HomeMy WebLinkAbout0116389-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 924 MON'ROE ST
CITY OF OSHKOSH
No
116389
HVAC PERMIT. APPLICATION AND RECORD
Owner
ANITA JAKSICH
Contractor
ANDRESEN SHEET METAL
Cate90ry 500 - Residential-Heating & Ventilating
Create Date 09/21/2005
Plan
Fuel 1"'1 Gas I I Oil
System D New I
~ Forced Air U Radiant
I Electric I I HotWater
I
Chimney Type [) Chimney A ( ) Chimney B
Heat Loss [) As Approved . Existing
BTU Rate [ ) As Per Plan ( ) Variable
I I Electric
[7] Replace
n Other
I I Solar
I I Solid
U Steam
I I Suppl.
U AlC I
I I Con, Burner I
( ) Not Applicable
U Vent
. DirectVent
() Not Applicable
. Other
Value
Value 60 thou BTU 93%
Use/Nature ~fr / furnace upgrade-3" chimney liner' EIV Slim's Electric
of Work
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 09/21/2005
D Permit Voided I
Parcelld # 1107990000
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 pennit 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
AgenUOwner
Address
2913 WITZEL AVE
OSHKOSH
WI 54904 -6539 Telephone Number
(920) 233-0323
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 InstallatioB Verification
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for Andresen Sheet Metal.
(Name of party contracted to)
'72-1 HOA/Æ2.ð¿ Yf.
(Address wbere work will be perfonned)
I (We)
at the following address:
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Hea1ing Plant and/or AlC Condenser,
- Reconnection or new circuit for replacement Electric Water Heater or power vented
Willer beater.
- Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of other pennanently wired
appliances J fixtures-
- New circuit for 111e addition of NC to an Indivtdual dwelling unit (house or the
individual systems in a duplex or condominium), including required servioe
electrical outlets.
- Oilier
The value of this work is $ 125.00
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I instal1ation will be done in compliance with manufacturer and Electric code
. Is.
David A. Youngwirth
(Print Name of Officer)
'i - 23-~
. (Date)
SIO2
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