HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1670 RIVER MILL RD
Contractor MCM AIR INC
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner MATTHEW/MONICA GOLDIN
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99358
01/08/2003
Other J
Vent J
Use/Nature SFR/Install 80m btu furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,700.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$45.50
Date 01/08/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
Division of Inspection Services
P,O. Box 1130
Pbon~ (~20) 236-~0~0
Fax (920) 236-5084
f~s) ~ ~ ~u~ ~ ~ ~1, ~m 20~ ~~ ~ ~~.~ ~ ~x 1
0~ ~ ~-1128. ~~c~g w~ ~om ~s) ~ ~t ~.f~.~g ~1~ ~ $1~.~ pl~ ~
n~l ~ fee, w~ch ~ is ~t~. ""
OR
~Duplex
IZlMulti-Family
ORcntal OCommcrcial C~Industr/al
FUEL
Air flRadiant flSteam flA/C rlVent flElectric flHot Water flSuppl.l~Con. Burner
IS CHIMI~y BF, I~G LINED ~'qo OYes - LINER SIZE _ & MANLIFA~
Note: All chimncys sl~ll be sized per. the BTU'$ bcin~ vent~t,
CHUvm'Ey TYPE flChimney A
HEAT LOss flA$ Approved flExi.sting [~Iot Appli~able
BTU RATE f'lAs Per Plan flVariabl¢ flOther Value
DESCRIFFIONOFALLWO~BE~DO~ 5~F~} ~' 0~0." ~Cb 000 F'~'TL.) ~-L>E1,JAC._I='" '
VALUE (Including labor and all materials Including light fixtures) $ 2~00 ~ o
ELECTRICAL CONTRACTOR_~
~!~ ~Elem,~ hstalhtton Verification rom. '
3/02
dWI S#a$.ll~
Electric Inst~Lttton Verification
(~) (city) ($a~) (zi~ co6~)
lsivo bom contras:md to perform elootrio insuLlh~n wozic for .~~~~.
The nmzo o£tho work cou~m o~ (.Chock One or Descr~ tho Na~e of Work)
~ Reoonnootion or now oiro~ for rq~meot Hem~8 Phnt md/or MC Comdm~..
tndlyiduil sys~ns in a ~1~ or ~'mn), tnc~ uq~,-od service
eleot~ outlm.
Other
tt~ va~ ort.~s wc~ i~ S '~ ~'0 o
I hcroby v~? thif work wLU be p~ounod by~n employoe ~*,bls conmanv and f~ther
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