HomeMy WebLinkAbout0114645-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114645
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1708 HICKORY ST
Owner
TERRY/HOWDINE HENDRICKSON
Create Date 06/14/2005
Contractor STEINBRUNER HEATING & COOLING
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
90000
Use/Nature SFR/ Repalce furnace, install 3" chimney liner - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$42.50
Issued By:
Date 06/14/2005
U Permit Voided 1
Parcelld # 1512610000
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
600 OREGON ST
OSHKOSH
WI 54902 - 0
Telephone Number
(920) 426-1830
---
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.
06/13/2005 11: 32
19204261890
STEINBRUNER HEATING:
PAGE 02
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Electric Installation Verification
(I) (We)
s
FL.lJ""'A\é,e ¡€þ
(City)
f?Jzo COù
(Address)
have been contracted to perform. electric installation work for
at the following addr ss: ---1J. 0
Th~ m:turc of the wo IS. coasists of: (Check Olle or Desi:ribc, the Nature of . ork)
L R onnectìon or new circuit for replacement Heating PIa t and/or AlC Condenser.
- R connection or new circuit for replacement Electric Wa r Heater.
-- R connection of the Service Entrance Cable, Meter Box, Iterations to receptacles anel
lighting fixtures due to siding / soffit installation. No e: New Service Entrance
Cables will require a separate pem\it.
R connection or new circuit for other permanently wired ppliances / fixtures.
Ot er
-,,----,..-'---
---
The value oíthis "ark is $
~
T hereby verify th s work will be performed by an employee of this comp ny and further verify the
reconnection / in tallation will be done in compliance with manufacture and Electric code
requirements.
_Þ.WL £-~- ~
(Print Name ofOfJieer)
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