HomeMy WebLinkAbout0098771 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
1301 E MURDOCK AVE
MCM AIR INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
[~ Gas
[] New
Forced Air
Electric
Chimney Type ~) Chimney A
Heat Loss ~ As Approved ~ Existing
BTU Rate ~.~ As Per Plan ~ Variable
~ Oil
~ Radiant
L~ Hot Water
Chimney B
Owner MR/MRS LOWELL H LOUIS
Category 500 - Residential-Heating & Ventilating
LJ Electric I [~ Solar
[] Replace I
L--J steam I
~ Suppl. I
Direct Vent ~I Not Applicable
~1 Not Applicable [
O Other I
~1 NC
LJ Con. Burner
Value
Value
No
98771
Create Date 10/15/2002
Plan
I I~ Solid ]
[] Other I
Vent
Use/Nature
of Work
rFR/
Add to trunk, install 4 supply air runs & 1 double return air run.
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided I
$20.00
Date 11/22/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (~0) 236-5O50
Fax (920) 236-5084
NOV
· Application(s) snd fee(s) can be brought to City Hall, Room 205 or nm'lcd to Inspcctieu Scrvic~ PO Box 1128,
Oshko~ W1 54903-1 ! 28. Co~g work without l~mi .~s) will nmtlt in fec~ bcinS doubled or $100:00 plus thc
nonm pm=it
OR
If you are a contractor varttcivattn~ in tbe'~ermti £~# .(ccount System and haw'adeqUate funds, check bert
if you want this vrocessed through your account ri
CONTRACTOR MCM AIR, INC 6122 COUNTY gD'M
582-4402 FAX
I1-ZI -o2.
WINNECONNE, WI 54986
582-0136
USE CATEGORY
~:~]Singlc Family r'lDuplcx
~Multi-Family
FLr~L OOas FIElcctric OSolid SYSTEM
OOil C]Sola~
TYPE
OForced Air . I-IRadiant ElSteam E]AJC 'OVent OElec~c
IS CNIMNEY BEING I.INED I~No OYcs- LINER
Note: All chln-,,~y~ d~l b~ ~iz~l l~' lh~ BTU'~ b~ing v~ut~l.
KlI-Iot Watgr OSuppl. OCon. Burner
& MANUFACTURER
OOther
· ODir~ Vent
liiiNot Applicable
OOther Value
VALI.~ Oncludinz labor and all materials includlnE Hght ~) :~ (~ 0 0
ELECTRICAl, CONTRACTOR" ~/a .-
0 For applicable projects:an Electri~ ~mallation Verifi~ttion form, signed by the Ele~n~cal Con~, mustbe
attached. If not attached or not applicable, a septmte Elec~e.~l Permit is r~luired.