HomeMy WebLinkAbout0112656-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112656
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1503 JEFFERSON ST
Owner
KELLY L KLEMM/BRENDA WELCH
Create Date 02/10/2005
Contractor DRUCKS PLUMBING & HEATING CO INC
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
U A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
0 Not Applicable
. Other
Value
0
Value
Use/Nature SFR/ Replace furnace, install 5" x 35' H&C chimney liner - EIV provided Heritage Electric Inc.
of Work
Fees: Valuation
$4,320.00
Plan Approval
$0.00
Permit Fee Paid
$71.00
Issued By:
Date 02/10/2005
U Permit Voided 1
Parcelld # 1505530100
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
POBOX 355
MENASHA
WI 54952 - 355
Telephone Number
920-426-2654
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
01/21/2005 13: 17 9207343838
- 0112110$ 11'°0 FAX 7220651
HERITAGE
])RUCIrS
PAGE 01
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Electric.lnstallation VerifkatioD
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ecol'lDOCtÌOI1 OJ: IieW ~f for :eph\c-..nt Hcanu. PIImt lIIIdIur AlC CoDdemI!lr.
a_tioD af" new circllit for replaco:m=t EII:Ctric W &toll: B....
nOD of the Service Entrance Cable, Mcfer Box. a1teratîous to n:ceptKlea and
li¡btil1l filtttlmi due to ¡¡1lin¡¡1 soffit ÌII8III1l8tÌou. Note: New S8!'\IÌce EnIlanCC
Cables will reqIIiĊ a separate permit.
'011 or new CÚ'cllit for other permanently wired app1iance5 I fixtlln:s.
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I hereby verify' work win be perfomed by l1li employu of tbiJ¡ çompaoy and furtbcr verify tho
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