HomeMy WebLinkAbout0098662 HOSHKOSH
ON THE WATER
,Job Address 2312 OREGON ST
Contractor E C MERRILL INC
Fuel b~J Gas I
System [] New
Chimney Type
Heat Loss
BTU Rate
Use/Nature
of Work
Fees:
Issued By:
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
98662
Forced Air
Electric
Owner THOMAS P/BRENDA~AN HEUKLON
Category 500- Residential-Heating & Ventilating Plan
t~ Oil ] b~ Electric ] ~ Solar
[] Replace I [] Other
L~ Radiant i bd Steam I [__J Nc I
L~J Hot Water I [~ Suppl. I ~ Con. Burner
Create Date 11/15/2002
[] Solid
Vent
~ Chimney A (.~ Chimney B ~ Direct Vent ~.~ Not Applicable
~ As Approved ~ Existing ¢_~ Not ¢,pplicable
~.~ As Per Plan ¢_~ Variable ~ Other I
I
FR/Replace boiler. *EIV form was not submitted, so a separate electrical permit is required.
Valuation $3,964.00 Plan Approval ~0.00 Permit Fee Paid
Value
Value
$65.00
Date 11/15/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 804 WITZELAVE OSHKOSH WI 54902 -5710 Telephone Number
(920) 235-3600
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
CO~UI
HVAC PERMIT l
All information after bold cat,
Incomplete applications x
Application(s) and fee(s) can be brought to City Hall,
PARTMENT OF
~ITY DEVELOPMENT
kPPLICATION
~gories must be plovided.
rill not be processed.
Q/HKOdH
ON THE W'ATER
~pec~on Se~ce~, PO B°x ihs,
if you want this processed through your account
JOBXDOR~SS ,.7;~ t2 ~/Z~,o~ Cz-
om, ma T~ ~/ t//q~ t/O~~ ~
CHECK E~ ALL APPLICABLE
USE CATEGORY
~3'mgle Family V1Duplex
I-IMulti-Family EIR
FUEL .J]l~t~as [3Electric VISolid
[3Oil [3Solar
TYPE '
[3Forced Air [3Radiant VlSteam [3A/C EIVent [3Electdc,/)~glHc
IS CRIMNEY BEING LINED~qo EYes - LINER SIZE
Note: All ckimneys shall be sized per the BTU's being vented.
CHIWLN~EY TYPE
HEAT LOSS
BTU RATE
~Chimney A
[2As Approved
[3As Per Plan
[3Chimney B
,l~Existing
[3Variable
DESCRIPTION OF ALL WORK BEING DONE
DATE! l/1'7.-/07....
:ntal V1Commercial
S5 'STEM [3New
[30~her
Water '[3 Suppl. F1Con. Burner
& MANUFACTURER
VE Direct Vent FIOther
slot P/pplicable
/~ )ther Value
Ellndustriat
~'~eplace
VALUE (Including labor and all materials including light fixture:
ELECTRICAL CONTRACTOR ~l,t~q,.. OR Z
Electrica
lectric Installation Verification form attached(If Replacermmt)
installation of new~replacement equipment shall be done to' licensed mntractors~
3/022