HomeMy WebLinkAbout0112731-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112731
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1943 MICHIGAN ST
Owner
ROBERT S/STACEY REESE
Create Date 02/21/2005
Contractor MCM AIR 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 502 - Residential-Both
1,(1 Electric
Plan
1 1 Solar
1 1 Solid
1
1 1 Other
1 U Vent
1
1,(1 Replace
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
. Direct Vent
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
80000 2.5 T
Use/Nature SFR/ Replace furnace and add A/C, install 3" chimney liner - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$5,000.00
Plan Approval
$0.00
Permit Fee Paid
$80.00
Issued By:
Date 02/21/2005
U Permit Voided 1
Parcelld # 1409610100
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
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780
Telephone Number
920-582-4402
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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.
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Electric Installation Veri11catloD
l(We)~f!. ez..ec.-nelc. Go. 11Jc.
(Electrical ContøctorNamo)
Sc;ZO fncJ ~eY piU¡\t/k~~ ~b. r,.J"J~e:o';lle: WI S\f~8G,
(Add:mJ) (CI (SIa1e) (Zip Code)
avo been contracted to perform &leotric imtaUation work tor ~.
(Name otparty conIncte4 to)
It the following address: I c¡ y 7j HI CJ-I 16 A /'J .
(~ whcro worle will bo poñoancd.)
The nature of tho workCOl1SÌJts at'. (Çbeck One orDescribe.tho N&Þu"e ofWorIc)
i Reoonneçt!on or now ciNuit tor~1am lD4Ior AlC Ccmdomer.
- Rcconnootion or now c!rc:uit !or ~Iter Heater or power VOlltod
. water ~.
- Roconncçtjoo ofthG Sc:rviçc Eutnnco Cabk. MoIIIr Box, alt0raûœ8 to rocoptaclel
and lighting fixturc8 duo to JidiD¡ IlOmt inJtallation. Note: New Service
EtJtnm¡;o Cables will rcqujre . aepmto pcœit.
- Recotmectioo or now ç\:çuit !or tho rq11aceau:nt of other permanently wired
appliaIIces /1íxt1IrtI.
.){. New c:ircuit for tho addition of A/C to anlndiv/dUIJ/ dwfU11l81111i1 (house or the
in4ivlduall}'lttll11S In . duplex or cœ4ominIwn), inc1u41n¡ required service
oloowa! outlets.
- Other
The value oíthis work is sJ F)o. 0 0
I hereby verifY thiI work will. be performed by an employee oíthil campany and 1Urtber verify
tbc recoo:t:ICtÍon / inlta11ation will be done 111 compUanoe with manu!aeturer a:x1 ElOClric co4e
Rqll remenll. .
ji~~ f1{eft
(SI¡naturelo! Company Officer)
.þ/A1Jg f!.. ~
(Print Name of omc:ar)
2-19-05
(Date)
$10:
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