HomeMy WebLinkAbout2005-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112433
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1522RUGBYST
Owner
THOMAS J/DEBRA AMUNDSON
Create Date 01/26/2005
Contractor GARTMAN MECHANICAL SERVICES
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
60000
Use/Nature SFR/ Replace furnace install 3" Hart & Cooley chimney liner, - EIV provided by Slim's Electric.
of Work
Fees: Valuation
$2,290.00
Plan Approval
$0.00
Permit Fee Paid
$39.50
Issued By:
Date 01/26/2005
U Permit Voided 1
Parcelld # 1305150100
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 BOX 2264
OSHKOSH
WI 54903 - 2264 Telephone Number
(920) 231-5530
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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.
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Electric Installation VerificatioD
I (We)
SLIM'S ELECTRIC INC.
(EleG1rical Contractor Nam~)
2608 Oakwood Circle Oshkosh
(Address) (City)
WI
(State)
54904
(Zip Code)
have been contracted to perfonn electric installation work for Tnm Amllnn "nn
(Name of party contracted to)
at the following address:
1 'in Rllghy
(Address where work will be peñonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
...JL ReconnectiO!l or new cUcuit for replacoment Healing Plant andhn' NC CondeDser.
- Reconnection or new circuit for replacement EleG1ric Water Heater or power vented
walerheater.
- Rcconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit insta1latíon. Note: New Service
Entrance Cables win require a separate permit.
- Reoonnection or new circuit for the replacement of other permanently wired
appliances ¡ tixtw'es.
New circuil tor the adaition ot AlC 10 an IndMduo,l dwelling unit (house or \he .
individual systems in a duplex or condominium), inl:1udiøg required service
electrical outlets.
- Other
Thevalueoflhisworkis$ ,1 'i0 00
I hereby verifY this work wi!! be performed by an employee of this company and further verify
the reconnection / instalJation will be done in compliance with manufacturer and Electric code
rcquircmcnbl.
Û'
V./?V I,{) A ~:Ji/-' Iyf~
(Print Name otOffi
1/24/05
(Date)
;102
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