HomeMy WebLinkAbout0114920-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114920
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2115 W 9TH AVE
Owner
GAROLD DEMLER
Create Date 06/28/2005
Contractor GARTMAN MECHANICAL SERVICES
1,(1 Gas 1 I Oil
Fuel
1 I New I
System
l..j Forced Air U Radiant
1 I Electric 1 I Hot Water
Chimney Type () Chimney A . Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 502 - Residential-Both
1 I Electric
Plan
1 I Solar
I
1 I Other
I U Vent
I
1 I Solid
1,(1 Replace
U Steam
1 I Suppl.
l..j A/C
1 I Con. Burner
0 Direct Vent
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
80000
Use/Nature SFR/Replacement furnace and a/c install. *EIV Slim's Electric.
of Work
$3,800.00
Plan Approval
$0.00
Permit Fee Paid
$62.00
Fees: Valuation
Issued By:
Date 06/28/2005
U Permit Voided I
Parcelld # 1311850000
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
PO BOX 2264
OSHKOSH
WI 54903 - 2264 Telephone Number
(920) 231-5530
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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 Installation VerificatioD
I (We)
SLIM'S ELECTRIC INC.
(EJectrical Contractor Name)
2608 Oakwood Circle Oshkosh
(Address) (City)
WI
(State)
54904
(Zip Code)
have been contracted to perform electric installation work for Gary Demler
(Name of party contracted to)
at the following address:
2115 W. 9th
(Address where work: will be perfonned)
The natW'e of the work consists of: (Check One or Dcscn1>e the Nature of Work}
-1L Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser,
- Reconnection or new circuit for replacement Electric Water Heater or power vented
water hearer.
- Reconnection of the Service Entrance Cable. Meter Box, alterations to receptacles
and IightiDg fixtures dne to siding / soffit installation, Note: New Service
Entrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of other pennanently wired
appliances ¡ fixt1Ires.
- New circuit for the adQition of AlC to an indiVIdual dwelling unit (ho1lSC or the
individual systems in a duplex or condominium), including required service
electricaJ outlets.
- Other
The value of this wOIk is $
1')0 00
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
ú.
1),41/ I .0 A ~ ';;.5"'" ly}4
(Print Name of om
6/27/05
(Date)
;/02
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