HomeMy WebLinkAbout2005-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1106ADAMSAVE
CITY OF OSHKOSH
No
114894
HVAC PERMIT - APPLICATION AND RECORD
Owner
SHIRLEY M RAYMOND
Create Date 06/27/2005
Plan
Contractor STEIN BRUNER HEATING & COOLING
Fuel 1"'1 Gas -.J 1 1 Oil
System 0 New ~
~ Forced Air -.J U Radiant
1 1 Electric -.J I I Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss K ) As Approved ( ) Existing
BTU Rate K ) As Per Plan () Variable
Category 500. Residential-Heating & Ventilating
I I Solar
I 1 Electric
Pl Replace
U Steam
I I Suppl.
I 1 Solid
n Other
( ) Direct Vent
U AlC I
1 I Con. Burner I
. Not Applicable
U Vent
. Not Applicable
. Other
Value
Value
Use/Nature Replace furnace, install ductwork as needed. . Seckar Electric.
ofWork
Fees: Valuatio
Plan Approval
$0.00
Permit Fee Paid
$42.50
Issued By:
Date 06127/2005
0 Permit Voided I
Parcelld # 1605590000
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
AgenUOwner
Address
600 OREGON ST
OSHKOSH
WI 54902-0
Telephone Number
(920) 426.1830
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.
, 06/23/2005 10: 57
19204261890
STEINBRUNER HEATING:
PAGE 02
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h~ve been co tracted to perform electric installation work for S
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Electric Installation Verificati n
I (We)
N
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(Zip Code)
at the follow ng addres~:
(Address where work will be p rformed)
The nature 0 the work consists of: (Check One or Describe the Nat re of Work)
-.:i- Recormection or new circuit for replacement Heating P ant and/or AlC Condenser.
- Recormection or new circuit for replacement Electric ater Heater or power vented
water neater.
- Reconnec1Ìon of the Service Entrance Cable, Meter Bo ,alterations to receptacles
! and lighting fixtures due to siding / soffit installatio . Note: New SetVice
I Entrance Cables will require a separate permit.
- 'Reconnection or new circuit for the replacement of otn r permanently wired
I appliances I fixtures.
New circuit for the addition of NC to an individual dw /ling unit (house or the
individual systems in a duplex or condominium), i Juding required service
electrical outlets.
Other
The value 0 this work is $
-;
I hereby veri y this work will be performed by an employee of this c mpanyand further verify
the reconnec ion / installation wìll be done in compliance with man acturer and Electric code
requirement.
9~A,cL.
(Signa re bfCompany Officer)
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(Date)
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