HomeMy WebLinkAbout0115123-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
115123
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2128 JEFFERSON ST
Owner
LORI KLiCKO
Create Date 07/11/2005
Contractor MCM AIR INC
1,(1 Gas 1 1 Oil
Fuel
1,(1 New 1
System
l..j 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 502 - Residential-Both
1,(1 Electric
Plan
1 1 Solar
1 1 Solid
1
1 1 Other
1 U Vent
1
1,(1 Replace
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
0
Value
60000 1 .5T
Use/Nature SFR/ Replace furnace, add A/C, install 3" chimney liner - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$5,500.00
Plan Approval
$0.00
Permit Fee Paid
$87.50
Issued By:
Date 07/11/2005
U Permit Voided 1
Parcelld # 1515850000
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
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780
Telephone Number
920-582-4402
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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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