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112808
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
KEVIN S/MARY J SPEARS
Job AddressOwner
1155 S WESTHAVEN DR
Create Date02/25/2005
ContractorSTEINBRUNER HEATING & COOLINGCategory500 - Residential-Heating & VentilatingPlan
OilElectric
üü GasSolarSolid
Fuel
New üü ReplaceOther
System
Forced AirRadiantSteamA/CVent
Electric üü Hot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
SFR/ Replace boiler - EIV provided by Seckar Elect - No Chimney liner being installed.
of Work
Plan Approval$0.00
Fees: Valuation$2,000.00Permit Fee Paid$35.00
Issued By:Date02/25/2005
Permit Voided
Parcel Id #1313180000
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.
SignatureDate
Agent/Owner
Address600 OREGON STOSHKOSHTelephone Number(920) 426-1830
WI54902-0
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.
02/24/2005 11: 39
19204251890
STEINBRUNER HEATING:
PAGE 02
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. Electric Installation Verificati n
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(AJdress) (City) (State) (Zip Code)
have been c ntracted to perform electric installation work for S () ,
(N e of party contracted to)
at the follow ng address: ~ S. .
:J (Address where work will be p ñormed)
The nature 0 the work consists of: (Check One or Describe the Nat re of Work)
Recounection or new circuit for replacement Heating P ant and/or NC Condenser.
IReconnection or new circuit for replacement Electric ater Heater or power vented
I water heater.
'Reconnection of the Service Entrance Cable, Meter Bm!, alterations to receptacles
I and lighting iixtures due to siding I soffit installatiof' Note: New Service
i Entrance Cables will require a separate pennit.
~econnection or new circuj! for the replacement of Olht permanently wired
appliances I fixtures.
~ew circuit for the addition of NC to an individual dw /ling unit (house or the
I individual systems in a duplex Or condominium), in luding required service
. ,,1,,"tri,,~J n"tl...t~
Fther
I
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The value of his work is $ /2-' /" .
I hereby veri Ihis work will be performed by an employee of this c mpanyand further verify
the reconnect on I inslal1ation will be done in compliance with manu cturer and Electric code
requirements.
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c? - ;7ý-cJÔ
(Date)
fCompany Officer)
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