HomeMy WebLinkAbout0113694-HVAC (a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113694
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1387 W 18TH AVE
Owner
CARL E STRONG
Create Date 04/26/2005
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 new 2 T A/C Elv provided by Seckar Elect.
of Work
Fees: Valuation
$1,700.00
Plan Approval
$0.00
Permit Fee Paid
$30.50
Issued By:
Date 04/26/2005
U Permit Voided 1
Parcelld # 1307303200
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 Installation VerifIcatioD
lrNe)~t:J\(!. eLeC.T1!/<" Lot IJJc.
. (E1ectrica1 Contrlctor'Nmo)
S~rDÙ ~e;y PUJ~~;; ~t>. £ðltJ~~~#JtJe:(~~~\{'1~
b&YO ~en coDlractcc! to perfonn electrlç imt&llation wOtk tor ~.
(Name ofpart)' c:onttaçted to}
138'7 W /8+h five
(Addrca!I where work wIJ1 be porfbœcd.)
The lI&tUre of the workconsiJts of: (ÇbeçkOneorDcscribotheN&bIreofWoric)
It the following address:
- Roconnect!on or now ç!rç1Út for rop1aQement He&IÚI¡ Plcu aÞ4Ior AlC Condomcr.
- Rcçonnect!on or now cirçu.it for rep!&l:emen1: Electrlç Water Heater or power vented
. water bcatc:r.
- . Rocom1eetion of the Service EI1tr111co Cable. Moler Box. elteraIÏOn$ to rec:eptaelel
and Ugbtlng fixturc8 due to IÍdiII¡ laoftIt iDataUation. Note: New Servìçe
Bntnmce Cables wIJ1 require a ICpI1'&tO permit.
- Recom1ect:ion or 1IOW clrcuit for the 1'q)1acen:Ient of other permanently wired
appU.anccsl fixtureS.
..){ Now M:u.it for the addition of A1C to 111 fN1Jvldll4l dw.Utng 111111 (house or the
indivicluall)'ltem5 in a duplex or coadominlum), inc1udinJ required service
electriçel 01111011.
- Other
Tho value o!this work II sJ boo 0 0
I hereby verify this work wi1!. be pert'ozmed by II111111p1oyee of this c:ampany an41Urtber verify
the teCOII:1QÇÛO1II installation wi1! be <lone In compUanco whh manutieturcr &:XI Elcctrlc code
RC*!IICDtI.
ji~~ /1{L
(SI¡na1U1'e'ot Company Officer)
.I>tIdJ8' t!. 6e(j;AR.
(Print Name of OŒcar)
4-- ZI -05"
(Date)
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