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HomeMy WebLinkAbout0111122-HVAC (furnace)OSHKOSH ON THE WATER ,Job Address 1628 SHERIDAN ST Contractor TODAYS HEATING & COOLING Fuel ~J Gas I System [] New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD b~J Forced Air J Electric J bJ Radiant Hot Water Owner LAWRENCE E/JOAN BROWN Category 502- Residential-Beth I, ,,I Electric [] Replace J ~d Steam I J suppl. Solar L~J NC j J Con. Burner J Not Applicable I Chimney Type ~.,~ Chimney A (.) Chimney B ( ) Direct Vent Heat Loss ~ ~ As Approved (..~ Existing ~ Not Applicable I Value BTU Rate ~.~ As Per Plan ( ~ Variable ~ Other I Value No 111122 Create Date 10/14/2004 Plan ~J Solid [] Other LJ vent 0 Use/Nature FR / REPALCE FURNACE & A/C of Work Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $42.50 Issued By: ~ ~4 ~ Date 10/14/2004 [] Permit Voided J Parcelld # 1201120000 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 par[y, 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 s~:~.~.~ ne~s~rovals before starting such activity. Signature /~ -- ~ Date Agent/Owner Address 1010 S COVENANT LN. APPLETON WI 54915 - 0 Telephone Number 920-734-9474 To schedule inspections please call the Inspection Request line at 236-5'128 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.