HomeMy WebLinkAbout0114542-HVAC (a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114542
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1630 JEFFERSON ST
Owner
DAVID A/ERIN A BERNARDE
Create Date 06/09/2005
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
1.5T
Use/Nature SFR/ Replace A/C - Elv provided by Seckar Elect.
of Work
Fees: Valuation
$1,500.00
Plan Approval
$0.00
Permit Fee Paid
$27.50
Issued By:
Date 06/09/2005
U Permit Voided 1
Parcelld # 1504680000
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 Verification
l(We)~r.../'(f!. eLet.~I' (.0. 11Jc.
. (Elec;trical ContradDrNamo)
S~fDÙ ~ev PUJ¡\t~~; ~I). ~/tJ~~~ J';e:(~~~'lc;ðG:,
bave ~= contracted to porfonn electric inatallatioll wotk for At CIA. Jr If:.
(Name o!pmy çonUac\c4 to)
1l£;7;O' JE.FF£esorJ .
(~ whcro work win be performod)
The lI&tI1ro of tho woJk consiJtI at'. (Çbeck OlIO or DeIc:ribc the Nata:e of Work)
at the foUowing adche5S:
-- Rocoœect!on or now circuit tor rep1accmont HoatiJI¡ Plallt8Ddlor AlC Condenser.
-- Rocoœect!on or now circuit for rop1lcemea% Electrio Water Hoator or power vcntoð
. water beater.
-- R.oc:om:IoeIiOil of tho Service EutraIICO C&b1c, Motor Box. c1teratioDs to receptacles
and Ught!ng fixturcI duo to IidiD¡ 'IOmt inat.11"¡on. Note: New Sorviçc
Entrance Cables will require a aepmto permit.
-- ReçonnectiOil or 1\OW dreu!t !or tho :q.1acea:I=t of ether prmantlltly wired
. appUances I fixturea.
..,¡.?{ New circuit for tho addition of AIC to an WUvldwi d'Hllillg IDIÚ (house or the
il1dividuall)'ltOlllS in . duplex or eœ4ominium). lnc1u11in,8 requirod se:vlce
electrical outletl.
-- Other
l'he value ofthi, woxk II sJ F)o. 0 0
I hereby verifY ÜÙI worli: will, be porformed by an employee oftbia c:ampII!1y an4~'IelÜy
!be recoll:1::dÏon I inlt&IlatiOIl will be <lODe in COIllpUmce with manuflctum cd Electric code
""1*-' '
1~~ ~<L
(SIg¡wure'o! Compmy Officer)
.1>I1tV6" t!. æa:.JJ¿
(Prim Name of Officer)
Icy (cr(J5 ,
(Dace)
$III:
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