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HomeMy WebLinkAbout2004-HVAC (a/c units)Job Address Contractor Fuel System OSHKOSH ON THE WATER 1393 WASHINGTON AVE MARX MECHANICAL I I Gas [] New ~J Forced Air I I Electric CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Radiant Hot Water Owner MEMORIAL AMERICAN LEGION Category 511 - Ind. & Comm-Air Conditioning [] Electric [] Replace Steam I SuppL No 108726 Create Date 06/15/2004 Plan [] Solar 1 [] Solid ] [] Other L~J NC j ~] Vent [] Con. Burner 1 ChimneyType ~.) ChimneyA (.~ ChimneyB (,~ DirectVent ~ NotApplicable I Neat Loss ~, ~ As Approved (, ~ Existing ~ Not Applicable J Value BTU Rate ~..~ As Per Plan (, ~ Variable ~ Other J Value 0 Use/Nature of Work Replace a/c units with 7.5T units.* Witzke Electric Fees: Valuation ~ _~{000.00 Plan Approval $0.00 Permit Fee Paid $125.00 Issued By: ~ ~/ Date 06/15/2004 [] Permit Voided J Parcelld # 0203940000 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 apprevals before starting such activity. Signature Date Agent/Owner Address 4535 STATE ROAD 91 OSHKOSH WI 54904 - 6304 Telephone Number 920-235-6510 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. JUN. ~.~00~ 10:~AM WITZKE ELECTRIC_ Electric Installation Verification (~lec~¢~fl Co~n~ctor 155 E. 5 of (Ad~s Wh~r~ work will ~ ~o~e~ - ~ mmr~ of~ work consists o¢: (Check On~ ~ ~ez0fib~ fi~ Nat~ of Wor~) ~ Rec~ee~on or new ~re~ f~ r~l~0em~ Rea~g Pl~t re&or ~/C Coad~, Reeomeed~ or new eireu~ for r~l~me~t Elec~e Wat~ ~ea~ or pow~ v~te~ wat~ heat~. Reelection of ~ 5~ice E~e CabS, Met~ Box, alt~atlo~s :o ~c~cles ~d 1~ fix~ d~ m ~i~g / ~offit ~s~ladon. Note: N~ Semite ~n~ze Cables ~11 ~ui~ a s~e pe~t, ~o~ec~on or new c;~ui~ for Ee ~plae~t of oth~ pc~tly ~r~ appli~ces / N~ ciao? for ~e ~di~lon of~C ~o ~ iadi~id~aI dwetiin~ ~it ~oule or ~ infO, ual ~t~ ~ a du~i~ or coad~i~um), ~cl~ing requ~et t~icc d~ncE outlets. 0~ The value of this work is $~, ! hereby verify this Work will be performed by a~ employee of this company md further verify the ~conneet/on //nsta/htion will be done in com,'qianc¢ wi,~. ------~ ...... (Signature of Comt~any Officer) Name of Officer) , (Date)