HomeMy WebLinkAbout2005-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113016
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1221 W ALN UT ST
Owner
BRUCE A LUEDTKE
Create Date 03/15/2005
Contractor RASMUSSEN'S HEATING & A/C 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
Use/Nature SFR/ Replace furnace and A/C - Line chimney with 3" liner- EIV provided by Slims Electric.
of Work
Fees: Valuation
$6,530.00
Plan Approval
$0.00
Permit Fee Paid
$104.00
Issued By:
Date 03/15/2005
U Permit Voided 1
Parcelld # 1206120000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
5154 DAVID DR
OSHKOSH
WI 54904 - 8850
Telephone Number
920-235-6569
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Electric IDStaDatJOD VerifieatJoD
I (We) S/iYn'~ E/eotr¡<..
. (BIeotrioat ContnIctorName)
õlæð8 06.kw-i Gr Oshkosh
(Addœss) (City)
wi
(Slate)
5 <f'l()1..(
(Zip Code)
have been confraçted toperftnm electñc iœtaJIationwork for 'R4GÞJ"'$S~"":) H vA c.. ,
(Name of party contracted to)
/:);l I Wo..u\ "1<11-
(Address where work will be performed)
The nature of the work COD8ÍSI8 of (Çheck One or Describe the Nature of Work)
L R ~ or DeW c.in:uit ibr ~ Heatiøg Plaut aadlor AlC Condeøser.
- RecoœeeIion or DeW c.in:uit ibr repJ"""IneIIt E1ecIric Watet Beater OJ' power vented
WIder heater. .
- Rec;onnection of the ~ En1rauce Cable, Meter Box. a1teratious to œœptaeles
aoiI Jighdng fixtma due to sidiøø / soJfit intIbtDatioD. Note: New Service
Bufraoce Cables will œquire a sepamtc permit.
. - Reecm!lOCIÏon or DeW c.in:uit ibr the øpJacemaat of othor ~ty wired
appJiances /fixtures. .
- New chœit fur the addition of AIC to 811 indtvitlutzI dwelling tnrIt (house OJ' the
iødiv.idaaJ ..,....,.. a dupIa: OJ' Mnd.""¡"'.,ø), iøcJuding reqWrecJ service
eJecIIicaI 0DI:IeCs.
- Other
at the iòDowing address:
The ,value otthis work is $ 3OO,Oð
I hereby verify this work wiD be ~ by 811 ~ of this c:ompany aad tiuther verify
the ~ / mm.~ will be done in c:ompJiaace with ~ aad Electric code
~¿?~~dJ
(PdDt Name of
.
3-N-()S
(Dale)