HomeMy WebLinkAbout0115949-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1610VILLAPARKDR
CITY OF OSHKOSH
No
115949
HVAC PERMIT - APPLICATION AND RECORD
Owner
TRAVIS D/JENNIFTHEDE
Create Date 08125/2005
Plan
Fuel
RYF HEATING & AlC INC
1"1 Gas
n New
Category 500 - Residential-Heating & Ventilating
Contractor
1 1 Oil
I 1 Eiectric
[7] Replace
U Steam
I I Solar
I 1 Solid
System
n Other
~ Forced Air
I I Electric
U Radiant
I I HotWater
1 I Suppi.
() DirectVent
U AlC I
I I Con. Burner 1
( ) Not Appllcabie
U Vent
Chimney Type U Chimney A
Heat Loss
( ) As Approved
( ) As Per Plan
. Chimney B
. Existing
( ) Variable
( ) Not Applicable
. Other
Value
BTU Rate
Value
Use/Nature FRi Replace furnace, vented into existing 5 inch B-vent - Owner to install new water heater. - EIV provided by Seckar Elect.
of Work
$2,885.00
Plan Approval
$0.00
Permit Fee Paid
$48.50
Fees: Valuation
Issued By:
Date 08125/2005
0 Permit Voided I
Pareelld # 1319640000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfonn the work
described in this permit application within an easement, the City strongly urges the pennit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 450
WINNECONNE
WI 64986 -450
Telephone Number
920-582-4451
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
JUI'l 07 02 ee: <488
Olhkosh lnspectionl
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Electric løltallatioø Verification
I (We)sa \cA f-
E(...E"CrreIL có /Nc-.
(Electrical Contractor Name)
5'1?b COd~í)Ýh~ f [I..,/'n.fr\t,e: flo.A.[) , W ItJtJewrUNE vJ{ 54C(2>c::>
(AddmI) (CIty) (State) (Zip Code)
bave 'o'II 'I ÇOJÙ 'actod to prirm eleotrle installation work for 18{ f l-œ f'í-r (rJ é:>
(Nam. of party eonll'actcd to)
atthtfoliowiDjaddrell: /6/0 Dill" Po",h- Ð""
(Address wh\:I'C work will bo pori'onnOl1)
The natvrt ottlle work coo.sLsta of: (Cbeck One or Describe the NatUre of Work)
- AtcoMection or new clrcijit tor repJacemeut Heatin¡ '}ant 8Dd/or AiC Con_sat'.
- :RocoMecliol1 ~r new circuit for replacement BJectric Water Heater or power vented
wa.be8Þr.
- ltocoanoclion of tho Scniu Eutft!!Ce Cable, Moter Box, a1te:atiOIl$ to receptacles
ad UahtinS ßxtul'Ol due to .¡din¡ IlIOfflt inatalJation. Note: New Sorviee
BntrlDct Cabllll w!IJ requirll a aepll'ate permit,
- Recoœection or DeW drewt for the ttf'lacem.tlnt of other pennan8ntly wired
a;pHucecl fl.xt\lrlll.
- Nòw olrouit tor the addition of Ale to an bu/¡v¡duøl dwelling un/, (hOWil: or the
it'ldivldua1systems in a duplax or condominium), ÚlCIlwiing required service
tllOtrioll outieta.
- Other
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The value .oit!ûa wcå I' 5 /ðlS"' 00
I heroby ven~ thi8 werle will be perform~ by an employee of this eætlpany and fur.her veri~
the ree<m!.lectiœ I inatallation "'ill be done in compliance with J:1anufaCtUI'eT a.'1d Electric code
1:"ß;f&L .
(SignatUr.ofCompany Officer)
I>IA-tJE t. s,ÞO'-A-K
(J>rint Name of OfficII!')
/3'<--17' ~o->
(Date)
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