HomeMy WebLinkAbout0099357 HOSHKOSH
ON THE WATER
.lob Address 164 W 22ND AVE
Contractor MCM AIR INC
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner MICHAEL L/SARAH MEYER
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
99357
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:
$2,500.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$42.50
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
P.O. Box 11~0
Oshkosh, WI 54903-I 130
Phonc (920) 236-5050
F= (920)236-sos~ 3~N 0 g ?~1~5
' Application(0 and fc~(s) ~n ~ brou~t to ¢i~ Bzll, Room 205
Osh~.sh W~.~903-1128. Comr,~ wor~ ~taout ~, or~oa to Z~'U~.Scrvi~ ~:) Box ~
normal lm'n'nz z~, which cvcr is greater, t( ) ..w~!..z~lt inf~s.bo-ins doubl~ or $100.00 plus the
OR
COP~'TRA~O~
Wlnneconne, ' ~'BZ -L~ qO~
CHECK [] ALL APPLICABLE
SnCA~RY
8Je Family ElDuplcx ElMulti-Family glRental [2Commeroial
l~r~L ~ OElccuic 'OSolid ~~ l~New
1:20il OSol~r OOther
r"lIndustrial
,~lace
CHIMNEy TYPE KIChinmey A KIChimney B KIDireot Vent
H~AT LOSS ~lAs Approved I"~Existing [~Not
BTU RATE KIAs Per Plan K]Variable KlOther Value
DES~oN OF ALL WORK BEDI'O D01~ ~ N XAO~) ..
VALUE (including labor and all materials including Hght fixtures) $ ~00 oo
ELECTRICAL CONTRACTOR_ ~ I~L.'IZ-~O_~ ~~~!~_..~ ~ ~Z, ~3
' - .v,,.ir~o, rom ..~,.,~ ~)
3/02
Electric Iastalhtion Verification
(city) (sat.) (z~ c,~)
whcr~ ,work win bo ~~)
Th. n~tu~e o~tho work~ or': (.Chock One or~ tho NaAu-e
,~ Reoonaootiou or new ~ for rephomna~ ~ P~ ~ ~C C~.
~ or~ ~ ~~ ~o W~ ~~ ~w~ v~
wok i= s '7 ~'0 o .
I h~by v~ tW work ~ be pm'omod by an .~ploy~ ~tbis COmluny and ~ verity
(h~t Na~oat~=.) (D~)