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~
OSHKOSH
ON THE WATER
Job Address 380 LILAC ST
CITY OF OSHKOSH
No
116024
HVAC PERMIT -APPLICATION AND RECORD
Owner
DEWEY HOMES INC
Create Date 07/1812005
Plan
Contractor AMERICAN HEATING &ACCO
1 I Oil
Fuel 1"'1 Gas
System [7] New
~ Forced Air U Radiant
1 I Electric 1 I HotWater
Chimney Type K) Chimney A . Chimney B
Heat Loss . As Approved e) Existing
BTU Rate . As Per Plan e ) Variable
Category 500 - Residential-Heating & Ventilating
1 I Soiar
1 I Solid
I 1 Electric
n Replace
n Other
U þJC 1
1 I Con. Bumer 1
e ) Not Applicabie
~ Vent
U Steam
I 1 Suppl.
e ) DlrectVent
e ) Not Appiicable
() Other
Value
Value
Use/Nature NSFRI HV AC for 1 story home with a 2 car attached garage.
ofWork
Fees: Valuation
$5,000.00
Plan Approval
$0.00
Permit Fee Paid
$80.00
Issued By:
Date 08130/2005
D Permit Voided I
Parcelld #
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 approvais 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.