HomeMy WebLinkAbout0115602-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1345WAUGOOAVE
CITY OF OSHKOSH
No
115602
HVAC PERMIT -APPLICATION AND RECORD
Owner
ELMA LUTHER
Create Date 08/05/2005
Plan
Contractor DRUCKS PLUMBING & HEATING CO INC
1,;'1 Gas I 1011
Fuel
System n New
~ Forced Air U Radiant
I I Electric I I HotWater
Chimney Type K) Chimney A C) Chimney B
Heat Loss K ). As Approved C ) Existing
BTU Rate K) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
I I Solar
1 I Solid
I I Electric
Pl Replace
U Steam
n Other
U NC I U Vent
1 I Con. Burner I
. Not Applicable
I I Suppl.
( ) DirectVent
. Not Applicable
. Other
Value
Value
~~~. r"~ fu=œ. ~'... e-
ofWork
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$56.00
Fees: Valuation
Date 08/05/2005
0 Permit Voided I
Parcelld # 0205700000
In the performance of this work, I agree to perfonn 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 perfonn the work
described in this pennit application within an easement, the City strongly urges the pennlt applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
PO BOX 355
MENASHA
WI 54952 - 355
Telephone Number
920-426-2654
To schedule inspections please cali 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.
05/1312005 11:47 9207343838
06/13/05 09: 00 FAX 7220651
c
HERITAGE
DRUCItS
PAGE 01
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Electrlc.lnstaDatiou VerificatJOD
(I) (We) ---1-.tl:~(î'oI\(.(' Ë/...I;t.t'«..I Co..
(1Uectrica¡ Contnctor 'Name)
~ 1./ /,k,/a ....1
(AÅcIZ'cA)
I-- / J:~'i / 't
(SUIte) (Zip Code)
tlww A,.." 1'"~
(NIIIDI ofperty ~ to)
WAl.lùC;>o A~.r - -
(Addrus whirl work will be pllÍol:1mld)
.411 LF f:r t<-J.~
(City
have bMII contrllCCed to perfonu 81!1CUiç ùutallllion work ibr
at the IbUowiq øddn:u; (345
ThcIlI&tIn otebe werle. consi.su ot: (Cheçk One or Describe the NIIt\n of Work)
..K RecoMeCtiœ or new circuit for rçlaccmCllt Ha1ÌD8 Pl8llt 8If{ð¡; JtIC C.ø..tdaDeI.
- tI.cc:onnec:ticm or new circuit for ~1accmea1 EIKtriç Wt.ter HKtII't.
- RccanMctioD of Iblt scrv¡CIt &tr8.!ICe Cable, Met« Box, altonltíOI§ tq ~tllçl" .-I
Ii¡btín¡ fixNre8 due to liding I IIOflit ÏlWllUatiØII. Note: New Scrviçe Ennnoe
Cabla will rcquin: II sepantc pczmjt.
- JlcçoDnCGlion or new cÎNllit for othef permmerrtly wi1:ed øpplÌIIDCt:S I fixtures.
0Iher- .
The value oflbia work is $
/,x,c-J
I heœby verify this work will be performed by IIß employee ofthi. company and fí.&rthcr verify the
reeonnection I instJ1l3hon will be don. in compliance with ,..,...uf'- SDd EllC1ric code
reqv.in:mmta.
~jß V tl.tL~ -
Sigoamra of Company Oftil:er)
fYI, k'q L.J._~
(Print Name of'Officer)
{" -/3-CJt'
(Dati)
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