HomeMy WebLinkAbout0114735-HVAC (a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114735
HVAC PERMIT - APPLICATION AND RECORD
Job Address 639 W 5TH AVE
Owner
THADDEOU~TERESTOMASCHEFS~
Create Date 06/20/2005
Contractor E C MERRILL 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 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.
l..j A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
0
Value
Use/Nature SFR/ Repalce A/C -EIV provided by Witzke Elect.
of Work
Fees: Valuation
$1,986.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 06/20/2005
U Permit Voided 1
Parcelld # 0602350000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
1018 W SOUTH PARK AVE
OSHKOSH
WI 54902 - 0
Telephone Number
(920) 235-3600
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
JUN. 16.2005
2: llPM
WITZKE ELECTRIC
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Electric Installation Verification
l(We)~~(ectriú we:
(Electrical Contractor Name)
.155 E. ~ad:er AVl!J)ue.- Oshkosh w:c 8-fqol
(Aèdress) (City) (State) (Zip Code)
have been contracted to perl'orm electric installation work for - é ( f<l. J , : \ \
(Name of party contracted to)
atfhefollowmgaddre$s: ~;;'J i., (,,+1.. ß.(.¡. \, "Í",...ð'èE""'\A!!. "'1o~c:..\..e..~~~;
(Address where work win e perf'onned)
The nature of the work consísts of: (Check One or Describe the Nature of Work)
/ .
.::::.... Reconnection or new circuit for replacement Heating Plant sndIor AlC Condenser.
~ R.econnection or new circuit for replacement Electric Water Heater or power vented
water heater.
- Reconnection oithe Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
EDtrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of other permanently wired
appli.snces / fixtures.
-- New circuit for the addition of AlC to an individual dwelling unit (house or the
individual system¡¡ in a duplex or condominium), including required service
electrical outlets.
- Other
The value of this wet!<: is $
" ....
/.::Þ
I hereby verify this work will be performed by àn employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Elox:tric code
requirements.
-~--. ~
(Signature efCompàny Officer)
-". ~ a \ 'ç..
(Print Name of Officer)
¿., ..if., ..0$
(Date)
5103