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0098609-HVAC
OSHKOSH ON THE WATER Job Address Contractor Fuel System Chimney Type Heat Loss BTU Rate CITY OF OSHKOSH HVAC PERMIT APPLICATION AND RECORD 4065 SHARRATT DR MCM AIR INC Gas [] New Forced Air j Electric Chimney A II o, L--J Radiant L~ Hot Water Chimney B ~1~ As Approved ~ Existing ~ As Per Plan O Variable Owner FOX CITIES CONSTRUCTION Category 502 - Residential-Both ~J Electric [] Replace ~1 Steam I U Suppl. I ~ Direct Vent O Not Applicable ~ Not Applicable J © Ot~er I Solar Nc I Con. Bumer t Value Value No 98609 Create Date 10/29/2002 Plan [] Solid [] Other Vent Use/Nature of Work NSFR/ Install 60m btu furnace & 30m btu NC. Fees: Valuation Issued By: $6,000.00 Plan Approval $0,00 Permit Fee Paid [] Permit Voided j $95.00 Date 11/13/2002 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 Oshko~ WI 54903-1 ?hon~ (92O) 236-S0S0 Fax (920) 236-5084 HVAC PERMIT ]acompl~ ~1)~ ~ wt be pmceu~ · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspeolien Services, PO Box 112g, Oshkosh WI 54903-1128, Convnenoing work without petmi .t(s) will result in fees being doubled or $100:00 plus the normal p~it fee, which ever is great. OR If you are a contractor varrtci.attne in the'~ermti fee ,4ccount System and bare ~de~Uate funds, check Acre f£ vou want tht# vrocessed through your account CONTRA~OR MCM AIR, INC 6122 CQUNTy RD'M WINNECONNE, WI 54986 582-4402 FAX 582-0136 USE CAT~GORY ~ilSingle Family I-IDupl~x ~Multi-Family ORe~tal FUEL ~ OEl~tric ElSolid SY~ l~New rlOil ElSolar FlOtlm' TYPE ~ore~d Air . ORndiant OStcam [~t/C 'F"lV~nt O~eetri¢ IS ~ BEING LINED ~lo OYes - LINER S~ Note: All chi,~meyS shall be sized per the BTU's being vented. ClHotW~r OSuppl. & AClIIRER OCm. Bur~r ~TYPE HEAT IA36S BTU RATE Per Plan OChinm~-~y B OExisting OV~isble · ODirmt Vaat 1::3~ot .~plicable 1::3Othar ValU~ VALUE 0ndudlng labor and all materials Including Ught ix~ures) O For applicable projeots,'.an Elcclric Iustall~on V~ificatioa fo~m, ~ig~ed by t]~ Elacal Con~, must-be attached. If not attached or not applicable, a separate Eleetriead Permit is required.