HomeMy WebLinkAbout0114893-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 802 JACKSON ST
CITY OF OSHKOSH
No
114893
HVAC PERMIT. APPLICATION AND RECORD
OWner
THOMAS G PUTZER
Create Date 06/17/2005
Plan
Contractor STEINBRUNER HEATING & COOLING
1"'-1 Gas -.J 1 1 Oil
Fuel
System n New 1
l"'J Forced Air I U Radiant
1 ::J 1 I HotWater
1 Electric
Chimney Type K) Chimney A () ChimneyB
Heat Loss K ) As Approved ( ) Existing
BTU Rate K ) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
I 1 Electric
P1 Replace
U Steam
1 1 Suppl.
n Other
1 1 Solar
1 I Solid
() DirectVent
UNC I
1 1 Con. Burner I
. Not Applicable
U Vent
. Not Applicable
. Otller
Value
Value
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of Work
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 06/27/2005
D Permit Voided I
Parcelld # 1006320000
In the perfonmance 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, tile City strongly urges the penmit 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
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.
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PO Box 1130
Q,hkoshWI54903-1130
Office 921).236-5050
Fax 921).236-5084
Electric Installation Verification
I(We)_,
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(Electrical Contractor Name)
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(City)
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(State)
5lf902-
(Zip Code)
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(Address)
have been contracted to perform electric installation work for STEi 1Jbi? UN£':7i:::..
(N arne of party contracted to)
q-o z.. J f/d:-SôJ
(Address where work will be performed)
at the following address:
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 installation. Note: New Service
Entrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of other permanently wired
appliances / 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 / installation will be done in compliance with manufacturer and Electric code
requirements.
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