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HomeMy WebLinkAbout2002-HVAC (furnace)OSHKOSH ON THE WATER Job Address Contractor Fuel System CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD 1846 PLYMOUTH ST STEINBRUNER HEATING & COOLING No 98755 Gas I [] New J~ Forced Air J Electric l~ oi~ L~ Radiant ~] Hot Water Chimney Type ~ ChimneyA ~ Chimney B Heat Loss O As Approved ~ Existing BTU Rate ~ As Per Plan ~ Variable Owner ELLWYN C HELMER Category 500 - Residential-Heating & Ventilating [] Electdc [] Replace L~ Steam b~ Suppl. [~-Solar Create Date 11/21/2002 Plan [] Solid [] Other NC Con. Burner (.~ Direct Vent ~ Not Applicable J ~ Not Applicable I Value ~1~ Other I Value Vent 60m btu Use/Nature of Work tFR/ Replace furnace. *EIV form from Seckar Electric. Fees: Valuation Issued By: $2,000.00 Plan Approval $0.00 Permit Fee Paid [] Permit Voided J $35.00 Date 11/21/2002 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920) 426-1830 ~ 1~/20/2002 23:05 19204261890 STEINBRUNER HEATING: PAGE 81 City of Oshkosh Division of Inspection Set P.O. Box 1 ! 30 O~hkosh, WI 54~3-] 130 ~nc (920) P~ (920) 2~6-~084 HVAC PERMIT APPLICATION Ail information after bold categories must be provide, Incomplete applications will nm be processed. Appllcadon(s) and f~e(s) can be brough! to City Hall. Room 205 or mailed to Insl Oshkosh WI 54903-!!28. Coaimencing work without permit(s) will result in fei normal permit fee, w~icb ever is greater. If YOU are o contraqtO~ _r?articip(tting in Hie Pe.r. mit tee fl_.ccount Sv'Vtem ant[ t~_you want this proc¢,, COIVTRACTOR_ .~ L'~[[:CK ~ ALL APPLI {~35nglc Family t3o~! ~d Air 13Radiant E CHIMNEy BEING 1~1~e: All cbi,,rmeys sba!l bc CmMNEY TYPE ~ II,AT LOSS ~ ~TE ~PTION OF ALl VALUE (l[n¢ludin~ labor I~LECTRICAL CONTR, CABLE luplex t'3Multi-Family F1Rcntal OComm~ CIElectric CISolid SYSTEM C3NCw f3Solar C]Other Steam ~A/C r-lVent I-IElectric CIHot Water DSuppl,CICo INED DN,, ~e.~-I,INER SIZE ~" & MANUF/ ized per the BTU's being vetoed. ~'~imney ^ El~ey B CIDirect Vent riot As Approved I~Exis~ing CINo! Applicable As Per Plan F1Varlahle rlO~her Value b nd all malerials including light fixtures) $ ~ ~ ~ I~CTOR__~ ....... O,~ ]i~ Electric lastallatioa Verifl Eh'cereal installation v/ new/replaceme, ©YHKOYH ON I~¢ ~'ction Services. PO Box 1128, .s being doUbled or $100.00 plus the Lave adequate fund~, .check here 'Z //- El- ~ 'z_-. rciai nlndust~al ]~UfTler CTUILER~__ :ltlOl'~ farm altllelledllte Rcplaccrm:m) r equipment thai! be done by licensed contractors, 3/02 lg2042G189B STEINBRUNER HEATING: PAGE 02 ., , 1~/20/2002 23:85 (r~ (we) Electric Installation Verification (Address) (City) (State have been contracted ~o perform electric installation work for __~'~" (Name of pm st thc following addr*s: d__~_q (~ .... ' (Add'ss where work will be peffoz ~e nature o. ~h~ wot eon~i~ of' (Check O,e or Describe the Nature 1 ~ Re~onnection or new circuit for r,placement Heating PI~ ' ' ' Reformation or new circui~ for ~eplacement Elecffic Wat~ Re~onn~tion of th, Semite Emr~ce Cable, Meter Box, ~lighting fix~ure~ due to ~iding / ~offit installation. Not ~Cable~ will r, qair~ a ~,p~ate p~m~iL R~&o~ection or ~ew eireui~ for oth~ pemanently wired Ot~ i I. ~e value ofthi~ +ork is $ ~ ~~ ..... . / I hereby redly thi~ work will be perfo~ed by an employee of this comp~ reeonnection / in~alladon will be done in compliance wifl~ manuhclm'er requirements. (signa-turc o~Con~pany Officer) ned) iork) and/or A/C Condenser. :r Heater. Iterations to receptacles and New Service Entrance ~liances / fixtures. ny and further verify thc and Electric code (Zip Code) eu.N_ ¢./d, ..... ty contracted to) (Print Name of OfliccO (Date) (Electrical Contractor Name)