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112622
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
TERI SHORS
Job AddressOwner
1822 MENOMINEE DR
Create Date02/09/2005
ContractorGARTMAN MECHANICAL SERVICESCategory500 - Residential-Heating & VentilatingPlan
OilElectric
üü GasSolarSolid
Fuel
New üü ReplaceOther
System
Forced AirRadiantSteamA/CVent
Electric üü Hot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue105000
Use/Nature
SFR/ Replace boiler, and install additional radiation. Witzke doing wiring under permit # 112464. No chimney liner being installed.Where an
of Work
appliance is permanently disconnected from an existing chimney or vent (C/V), the C/V shall be resized as necessary to control flue gas
condensation in the interior of the C/V and to provide the appliance or appliances served with the req. draft.
Plan Approval$0.00
Fees: Valuation$4,900.00Permit Fee Paid$78.50
Issued By:Date02/09/2005
Permit Voided
Parcel Id #1512830000
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.
SignatureDate
Agent/Owner
AddressPO BOX 2264OSHKOSHTelephone Number(920) 231-5530
WI54903-2264
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.