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Home My WebLink About0103981-HVAC (liner for furnace & water heater)OSHKOSH ON THE WATER Job Address 1265 WISCONSIN ST BLACK CAT CHIMNEY SERVICE & CON~ Contractor Fuel System CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD I¢1 Gas I ~ [] New I ~J Forced Air L~ Radiant I IElectric I k,, I Hot Water Owner MELISSA MARTIN ChimneyType ~..~ ChimneyA Category 500 - Residential-Heating & Ventilating I I I Electric I.. Solar [] Replace I ~j Steam ~j NC [] Suppl. Chimney B 0 Direct Vent No 103981 Create Date 09/05/2003 Plan Solid [~. Other J ~J Vent I I Con, Burner I Not Applicable I Heat Loss ~ As Approved ~, ~ Existing O Not Applicable i Value 0 BTU Rate m~.~ As Per Plan ~.~ Vadable ~m~ Other I Value 126m btu USeo/fN~oUrr~ SFR/Install U.L. listed liner for gas furnace & water heater. Applying water repeUant. Fees: Valuation Issued By: ~ ~/~ $350.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 09/05/2003 [] Permit Voided 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 te secure/a~ necessary approvals before starting such activity, Agent/Owner Address PO BOX 1946 OSHKOSH WI 54903 - 1946 Telephone Number (920) 279-0197 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. City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. · Appticat/on(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR 1£¥ou are a contractor participating in the Permit fee Account System and have &dequate £unds, check here if you want this processed through your account ~ OWNER AAP//~ 5~ /X/ia,,~-'aff ,'.--, / DATE CHECK [] ALL APPLICABLE USE CATEGORY l~tSingle Family FIDuplex E]Multi-Family F1Rental F1Commercial Dlndustrial FUEL II'Gas F1Electric F1Solid SYSTEM F1Oil []Solar []New []Replace ~Other TYPE ~Forced Air []Radiant r3Steam F1A/C F1Vent F1Etectric IS CItlMNEY BEING LINED []No F1yes - LINER SIZE Note: All ch/mneys shall be sized per the BTU's being vented. F1Hot Water []Suppl. r'lCon. Burner & MANUFACTURER2L-~ V-e- 0,4 ~ CHIMNEY TYPE HEAT LOSS BTU RATE FIChimney A []Chimney B [~Direct Vent F1As Approved FIExisting [~Not Applicable FIAs Per Plan nVariable ~Other Value DESCRIPTION OF ALL WORK SEING DONE ~-'~ 5"ff~[/ []Other VALUE (Including labor and all materials including light fixtures) $ ,~:~"~% g70 ELECTRICAL CONTRACTOR [] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required.