HomeMy WebLinkAbout0099510-Electric (furnace) r
• ' CITY OF OSHKOSH Np 99510
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD '��S�a�' '
ON THE WATER
Job Address 1204 GLEN AVE Owner MICHAEL R/KRIST RACER Create Date 01/20/2 O��E
Contractor CUSTOM HEATING&COOLING Category 502-Residential-Both Plan
Fuel ✓ Gas Oil Electric Solar Solid
System �New � �✓ Replace � � Other �
�Forced Air Radiant Steam ✓ A/C � Vent
Electric Hot Water Suppl. � Con.Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicabie
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value
Use/Nature FR/Replace fumace(60m btu)and central air(2 ton a/c).
of Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $65.00
Issued By: Date 01/20/2003
� Permit Voided I
In the performance of this work, I agree to perform ail work pursuant to rules goveming the described construction.
Signature Date
AgenUOwner
Address 1503 SOUTH MAIN STREET OSHKOSH WI 54902 -0 Telephone Number (920)235-7263
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Cit���f Ushkosh F� ��� � fl
�'���i�ion of Inspeetion Servities Z �25� 4
P.ti. Box 1�30 JAN 1 � 200.� � OqTE �
Oshkosh,WI SA903-1130 � �:
P�one(920)236-5050 �rp��TMENT OF t
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HVAC PERMIT �4PPLI�ATIOIV
All informarion�fter hold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s) can be brought to City Hall,Ro�m 205 or mailed tc Insgecrion Serv�ces,PO Bax 3 i 2R.
Oshkosh WI 54903-1 1 2$. i�'ommencing work without permit(s)will result iu fees"t�eing doubled or�100AC �;«s t�:
normal permit fc;e, which ever is greater
OR
lf,�nu are a contractor Darticipatinp in the Permit ee�ccount Stistenr and have adequate funds, chec.4 here
if vou want !his �rocessed through �our Gccount i `�
DATE � �
.�OB ADDR�SS�.�7!_ (.� L��
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OWNER ' �' �
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C'ONTR4C.TOR (�� itr/,tJ �
CHECK H ALL APPI.ICABL�
US� CATEGORY
�gle Family ODuplex OMulti-Family ORental ❑Commercial �In�ustri.�t
F`UEL C3F�as C�Electnc ❑Solid SYS'I'EM Q''�ew �lace
C]Uil OSolar ClOther
TYPE
�rced Air ORadiant OSteam �A/C ❑Vent C)Electric CJHat Water �Suppl.00on. Burner
IS CHIIITNEY BEING LINED ❑No es -I.INER SIZE _y�___&t+�i_�TV[IFACT"(,'RER
Note: All chimncys shall be sized per the BTU's being vented.
CH[M��1EY T`�1'E ❑Chimney A �Chimney B �ct Vent (�Other
HEAT I,(3SS ❑As Approv�d ❑Existir,g L7Not Appti�able
STIi Rq'j'E ❑As Per Plan ❑Variabl� OJther Value
DESCRiPT�ON OF ALL WOItK BEING DUNE
GF� — �--�__._
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YALIJE (Including labor and xU mater�als i�cluding light�xtures)��'d'a .�
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ELECTRICAL CONTRACTOR�� . OR Ci Ekctris Iastallatlon YeNticatlon for .
! n attache�fflf Replacc.,+enr.
E'lrctricaJ cns[adlalron ojnPw.�repJoexment rquipnunr shall be dont bv IieeRSecf cvnr�ncto ,
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