HomeMy WebLinkAbout0113696-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113696
HVAC PERMIT - APPLICATION AND RECORD
Job Address 425 W 18TH AVE
Owner
CLARENCE KERROS
Create Date 04/26/2005
Contractor DRUCKS PLUMBING & HEATING CO INC
1,(1 Gas 1 I Oil
Fuel
1 I New I
System
l..j Forced Air U Radiant
1 I Electric 1 I Hot Water
Chimney Type () Chimney A . Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan . Variable
Category 500 - Residential-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
0 Other
Value
0
Value
Use/Nature SFR/ Replace furnace, install 4" chimney liner - Elv provided by Heritage Elect
of Work
Fees: Valuation
$3,775.00
Plan Approval
$0.00
Permit Fee Paid
$62.00
Issued By:
Date 04/26/2005
U Permit Voided I
Parcelld # 1406170000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
POBOX 355
MENASHA
WI 54952 - 355
Telephone Number
920-426-2654
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
.1a.4:.1.l.1I2005 07: 02 9207343838
04/12/05 13:31 FA.! 7220651
HERITAGE
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Electric Installation Verific:ation
ro (We)
fJer..j.-",'J-"- 131<"-,,....-:--- :T~L
(Blectri'* Contractor Namec)
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wI lj'fø¡ /y
(State) (Zip CMf:)
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(NIIIDC ofparty' ;øotm:tod 10) .
have been øontracted 10 perform elcçlriç ins\aJlariøn work for
at the following addreu: Lll.S:
Cù l&~ M
(A4dresS wh- wOlk win be perforu1ed)
The natWe of the wolk c:onsi$ts of; (Chock One or Desçribe the Na1UrC of Work)
'¥:... RecoJlDllCtÌOII or IIGW c:ircuit for rep~ Hcatin& P18ßt 2IIIdIor NC CcmdeIIØr.
- RooooIIec:tioxI or new çin:uit for ftPlac;comeatE1ectricWater Heata'.
- 'RoooaDectiœ of the SorIi;e Entrmce c.tb1e, Meter Box. alteralions to teet.pta\:Ie$ am
¡ipeine fi/C1Ul1l$ due 10 aidiq IlIiOftit iøsW1aIiœ. Nat8: New SIIrvice E.DIxmcc
Cebles win reqWre . sepanlte permit.
- Rt:cwMctÎoø or new circuit .fbr other 'J8ØIIIIDII1t1 wiNd app1iaslces I fixcuns.
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The value ofUú$ WOIk is S
1.. ,-. <>,) .
r hereby verifY this work will be pcrrormed by an empIo)"O oftbis ~ and Ciatb8r wri/ÿ eM
~on I installaûon will be done în eompü- with ~ 1114 Etectric cock:
reqwrcmenl$.
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(SlþIaftlh of Company Offiœr)
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(Print Name ofOfticer)
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(Date)