HomeMy WebLinkAbout0114549-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114549
HVAC PERMIT - APPLICATION AND RECORD
Job Address 514 GROVE ST
Owner
MICHAEL T/REBEC HAYES
Create Date 06/09/2005
Contractor A-1 HEATING & A/C INC
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/ Furnace replacement - EIV by Bell Electric No Chimney liner being installed.
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 # 11 03400000
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
W8078 HILLCREST CT
HORTONVILLE
WI 54944 - 0
Telephone Number
920-779-8838
---
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.
/ ;'0~/W2009 SUN 14:21 FAX 1 920 733 2713 WATTERS PLUllBING
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Electric Installation V erlt1c8tlotJ
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(Electricn! Contraclt>l' NlIlDo)
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(Address) (City) (Statt) (Zip Code)
have been c"ntr~cled 10 I'<'rfonn cc~tric in.t~lIatiòn work tor ~A-d fI<!d.'J.r;'~", ~l:.
(Name ofpany CÒÍ1trllCted to)
at the following address:
$1'1 ~r"~,..lj ()~ltlr..h f).e beü>, l¡tr.yO
(Address where work wt11 be perfonncd)
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nl~ n"IUre of the wark cons¡~t~ of: (Check One or Describe the Nature of Work)
-- Reconnec:tion or new circuit tor replacement Healing PIlii'll and/or AlC Conde\lllef.
RècOMec\jon or new circuit for replacement Electric Water Heater or power \I~ted
water hellter,
--- RecoMection of the Sel'Vicè EnlranCe Cable, Meter ßQx, altei'atiOlW to n!OllIal;IÐt
IIIld lishtinll ("(IU'.. due 1Q ~id¡ng I soffit installation. Note; Ncow Sel"/Icc
Entrance Cables wiLl require a separate permit.
-- Reco1IJ1CClioll Or new circuit for Ih.o replacement of other plll'llUlntmtly wired
appliances I fiXtures,
--., New circuit for Ihe addition of ÞJC 10 an Individual dwelling unll (hoWle or the
individual systems in a duplex or condominium), includmg rcquirèd 8èt'1'ice
electrical OUllelS,
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The vahle of this work is $".._~,
I herebY verify Ibis woril wiIJ be pcrformert hy an employee of thi. complll1y and further verify
tho ","CQl1noelion I ìn.I~llaliQt'\ wiJI be done in coroplianeo with rnQl\uflLcturcr dJ1d Bloctric code
rcquin:JI,.,l1tl,
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(Sign"lur~ orCOI1lJl~\Y Officer) (Print Nan'!. ofOffieer,
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