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Home My WebLink About0099505-HVAC (replace 2 furnaces)OSHKOSH ON THE WATER .lob Address 133 W 15TH AVE Contractor Fuel ~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ADONIS HEATING AND COOLING Oil Forced Air I ~J Radiant Electric I ~J Hot Water Owner RANDALL H LOCKE 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 99505 01/20/2003 Other Vent J Use/Nature DUPLEX/Replace 2 furnaces - 60m btu each. of Work Fees: Valuation Issued By: $4,600.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $74.00 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 W2707 County Rd H Pine River WI 54965 -0 Telephone Number 685-0458 OSHKOSH ON THE WATER Job Address Contractor Fuel System 133 W 15TH AVE ADONIS HEATING AND COOLING CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner RANDALL H LOCKE Category 500 - Residential-Heating & Ventilating [~T~s 1 [] New L~J Forced Air I [_~ Radiant ~-~lectric Chimney Type ~ Chimney A O Chimney B Heat Loss ~ As Approved ~ Existing BTU Rate ~ As Per Plan O Variable LJ Electric [] Replace ~lar I~1 Steam I I~ Nc [~ Suppl. I [~ Con. Burner Direct Vent ~l Not Applicable O Not Applicable ~1~ Other Value Value No 99505 Create Date 01/20/2003 Plan ~ Solid [] Other L-J Vent Use/Nature 3UPLEX/Replace 2 furnaces - 60m btu each. of Work Fees: Valuation Issued By: ~ $4,600.00 Plan Approval $0.00 Permit Fee Paid [] Permit Voided $74.00 Date 01/20/2003 In the performance~s work, I~ to perf~rm_a~rules governing the described construction. Signature ~///~-""7_~ ~(w~ }' A Date Addrees Pine River WI 54065 - 0 Telephone ~umber 685-0458 City of Oshl~osh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-$084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O/HKO./H ON THE WATER · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 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. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account CHECK [] ALL APPLICABLE USE CATEGORY F1Single Family ~]~uplex F1Multi-Family F1Rental [2Commercial Fllndustrial FUEL [~as mElectric FISolid SYSTEM mOil F1Solar FlNew r'lOther J~l~eplace TYPE ~Forced Air F1Radiant F1Steam F1A/C F1Vent F1Electric IS CHIMNEY BEING LINED nNo,~es - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. F1Hot Water FISuppl. & MANUFACTURER FICon. Burner CHIMNEY TYPE HEAT LOSS BTU RATE F1Chimney A r-lAs Approved F1As Per Plan F1Chimney B [-1Existing nVariable F1Other Value FlOther DESCRIPTION OF ALL WORK BEING DONE VALUE (Including labor and all materials including light fixtures) $ 4E d9 ~) ~C0g.Cqlo ELr, CTRICALCONTRACTOR C_-U 57-0 N/qt/t' MC- d'txz'",C/ [] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate ElectriCal Permit is required. 9/02