HomeMy WebLinkAbout0114148-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114148
HVAC PERMIT - APPLICATION AND RECORD
Job Address 825 W NEW YORK AVE
Owner
JOHN J SKOGLIND
Create Date 05/18/2005
Contractor RASMUSSEN'S HEATING & A/C 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 0 Variable
Category 502 - Residential-Both
1,(1 Electric
Plan
1 I Solar
1 I Solid
I
1 I Other
I U Vent
I
1,(1 Replace
U Steam
1 I Suppl.
l..j A/C
1 I Con. Burner
0 Direct Vent
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
80000
Use/Nature SFR/ Repalce furnace and A/C EIV provided by Slim's Elect.
of Work
Fees: Valuation
$5,870.00
Plan Approval
$0.00
Permit Fee Paid
$93.50
Issued By:
Date 05/18/2005
U Permit Voided I
Parcelld # 0502800000
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
5154 DAVID DR
OSHKOSH
WI 54904 - 8850
Telephone Number
920-235-6569
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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 InstaDadon Verifteadon
I (We) S/irn'~ £Joz.-tr¡c:..
" (Electrical Con1:raeIOr Name)
~tØð8 06.kw..",1 U e>shkosh
(AdcJn¡ss) (at,y)
lvi
(State)
5 £f'ltJL{
(Zip Code)
have been contracted to perform e]ecttic iDsfa1Jation work for "R<\s..",!.sc.",':) H \I A '- .
(Name of party contracted to)
B:i 5 W !\) <:'iAJ York.
(Address where wo1k will be performed)
The JJature of the work consiS1s of (Çheck Om: or Describe the Nature of Work)
-X ~ or new cia:uit h' ~ Øeatiøg PIaDI: tlliNor AlC Condenser.
- RecoøøeeIion or new cia:uit 1br mpJaecmeøt E1ectñc Water Beater or power vented
waœr heater. "
- R.ecoDnection of the ~ Entœnce Cable, Meter Box. alterations to receptacles
auèI Jighdug fixtmes due to sidiDg I sof&t ÎIIIIt81JIIIiQÐ Note: New Service
Enfraoce Cables will œquiœ a sepamte pemdt.
. - ReeoImeeIion or ØI!IW cia:uit for the xap1acemeøt of other permanently wiœd
-, appliances /fixtures. "
- New chœit h' tIle addition of AIC to 811 i1ulWitluD1 dwelliRg U1IÍt (house or the
DdviduaI"8)'IIIImria a dupJIIŒ or .~..i..~ iDcIucIiøg"required seMce
electrical ontIeIs.
- Other
at the fuJlow.íug address:
The value otthis work is $ 3 00. cø .
I hereby verify this work w.iJl be performed by 811 employee of this company and further verify
the ~ I DastaJJation will bit done in c:omp1iance with JIUIII1dio~ aad mectric code
:DØ//&J~='I)l ..5-;7-05
(PñDt NaIøe of (Dam)