HomeMy WebLinkAbout0111225-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
1920 WINCHESTER AVE
MCM AIR INC
CITY OF OSHKOSH
· HVAC PERMIT - APPLICATION AND RECORD
No
Gas
E~New
Forced Air
[] Electric
[] Oil
~J Radiant
Hot Water
ChimneyType ~..) ChimneyA (.~ Chimney B
Heat Loss ~..) As Approved ~1 Existing
BTU Rate ~..~ As Per Plan ( ~ Variable
Use/Nature ~SFR/Replace furnace and of Work
Owner MARK A/SUSAN M GRUNWALD Create Date
Category 502- Residential-Both Plan
[] Electric ~ ~ J Solar I [] Solid
[] Replace I E~ Other
~J Steam ~ ~ A/C ~ Vent
~-uppl. 1 [] Con. Burner 1
Direct Vent ~ ~ Not Applicable I
(,,} Not Appliceble I Value
~[~ Other I Value
60000 2 Ton
install new NC - EIV provided by Seckar Elect.
111225
10/21/2004
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $80.00
Issued By: Date 10/21/2004
[] PermitVoided j
Parcelld # 1214460000
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
AgenFOwner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number 920-582~,402
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.
lglectrlc Installation Verltlcaflon
(-~'~--~',-) ' (~ {s~) (zi~, code)
The ~m~e of tl~ work ~aaim off (.C~k One or
~/~ .
TI~ vd'am of tl2s wo~ is $~.
I bott, by v~fy th~ work will. be per'formal by an ~ployae of this ~ and Ru"th~ veri~
t~ recou.~:~,ion / tm~ion will be don~ in con~,!~,,-,~ wi~ manufacu,u.~ end.V..lecuic coae
(Sismmr~o/Com~--y OfCcp)
(hint Naa~ of 0t~) ODa~)