HomeMy WebLinkAbout0112702-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 811 EASTMAN ST
CITY OF OSHKOSH
No
112702
HVAC PERMIT -APPLICATION AND RECORD
Owner
GORAN/ZELJKA ADZIC
Create Date 02/16/2005
Plan
Contractor MARTENS HEATING & COOLING
I~ Gas I 1011
Fuel
System n New
~ Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type . Chimney A ( ) Chimney B
Heat Loss ( ) As Approved . Existing
BTU Rate () As Per Plan . Varlabie
Category 500 - Residential-Heating & Ventilating
I I Electric
M Replace
I I Solar
I I Solid
0 Other
U Steam
I I Suppl.
U AlC I
I I Can. Burner I
( ) Not Applicable
U Vent
()DirectVent
( ) Not Applicable
e) Other
Value
Value
Use/Nature FRI Replace furnace, install 4" x 35' Hart & Cooley Liner - EIV provided by Heritage Elect.
ofWork
Fees: Valuation
$3,700.00
Plan Approval
$0.00
Permit Fee Paid
$60.50
Issued By:
Date 02116/2005
0 Permit Voided I
Parcelld # 1002220000
In the performance of this work, I agree to perform all work pursuant to ruies governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 106
WAUKAU
WI 54980 -106
Telephone Number
920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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02115/2005 14: 19 9207343838 HERITAGE
, Hpr ?6 01 D3.02p CoQe EnPor~.men~
Sii!O-236-50B1
PAGE 01
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Electric Installation Verification
(1) (We) ~#~L',þ,~i£;!t<..-frJ"'" ;¡:;;<.
,Electrical C6ntractor NM1~)
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7;:1.0 -1d.:.c..- AM r !'rN.c! A-Vft.. /lFÛ~^ (rJ'
(Ad~ss) :, (City)' (State)
5~
(Zip Codò)
ha'¡c been contra<::!ed to perform ekctric' 'ÌnstalJation work for G Q r QI,.. AJ 2. .' c
(Namc ...fparty contracted to)
at the following add¡ess -_8JJ....GÄ¡,f.- ""..." 5 7-N-- ¡..
(Addrc$s where work will be per1ormed)
Tile m.turc of the WOIi<: consists of; (Côeck One or Describe the Naru.rc of Work)
.~ Reconnccdon Or new cireuit for "'placement Heatir,g Plant and/or AlC Condense!'.
- Reconnel'lion or new circuit for rep1accment Elec:tric Water Heater,
Reco!U1QÇtion of the Servicc B¡¡trance Cable, Meter Box, alteration. to receptacles and
lighting fixtures dl,le t{I sictihg ! soffit installll.tion. Note: New Ser. ice Entrance
Cables wil1 require a separ~e pennit.
- Reco1111eCrion or new circuit for other permanently wired appliance.s ! fu¡¡urcs.
Other :
~w t3L. ~.I
Signature of Company Officer)
1i1:tJ.....r ¡,o/ f?1j,fy,.,..."
. (print Name of Offioer)
).-¡'f:'Os;
(Date)
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The value of tris work is S
/2("
¡ hereby vl'ril'y this work will be perfo~ed by an employee "flbis company and fufl'!.,' verify the
reconneetion I insl:3l1ation will be done in wmpli.ance with manutàcturcr and Electric code
"'quircmcnt£,