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HomeMy WebLinkAbout0099290-HVAC (furnace)OSHKOSH ON THE WATER .lob Address 2124 -2130 W 9TH AVE Contractor CONDON TOTAL COMFORT Fuel ~J Gas ~ System ~J New ~ ~J Forced Air 1 ~J Electric I Chimney Type I~ ChimneyA Heat Loss I~ As Approved BTU Rate I~ As Per Plan CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Oil Radiant Hot Water Owner THOMAS N RUSCH ETAL Category 500- Residential-Heating & Ventilating L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney B ~ Direct Vent ~ Not Applicable Existing O Not Applicable Variable ~ Other Value Value No Create Date Plan L~ Solid 99290 12/31/2002 Other Vent J 50m btu Use/Nature COMM/ 2128/ Install a gas furnace. of Work Fees: Valuation Issued By: $990.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $20.00 Date 01/03/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 11 BLACKBURN ST RIPON WI 54971 - 184 Telephone Number (920) 748-5050 ........,,: :. . . - .... , ..... ~ :~!'~ .... HVAC PERMIT APPLICATiONnFC Incomplete applications will not be p s d EPM TMENT , OF · Application(s) and fee(s) Pan be brought to City Hall, Room 205 or mai~:{~'['c~,l~~l~'~lox 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being dbubled or $I00.00 plus the normal permit fee, which ever is greater. .. OR . If you are a contractor participating in the Permit fee Account System and have adequate funds, check here i£¥ou want this processed through your account I-] oE rced Air ElRadiant U1Steam I-'IA/C FIVent F1Electric UIHot Water FlSuppl.l'"lCon. Burner IS CHIMNEY BEING LINED~No EYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE HEAT LOSS BTU RATE [2]Chimney A ~himney B ~_?irect Vent F1Other FI, As Approved 'F1Existing ,JrlNot Applicable l-lAs Per Plan F1Vanable F]Other Value ~q~'O/ ~ ~-~O~/ DESCRIPTIO3N)OF ALL WORK BEING DONE VALUE (Including labor and all materials including light fixtures) $ ~) ~, - ELECTRICAL CO NTRA CTO R~f.~~ta.,~.~ OR [_q Electric Installation Verification form attachedflf Rcplaccmcnl) Electrical installatton of new/replacement eqmpment shall ~e done b~ licenstxt contractors 0 2