HomeMy WebLinkAbout0099513 EOSHKOSH
ON THE WATER
.lob Address 111 W 22ND AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
ALL SEASONS QUALITY HTG & CLG
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner PEGGY L PAULICK
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99513
01/13/2003
Other
Vent J
Use/Nature SFR/LATE PERMIT/Install 60m btu furnace.
of Work
Fees: Valuation
Issued By:
$2,850.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$148.50
Date 01/20/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1661 IOWA ST OSHKOSH WI 54902 -0
Telephone Number
(920) 426-8090
OJ'HKO./'H
ON THE WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenne
PO Box 1130
OshkoshWI 54903-1 [30
Office 920-236-5050
Fax 920-236-5084
(We)
Electric Installation 'Verification
(Electrical Contractor Name)
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for ~ ~e.,4.5~,d~ ~a,~'-[/d ~ce~t.~r ~/~
(Name of party contracted to)
at the following address: Ill P-vdc
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe Se Nature of Work)
__~ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
RecoUnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require ~/separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ (~).cD
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Print Name of Officer)
(Date)
5/02
HEATING PERMIT REQUISITION
Unit Heater(No.)~
New (No.)~
Date i~ ~,0~ Permit No.
Address_. j I / ~_/L2, ~ ~_,~
JJ I
Building Use
Type of Fuel
Forced Air (No.) Air Cond.
Steam (No.) Hot Water
Other
_Replace
Size of Units
(No.)
(No.)~'-
(No.)~-
(No.)