HomeMy WebLinkAbout0114646-HVAC (a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114646
HVAC PERMIT - APPLICATION AND RECORD
Job Address 3408 EICHSTADT RD
Owner
NICK N/RAISSA A PHELPS
Create Date 06/14/2005
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
2T
Use/Nature SFr/ New 2 T A/C EIV provided by Seckar Elect
of Work
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 06/14/2005
U Permit Voided 1
Parcelld # 1250173200
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
---
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 Verlf1cation
l(We)~'F-^~ ez.ec.~" (.0. IIJc.
. (EIdica1~Namo) .
~fD¡)~evPiû¡\t~~.et>. ~/1J~~~JJIJe:(~~~Cj~
baVII been ~nIractcd to pcrfozm e1lOlÍiowWlallon WOtk 10: ~.
. (Name of p&ny CIOnInCted to)
111hoIoUowin¡aðdreø: 3L\O'ò' f \Ó+'å>TA\)T 20
(~ whcze wozk win be pllformod.)
The am:o ottho wolk~ or: (Çbo;kOlaOl":ÞcacribothøN&tiIreofWork)
- RecoDneot!on 0: now chclÚt !or.:eplaeement Hea:hI¡ P1Int 8DdI or AlC Ccndouse:.
- Rcconneot!on 0: now chcu1t !or Z'8P!aoc:IIent meotrio Waw Hoater œ power vented
. water bcatc:r.
- R.oamneçtiOQ of tho SoMce Entn:Ice ~ Meto: BQx.. ~ to toceptacla
II:Id U¡btln¡ fixtIn'cI due to 1id!n¡!1O1m fDstonoti')l1 Note: New Service
EnUmIu Cables win ra¡uhe & ICpC&tO pcm¡it.
-- Recom1ect!oc ornow cúcu1t forthø ~= olotbc:rpcnnancnt1ywircd
&ppU.8nces /1ix1ure8. .
.x New ci:cuit for the a4ditioa of A/C to aD w:lMdu41 dwUI1I61l111t(bouse 01" tho
in4ividuall}'ltems In . dupIu 01" cœ4omiJù\lll2), 1nc1udJn.s required ¡eMce .
Cl80trio&! oll!1etl. ,
- Other . ~
Tho v&!Ullofthi, woIk ia sJ ßo. 0 0
1 hereby vcrift thiI work wUl, be pedozmed by an employ" ofthia c:ampany II:Id furtber verily
!be recoa:1=œ / wt&!1atiOI1 wUl be dœ81n coq¡Umco with 111&1111!aœ1rcr I:Id Electric co4e
roq*lII4IIItI. '
.Ji~~ /1{rL
(Si¡naJUl"8'0! Compmy Orocer)
þtlcU6 f!.. ~
(Print Nama of Omcer)
10- 10-0S- '
(Date)
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