HomeMy WebLinkAbout0113042-HVAC (boiler)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113042
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1309 OREGON ST
Owner
DONALD E BASLER REV TRUST
Create Date 03/16/2005
Contractor TENTH STREET STATION INC
1,(1 Gas 1 I Oil
Fuel
1 I New I
System
U Forced Air U Radiant
1 I Electric 1,(1 Hot Water
Chimney Type () Chimney A . Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 510- Ind. & Comm-Heating & Ventilating
Plan
1 I Electric
1,(1 Replace
I
1 I Other
I U Vent
I
1 I Solar
1 I Solid
U Steam
1 I Suppl.
U A/C
1 I Con. Burner
0 Direct Vent
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
120,000
Use/Nature COMM / Replace boiler, install 6" Flexiliner, EIV provided by Seckar Elect.
of Work
Fees: Valuation
$3,200.00
Plan Approval
$0.00
Permit Fee Paid
$53.00
Issued By:
Date 03/16/2005
U Permit Voided I
Parcelld # 0901560000
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
924 OHIO STREET
OSHKOSH
WI 54902 - 0
Telephone Number
236-8770
---
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.
FROM.. :TENT1-I STREET STATION, INC.
FAX NO. : 920-236-0150
Mar. 15 2005 11: 59AM P2
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