HomeMy WebLinkAbout0114696-HVAC (a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114696
HVAC PERMIT - APPLICATION AND RECORD
Job Address 3484 EICHSTADT RD
Owner
BEE/KIA L THAO
Create Date 06/16/2005
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
2.5T
Use/Nature SFr/ Install new A/C EIV provided by Seckar Elect
of Work
Fees: Valuation
$2,100.00
Plan Approval
$0.00
Permit Fee Paid
$36.50
Issued By:
Date 06/16/2005
U Permit Voided 1
Parcelld # 1250172100
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 IDItaUatlon Veriflcat1oD
l(We)~f!. etec.~/(' [,0. ,Ale.
, . (E1ectíica1CoatrKtOrNIIIIO) .
SClze fn() ~ev PÜJAtIk~~ ~b. lAJltJìJezOiJtJe: W( S'iî8G,
<Addæu) ~a (State) (ZIp Code)
b&VD 'œ= ~ntractcd to pedozm ellOtno 1mWla1loA work tor ~.
(N&m8 or pin)' GOIIInCICd to)
1lfßL\- ¡:;'lc'J-t'7íADí
(~ when woù wIJ1 bo poñormec!.)
TblI1UUr1I ottho worli.:<:o1UÌJtI of'. (Çbeck One orDescribe,the Natare ofWoric)
- R.ocoDl18Ct!OI1 or DeW ehçu1t tor ~ HeaIbI¡ PIIDt 8DdIor AlC Candenacr.
- Rccol1l18Ct!on or DeW cIrçult for replacement ElectriD Water Haater or power vClllod
'WI.Icr beater.
- R.oc;onncctiO!1. of th~ ScMc:o Emr&nco Ca!I:c. Metar Box, ~ to reccptacle8
II1d U¡htln¡1ixturc8 clue to IidID¡ I 101m !zoot.I¡../OII. Note: New Scrviço
~ Cables wIJ1 rcquiø & acpmto pcmdt.
- Recoœection or DeW cücu1t for the ~ of other pamanClltly wired
&pplbDces /1íx\\I1'eI.
.x.. New circuit tor tho additiol1 of AJC to ID lNUvldu41 dwtllblz Il/IJI (house or tho
individuall}'ltems In . du¡)lu or ccc4ominIum), Ú1C1U4iIIJ required ScMce
ellOtnoa1 outlets.
- Other
at 1he foUowing address:
Thlvaluu otUtiI wotk is sJ £)0.00
I hereby verit¡ t!IÍI work will, b. pcdozmed by ID cmployw olthia c:ampany 1114 further verify
tœ 1'CCOD:1cction /wtlJ1atiOI1 win be don8ln COqlUmce with ~!actum cd Eloc:triç code
RQu¡re_. .
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(Print Nama of Officer)
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(Date)
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