U~mg gxt~ d~ to i~ / soffit i~lad~n. N~c:. New S~ice ~, Reco~ca~ or n~ ~mmt for thc [~l~i of o~ p~y wi~ .. ~ . N~ o~t for ~ Mditi~ of MC to ~ Indi~d~l ~tlling unit (~use o; the ~ eJ~e~ outlets.