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HomeMy WebLinkAbout0098677-HVACOSHKOSH ON THE WATER Job Address 2250 HICKORY CT Contractor BREWER HEATING Fuel ~J Gas [ System [] New Forced Air Electric CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD No 98677 Chimney Type ~.~ Chimney A Heat Loss ~.~ As Approved BTU Rate ~ As Per Plan Owner GARY/BECKY GALICA Category 502- Residential-Both Oil t J~ Electric I j~ Solar [] Replace I Radiant I L-I Steam I ~J A/C Hot Water I L~ Suppl. I M Con. Burner Chimney B O Direct Vent ~ Existing ~1 Not Applicable O Variable ~1 Other Not Applicable J Value Value Create Date 09/06/2002 Plan I L] Solid I [] Other I Vent J Use/Nature NSFPJ Install HVAC system for new home. of Work Fees: Valuation $4,800.00 Plan Approval $0.00 Permit Fee Paid Issued By: [] Permit VoidedJ $77.00 Date 11/18/2002 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address N8804 N DOUGLAS STREET RIPON WI 54971 -0 Telephone Number (920)748-6494 City of Oshkosh Division oflnspFction Services P.O. Box 1130 Oshkosh, WI 54903-I130, Phone (920) 236:5050 Fax (920) 236-5084 ECEIVED NOV 1 8 2002_ DEPARTMENT' OF~ ' ¢~?,; ©fHa©jrt HVAc PERMIT. ~,~'~.~I~TfiD~LOPMENT °~"'^~[" All information after bold categories must be provided. Incomplete applications will not be processed. Application(s) and fee(s) can be brought to City Hall, Rosin 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 If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account ~ JOB ADDRESS OWNER ~f}LtE~qbt ~OD1E3 / G~ ~LiCIR CONT~CTOR DATE II- i3-0 CHECK I~l AL!, API~LICABLE CATEGORY /J~ingle FamilY [3DuPlex VlMulti_FamiiY I-1Rental FUEL "~as V1Electhc F1Solid SYSTEM il E1Solar [3Commercial [3Industrial F1New FIReplace VIOther iEiVent FiElectric F-IHot Water V1Suppl'FiCon. Burner IS CHIMNEY BEING LINED FINo t-lYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's be'rog vented. CHIMNEY TYPE F1Chimney A IDChimney B ~Direct Vent FiOther HEAT LOSS F1As Approved V1Existing F1Not Applicable BTU RATE F1As Per Plan IEIVariable F1Other Value ~ DESCRIPTION OF ALL WORK BEING DONE vALUE (InclUding laboff:i~nd"hll matdiqM~ ihdlUding iight fixtur&s) $ zTz~O0 k~ ELECTRICAL CONTRACTOR OR [] Electric Installation Verification form attached(If Replacement) Electrical installation of newA~placement equipment shall be done by licensed contractors. 3/02