HomeMy WebLinkAbout0116332-HVAC (furnace)
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OSHKOSH
ON THE WATER
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CITY OF OSHKOSH
No
116332
HVAC PERMIT. APPLICATION AND RECORD
Job Address '1433 MARICOPA DR
OWner
ROBERT F JANSEN
Create Date 09/16/2005
Plan
Contracto~
GARTMAN MECHANICAL SERVICES
Category 500 - Residential-Heating & Ventilating
Fuel 1,(1 Gas I 1 Oil
System n New 1
i":I Forced Air U Radiant
1 I Electric I 1 Hot Water
Chimney Type K) Chimney A ( ) Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K ) As Per Plan ( ) Variable
I 1 Electric
[7] Replace
U Steam
1 I SuppL
I 1 Solar
I 1 Solid
n Other
. Direct Vent
U AlC 1
1 I Con, Bumer 1
( ) Not Applicable
U Vent
( ) Not Applicable
. Other
Use/Nature 1433 B MARICOPA / REPLACEMENT FURNACE' EIV SLIM'S ELECTRIC
of Work
Value
0
Value 60,000
Fees: Valuation
$2,465-00
Plan Approval
$0,00
Permit Fee Paid
$42,50
Issued By:
Date 09/16/2005
0 Permit Voided I
Parcelld # 1315090000
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
PO BOX 2264
OSHKOSH
WI 54903 - 2264 Telephone Number
(920) 231-5530
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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Electric Installation Verification
I (We)
SLIM'S ELECTRIC INC.
(EJectricaJ Contractor Name)
2608 Oakwood Circle
(Address)
Oshkosh
(City)
WI
(State)
54904
(Zip Code)
have been contracted to perfonn electHc installation work for Bet ty Jansen
(Name of party cootracted to)
at the fonowing address:
1433 B Naricopa
(Address where work will be peIformed)
The nature of the work consists of: (Check One or Descn'be the Nature of Work)
...!- Reconnection or new circuit for replacement Heating Plant and/or A!C Condenser,
- Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
- Reconnection of the Service Entrance Cable, Meter Box, alte!1ltions to receptacles
and lighting fixtures due to siding ¡.soffit insta11atíon. Note: New Service
Enttance CabJes will require a separate pemùt.
- Reconnection or new circuit for the replacement of Qther permanently wired
appliances ¡ fixtures.
- New circuit for the addition of AlC to an tndMdUlll dwel/tng WItt (house or the
individual systems in Ii duplex or condominium), including:equired service
electrical outlets.
- OLhcor
The value ()fthis work is $
150.00
I hereby verify this work wiH be perfonned by an employee oftbis company and further verify
the reconnectioD I installation will be done in compliance with manufacturer and Electric code
requirements.
9/14/05
(Date)
5102
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