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HomeMy WebLinkAbout0099036 HOSHKOSH ON THE WATER JobAddre$$ 515W 18THAVE Contractor MCM AIR INC Fuel ~j Gas System [] New Forced Air J CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD No 99036 Ed Electric Chimney Type ~-~ Chimney A Heat Loss ~ As Approved BTU Rate ~ As Per Plan Owner GLENN GRIGGERS Category 502 - Residential-Both M Oil I L~ Electdc ] [] Replace L-J Radiant J L--J Steam b~ Hot Water I U Suppl. (.~ Chimney B (....) Direct Vent ~ Existing O Not Applicable ~ Vadable ~1~ Other ~d Solar Ld Nc ~J Con. Burner Not Applicable Value Value Create Date 08/20/2002 Plan II Solid [] Other Vent Use/Nature of Work ISFR/ Install 40m btu furnace, 2 ton 24m btu NC & ductwork. Fees: Valuation $4,900.00 Plan Approval $0.00 Issued By: Permit Fee Paid [] Permit Voided $78.50 Date 12/11/2002 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date AgentJOwner Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number (920) 582-4402 Division of Inspection Services P.O. Box 1130 Oshkosh, ~ 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 · Applicati~n(s)~ndfee(s)canbebr~ughtt~~ityHal~~R~~m2~5ormailedt~Inspecti~nServices~P~B~x 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. If you are a contractor vartictvatin~ in the'Permii 'fee Account System and have adeofiate f#nd$, check here if you want thts~vroce$~ed CONTRAC'rORMCM ATRt TNC 6].22 COUNTY RD M 552-4402 FAX CF~.CK [] ALI. APPLICABLE WINNECONNE, 582-0136 WI 54986 Rff. mCATEGORY gle Family I-IDuplex OMulti-Family OR~ntal I-ICommorcial FUEL ~E]Oil [:]Solar C3Electric ~Solid SYSTEM ~ ~Iudustrial edAir DRadiant rlSteam ~Vent ViElectric ViHotWater FISuppl. IS ~Y BEING IJNED VINo OYes - LINER SIZE. · Note: All chimneys shah be sized per the BTU's being vented. & MANUFA~ CHIMNEY TYPE ~AT LOSS BTU RATE r~Chimney A OAs Approved I-lAs Per Plan OChimney B ViExisting ViVariable ODirect V{mt ~Other ONot Applicable DESCRIPTION OF Al J. WORK BEING DONE VALUE 0ncluding labor .nd mB nmteri.ls ln¢luang Ugh, m r=) $ qO© ~ ELECTRICAL CONTRAC'rOR %0 ~ L~U)¢ I2,9 Fl For applicable projects,' an Electric Imtallation V~ificafion form, $i~ned by' the El~rical Contr~tor, mm be attached. If not attached or not applicable, a ~-parat~ El~,trical Ptm'ni! i~ r~luimd.