HomeMy WebLinkAbout0116108 H
~,
OSHKOSH
ON THE WATER
Job Address 117W16THAVE
CITY OF OSHKOSH
No
116108
HVAC PERMIT -APPLICATION AND RECORD
Owner
FAY R CAVANAUGH
Create Date 09/06/2005
Plan
Contractor DRUCKS PLUMBING & HEATING CO IN(
1 1011
Fuel I I Gas
System D New I
U Forced Air U Radiant
I I Electric 1 I HotWater
Chimney Type K) Chimney A () Chimney B
Heat Loss r) As Approved () Existin9
BTU Rate K ) As Per Plan ( ) Variable
Category 501. Residential.Air Conditioning
1v'1 Electric
[7] Replace
U Steam
I I Solar
I 1 Solid
n Other
I 1 Suppl.
( ) Direct Vent
~ AlC 1
I I Con. Burner I
. Not Applicable
U Vent
. Not Applicable
. Other
Value
0
Value
Use/Nature ßFRI Replace AlC EIV provided by Triumph Electric Inc.
ofWork
Fees: Valuation
$3,050.00
Plan Approval
$0.00
Permit Fee Paid
$51.50
Date 09/06/2005
Issued By:
D Permit Voided I
Parcelld # 0305410000
In the perfonmance 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 perfonm the work
described in this penmit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent'Owner
Address
PO BOX 355
MENASHA
WI 54952. 355
Telephone Number
920-426-2654
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.
08/18/2005 10: 58 9207343838
08/18/05 10:08 FAX U20851
HERITAGE
DRUCK!
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Electric Installation Verification
(1)(Wo) -------B ut.t~1r Êu;."C.""'G- n.a- '"l"« ! '" ~ t'~ ( L. (' éli I ê. --¡ f\) <:-
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ο)Ò {..V, uJedG.~c£. a\l~ Gpp Ie fÚ¡N VJ1: S4~ tY
(Ad4ruB) (City) (Slate) I (Zip Coda)
have b- CGIIf.1'aCteCt to perform electric installation work for _t:nu.(.,¡(t¡ ~A 'f' (T"'"
(Name ofparty ~ to)
...> /c,t'Ii- ¡'tJ~
(AcIdreu where work will be plll:'tbmv:d)
. 11ut - of tho worlt ccaiIt8 of: (ChIck One or t>e8cribe tbe N~ ofWOlk)
~ ~-"..itJ, .tforreplaceme.lltH. "r.~ b.. uIlfAICCondonter.
- lleccmDeetioD or new c:irçWt for replacement Electric Water Heater,
- IlecoMeeùoD of the Service JûlIØDCe Cable, 'Meier Box. ûtcntio.œ to nceptac1esllld
Iißbrùla fixtures <I1Ie to tidin¡ IIOŒt inataIlatiOA. Note: New SOI'Yice En\1WlCC
CabJ8 wiD 1'8qUÌf8 a I8pIIrat8 permit.
- :Il4'COlll'l8Criou «- cinNit forotberJ*ØlNlattywinll appIi_1 ffxtures.
Otbet
at tho fbUowiD& addraa: \ l1
The value of this work 1s S ð- ð /J - 0 D .
J hereby verify thÙl work wi1l be perfonned by an emp~ of this c:ornpany and further verily the
~ I iIIs1aIlaIiOll wiD be doIIe in compli- with III8I'.IUfiIc:t ad. .E1cc:tric code
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