HomeMy WebLinkAbout2002-HVAC (boiler)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
82O VIOLA AVE
TENTH STREET STATION INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
98703
b~J Gas I b~ Oil
[] New
~_J Forced Air I [~ Radiant
[~ Electric I L~J Hot Water
Chimney Type ~) Chimney A ~) Chimney B
Heat Loss ~.~ As Approved O Existing
BTU Rate ~(~ As Per Plan ~ Vadable
Owner
Category
DANIEL E/CAROL HABECK
500 - Residential-Heating & Ventilating
L~ Electric I [] Solar
[] Replace I
L-J Steam I LJ NC
[~ Suppl. I U Con. Burner
~_~ Direct Vent ~ Not Applicable t
(.~ Not Applicable I Value
~I Other I Value
Create Date 11/19/2002
Plan
I II Solid I
[] Other I
Vent
105m
Use/Nature SFPJ Replace boiler. *EIV form from Drexler Electric.
of Work
Fees: ValUation
Issued By:
$2,610.00 Plan Approval
$0,00 Permit Fee Paid
[] Permit Voided J
$45.50
Date 11/19/2002
In the pedormance of thiswork, I agree to pedormallwork pursuanttorules governing the described construction.
Signature Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number
236-8770
¢ li/~9/2882 88:31 9287272133 MINERG¥ PAGE
Electric Installation Verification
I (we)
(Electrical Contractor Name)
(Address)
(ci )
lqo Oo
have been contracted to perform electric installation work for
._,, ~_~ (Name of party contracted ~o)
at the follow~ng address: --~k~__ '
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
,f Reconnection or new circuit for replacement Heating Plant anHor ACC Condenser.
~ Reconnection or new circuit for replacement Electric Water Healer or power vented
water heater.
..... Reconnect/on of the Service, Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit/nstallation. Note: N~w Service
Entrance Cables w/Il r~quire a separate permit,
~ Reconnection or new circuit .for the replacement of other pennangntly wired
appliances / fixtures,
~ New circuit for flae addition of,4JC to an individual dwelling unit (house or the
individual systems in a duplex or condo~rdxfium), inclu~ng required service
electrical outlets,
~.~ Other
(State) (Zip Code)
':~':'%,,'~ :-:,, .' '., ~. ...i ..........
The value of this work i.s .: ~. ,.~--~---_.
I hereby verify this work will be performed by an employee of this company and further veri£y
the recannecrion /~nstalhtion will b~ done in compliance with manufacturer and Electric code
~equirements,
Name of Ofiicer) --
(Date)
5/02