HomeMy WebLinkAbout0113445-HVAC (a/c condensor)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113445
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1529 JEFFERSON ST
Owner
JASON J PEERENBOOM
Create Date 04/13/2005
Contractor MCM AIR INC
1 1 Gas 1 1 Oil
Fuel
1,(1 New 1
System
U Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved 0 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 501 - Residential-Air Conditioning
Plan
1,(1 Electric
1 1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
0
Value
Use/Nature SFR/ Install A/C Condensor - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$1,350.00
Plan Approval
$0.00
Permit Fee Paid
$26.00
Issued By:
Date 04/13/2005
U Permit Voided 1
Parcelld # 1505490000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780
Telephone Number
920-582-4402
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Electric InstallatioD VeriflcatioD
1 (We) .§W-.A (!. aec:ne '" Go . IIJ C-
o (E1ectriça1 Contl'lctorNamo)
S~;DtJ?mJev PUJ~~: ~t>. tJIN~~~ J';e:(~~~4C¡eG,
MVO been contra.ctcd to l'erfonn e 8C trio inlta.UatiQn wOtk for ~.
(Nune o!party COI1ttIOtec1 to)
atthefoUowingadd1'e5S: i 5 2, q . J e ~~ e y- ;s@!ì 0
<~ where work wiJ1 be peñoanod)
The nature of the worlr.;COI1SÎItI ot'. (Çboeck One orDcscribe theNatur8 of Work)
- Reoonneot!on or new olrcuit tor rep1agem8nt Heat!n¡ PImu aMIor AlC Condenaer.
- Rcoonneot!on or new circuit tor rep1acemellt Electrio Water Heater or power vented
. water beater.
- ReooDI1ec:lion of me: Sc:rvicc Eutranco C&b1c. Meter Box, dterlÛOD$ to rooeptaelea
and UghtIn¡ fixtu:cI due: to Iidin¡ IlOftit iDatal!a%!on. Note: New Sorvic;e
Entrance Cables wiJ1 ¡cquhe a aepmto pca.nit.
- RecoDI1ection or new cl:çuit forthe:ep1&cemeut ofotborp=mtntly wired
app1!anccs I fixturel. 0
.A New çi=it for the a4dition of AJC to In bldillld1uzl dwlllÙJ61D1i1 (house or \he
individual aystems in . dup~ or oocdom!nium), !ncludin¡ required service
el8C tricll outlets.
- Other
Tho value oft!ús wOIk \I $-' f;o. 0 0
I hccby verifY this work will, be pedormed by In employee of this company and furtbcr verify
!be recoDO1QCÛon I installation wiJ1 be done in compUmce with mann.'acturer I:Id Electric code
~IIjrc!llCl1tl. '
~i~~ f1{ck
(Signan¡roIO! ComplllY Officer)
J>lA1Je e.. ~
(Print Name of Offiçar)
J4-Ji-ð.'5
(Date)
SIll:
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