HomeMy WebLinkAbout0099542-HVAC (pool heater)OSHKOSH
ON THE WATER
.lob Address 1870 ORCHARD LN
Contractor OWNER
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner PAUL E PHILLIPS
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
99542
06/28/2002
Other
Vent J
Use/Nature SFR/LATE PERMIT/Install Pool Heater. *Late fee waived per AD.
of Work
Fees: Valuation
Issued By:
$1,928.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 01/22/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address OSHKOSH WI 54901 -0
Telephone Number
HVAC Permit Work Card
Job Address 1870 ORCHARD LN Permit Number 0 Create Date 06/28/2002
Owner PAUL E PHILLIPS Contractor OWNER
Category 500 - Residential-Heating & Ventilating Plan
Fuel ~ [~ Oil I ~ ~ I I Solid I Value $1,928.00
System [] New I [] Replace I [] Other I
I I Forced Air J [~ Radiant t U Steam j [_J NC J I I Vent J
~ Electric J [~ Hot Water I L-~ suppl, t L--J con. Burner I
Chimney Type ~ Chimney A (~ Chimney B (~ Direct Vent · Not Applicable
Heat Loss ~ As Approved (~ Existing · Not Applicable I Value 0
BTU Rate ~) As Per Plan (~ Vadable · Other I Value
Use/Nature nstall Pool Heater. * Owner called AD on 6-28, forgot. Called me, told her to come in to obtain when
of Work ~ack from vacation. (do not assess late fee, erase this message when issued..
Inspections:
Date Type Inspector
Date/Time requested:
Access:
: Notice Type: Phone Number:
I
Ready Date/Time: : Requested By:
O Reinspect Fee (~ Fee Waived [] Reinspect Fee Paid