HomeMy WebLinkAbout2005-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113580
HVAC PERMIT - APPLICATION AND RECORD
Job Address 824 SCHOOL AVE
Owner
JILL LEMAY
Create Date 04/19/2005
Contractor RYF 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 0 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
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.
U A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
0
Value
Use/Nature SFR/ Replace furnace and install 4 inch chimney liner - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 04/19/2005
U Permit Voided 1
Parcelld # 0202770000
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
PO BOX 450
WINNECONNE
WI 54986 - 450
Telephone Number
920-582-4451
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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.
Jur;: 07 02 oel~8.
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Iledric Inlt.n.tion VerificatioD
t(we)SEC\c-A¡2. ELË'"cr~(L CÓ INc-.
(E!~CIÙ Contractor Name)
81"?ö COd(ê..'TrJ¡;-~ r [f..,/k¡v..d ßO/V'.:> , W /rJNeCO(ll{l,)ê vJ¡ 5lj'1~b
(Ac\dml) (CIty) (Slale) (Zip Code)
have 'oeel'1 contrlctOd 10 pll'romloleotric inStallation work for /3{ f Ik f'r.-r (rJ {:;>
(Nw, ot'~ contracted to)
~:J..tf <;¿L<.'<?/" stí
(Address where wolk will be perfonne4)
It th8 followin¡ 1IdcIre1l:
The nat\lre oftlleworkcol\$iltaof: (Cbeck One or Descn"be the Nature of Work)
..x RtOOIIJIeClion or new cirellil tor ropJacemeDt Heaûq Plant and/or AlC Condenser.
- :R.ec:oImeotion (lr new circulI for repløeerneDt BJectric Water H88ter or power v8l!ted
~1Rer.
- :Recoa&Iection of the Service 5utrance Cable, Meter Box. alterations to reoeptacles
IIId Ii¡htlnS fixturoø due to lídin¡ I soffit ildtal18tlon. Note: New Service
Il1trlllCl Cables will require a separate permit.
- AtcQœectlon or MW çlrcuit for the re:pJaeement of other permanently wired
t;pUuces I f1x1\ll'et.
- New ciroIIit tor the additi()n of AIC to an btt/Mduel} dwfl"iH8 JIIIi' (houa;: or the
indivlðualsystems in II duplex or e0n4om11'1ium), ble1udin¡ required service
tItoIrioll oliUeli.
- Other
.-----
Thl value,otthi. work 1,5 !;:¿ç;- .0,0
I heroby verii)' IhØ wozk will be pcrfomllld by an employee olthi. campany anð iur.hcr verify
the reeo,,:¡ectiœ I installation ""111 be done in compliance wi¡ ¡ t:lanu~er a.'1d Electric code
J~'ß> rei à/ "
(Si¡nat\lt of(:OII1panyOf1!cer)
~ltr¡VE f-. S;Èt:-K.~
(Print Name of OfficClr)
if -/5'-Os-"
(Date)
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