HomeMy WebLinkAbout0115122 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
115122
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1816 MITCHELL ST
Owner
BETH E OLSON
Create Date 07/11/2005
Contractor AMERICAN HEATING & A C CO
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 501 - Residential-Air Conditioning
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
1.5T
Use/Nature SFR/ Add A/C - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$1,575.00
Plan Approval
$0.00
Permit Fee Paid
$29.00
Issued By:
Date 07/11/2005
U Permit Voided 1
Parcelld # 1217790000
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
1129 MICHIGAN AVE
OSHKOSH
WI 54902 - 0
Telephone Number
235-8090
---
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) ~t:: EU:c..1}e/c. CJ.)/tIlP(1ctJ~1 I fJc..
(£Iectrical Contractor Name)
Ef1zo CO¡J!?':1tVf!'/ f(..V~",~ to, lAJ/tJrJ~CO~ WI 54~~
(Address) (City) (State) (Zip Code)
have been cont':acted to perform electric installation work for IsJlJê'e./ClrIJ H-em-IIJ (:)
(Name of party contracted to)
/iit d~ldl
. (Address where work will be perfonned)
at the following address;
The nlltu.t'e of the work ~onsists of; (Check One or Describe the Nature of'Work)
X Recollnection or new circuit for replacement Heatin¡ Plant and/or AlC Condenser.
Recormectíon or new circuit for replacement Elèètric Water Heater.
- Reconnec:tion of the Service Entrance Cable, Meter Box, alterations to fèèêj)':'<: es
- lighting fixtUres due to siding I soffit installation. Note: New ServÎC'::: Ertífåftce
Cables will require a separate permit. I
- Re<:onnection or new circuit for other pennanently wired appliaT;':es I ¡hlUres.
Other
",.
The value of Ihj~ work is $ /50.0"
-
¡ hereby veri fy this work will be perrJrmed by an employee of this company and further vèrify the
reconneclÌon / install3lion wiII ¡". done in compliance with manufacturer and Electric code
reQuirements.
k"Pt.sL.
(Sigr::'turef Company Officer)
j)j,A'M:i I!-. &e¿t-A~.
(Print Name ofOfiicer)
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