HomeMy WebLinkAbout0112629-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112629
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1621 WESTERN ST
Owner
JACOB H/BARBARA WRIGHT JR
Create Date 01/27/2005
Contractor A-1 HEATING & A/C INC
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, EIV provided by Bell Electric - NO CHIMNEY LINER BEING INSTALLED---
of Work
Fees: Valuation
$1,536.40
Plan Approval
$0.00
Permit Fee Paid
$29.00
Issued By:
Date 02/09/2005
U Permit Voided 1
Parcelld # 1211300000
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
W8078 HILLCREST CT
HORTONVILLE
WI 54944 - 0
Telephone Number
920-779-8838
---
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.
OfIW2009 SAT 7: 43 FAX 1 920 733 2713 WATTERS PLUMBING
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Electric IDstaUøtlon Verification
I(We)_,I1!lC £t.f'(fl"" .
(Ele<:lrical Contractor Nlllne)
---12. rJ. /)0)( 1/2ì ¡/fM4)4q Wi 5'195 i
(Address) (City) (Slate) (Zip Code)
h~vc been contracled toperfomJ electric installation work for ¡If -/ ti~pcl,~..t?' "+/é
(Name of party ontfaet~ta)
It;)..1 V.fJ~í¡'¡ $Î ()~AK~j~ ;]"'10(, vflq-hT .
(Addregg where work will be pèrfonned) ;1..1'2.- cð c I
The nature ofthe work consists of: (Check One Of Describe the Nature of Work)
~cconnecti()h or new circuit for replacement Heating Plant and/Of AlC Condenser.
---- R~onnecti()n or new circuit for l-eplacement Electric Water Heater or power vented
water heater.
- Rcconnect;on of the Service EntrlUlce Cable. Meter Bo". alterations to recept8Cle$
and lighting fixtures due to siding I soffit installation. Noto: New Service
Entrance Cables will require a separate permit.
-,_. Rccohnection or new circuit for the replacement of other permanently wired
appJilU1ces I fixtures. -
- New circuit for the addition of AlC 10 an Individual dwelling UltÎt (house or the
individual syst.m~ it1 a duplex or condòminillm), including requirecl service
electrical outlets.
- Other
at the following a.ddress:
The value 0(11,;. work is $
¡hereby vcrify this work will be performed by an employec of this company and further verify
tbe re.onM.lion I installation will be done in compliance with manufactUrer and Eloolric code
requiremenls.
'.2-d: ~h,¿¿£) --,-
Zf;gnalUre of Company Officer)
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(Print Name ofOfflccr)
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(Date)
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01 .oJ
£0696¿¿0261
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92:£2 £002 ~Z ucr
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