HomeMy WebLinkAbout0113642 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113642
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2530 W 20TH AVE
Owner
DARREN J/JESSIC KUMBIER
Create Date 04/22/2005
Contractor ANDRESEN SHEET METAL
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 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.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
60000
Use/Nature SFR/ Replace furnace - EIV provided by Slim's Elect.
of Work
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 04/22/2005
U Permit Voided 1
Parcelld # 1315310000
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
2913 WITZEL AVE
OSHKOSH
WI 54904 - 6539
Telephone Number
(920) 233-0323
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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.
04/18/2005 19; 05
920-428-5249
SLIMS ELECTRIC INC
PAGE 01
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Electric Installatle8 Verlftcatlo.
I (We) SLIM'S ELECTRIC INC.
(EItc1riçII ~ Name)
2608 Oakwood Circle Oshkosh WI 54904
(~) (City) (S1IIIe) (Zip Code)
have be8 CCIß\I:1Icted 10 perform ~lecIric instalJalion work tor Andresen Sheet Metal.
(N8II1o ofJ*ly ~od to)
2530 W. 20th Ave
(Addleu wllln work 'IYi11 be pcIfòrmed)
TIle DIIUI\I ofw wodc ço)J JÎII8 of. (CIMdc One or ~1WJ the Nalure of Work)
l ~ 01' - cUeWt for npl8cemeld H8I1iD& PIIIII mdIor AIC Coadoa8e:r.
- R"""""""ÛQIn or JIIt1W circuit fur nplacomam EJcIriç Water HaÞr or power ,,~
-heaIIr'.
- Rec:oImecIion oflhe Soriice I!DIr-. CIb1c, Meter Box, ~ iii recepIKIes
6IId !i¡h1iD1 hsIIm _10 IÏdiII¡ I Gmt hI8WlIIIon. NOlO: N- Sorviœ
~ c.bt'lf wilt 1CIQ0ir8 a 8IIpIIØIe pennit.
- ~ or a- cirçuit fur !be 1'II I1acomø of oIhcr pI!mI8QCIIItIy wIrod
1 IpU- } ØxI1ns.
- New cUwit ftIr tile addIdcm or Ale 10 all. /Ir4ttIttIIIlIl dWtd~ - ~ or Ibe
iJldiYÎdllllIYlWlDl in aduøl- 01' coadoIaÌ1lilllD),. Î:IIcIIIdÌII Ia IIIåed ...
eIe;trlçaJ 0\ItIcts.
_Olhcor
at the ibll<>wing ~
Tbeval\loofthinrorkis$ 125.00
J hereby vllrify !Ilia WOJk will be performed by ill II1I Iloyee of this COG1pIIDy IIId lùrtbar V8i1ÿ
l( ~of~)'œ_~::=--~~
(Print N- ofOm.:...)
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