HomeMy WebLinkAbout0114899 H
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OSHKOSH
ON THE WATER
Job Address 622 MONROE ST
CITY OF OSHKOSH
114899
No
HVAC PERMIT -APPLICATION AND RECORD
Owner
THOMAS G PUTZER
Create Date 06/27/2005
Plan
Contractor
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STEINBRUNER HEATING & COOLING
1 1 Solid
Fuel
1,/1 Gas
0 New
l"'i Forced Airl
System
I I Electric
=:J
Chimney Type U Chimney A
Cate90ry 500 - Residential-Heating & Ventilating
1 I Oil
I
1 I Electric
PI Replace
1 1 Solar
n Other
U Radiant
I 1 Hot Water
e ) Chimney B
U Steam
I 1 Suppl.
e) Direct Vent
U AlC I
I I Con, Burner I
. Not Applicable
U Vent
Heat Loss
K ) As Approved
K) As Per Plan
BTU Rate
e ) Existing
e ) Variable
. Not Applicable
. Other
Value
Value
UselNature Replace 2 furnaces. . Ruck Electric.
of Work
Issued By:
$4,000.00
$65.00
Fees: Valuati
Plan Approval
$0.00
Permit Fee Paid
Date 06/27/2005
0 Permit Voided I
Parcelld # 0406110000
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 tI1e 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
Telephone Number
(920) 426-1830
WI 54902-0
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 Verification
I (We) JußI¿ î1 e~fr¡ e..-
(Electrical Contractor Name)
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(Address)
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(City)
Lv(
(State)
5lf902-
(Zip Code)
have been contracted to perform electric installation work for STEi AJb2úNé':li::...
(Name of party contracted to)
at the following address:
t, Z. 7.. Ih C1\ rH:-
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
-L Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
- Reconnection or new circuit for replacement Electric Water Heater or power vented
. water heater-
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit iiiStalIation. Note: New Service
Entrance Cables wilI require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
- New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I instalIation will be done in compliance with manufacturer and Electric code
requirements.
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(Date)
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