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OSHKOSH
ON THE WATER
Job Address 1223 NATIONAL AVE
CITY OF OSHKOSH
No
116505
HVAC PERMIT. APPLICATION AND RECORD
Owner
MARY A D'ANGELO
Create Date 09/28/2005
Plan
Contractor STEINBRUNER HEATING & COOLING
1101 Gas I I Oil
Fuel
System n New I
~ Forced Air U Radiant
I I 1 Hot Water
I Electric
Chimney Type K) Chimney A . Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K ) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
I I Electric
~ Replace
I I Solar
I 1 Solid
n Other
U Steam
I 1 Suppl.
()DirectVent
UI'JC I
I I Can. Burner 1
( ) Not Applicable
U Vent
( ) Not Applicable
. Other
Value
Value 70000
Use/Nature Fr/ Install furnace & line chimney - EIV provided by Seckar Elect.
ofWork
$2,200.00
Plan Approval
$0.00
Permit Fee Paid
$38.00
Date 09/28/2005
Fees: Valuation
Issued By:
0 Permit Voided I
Parcelld # 0608771700
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 pany. if you perfomn the work
described in this permit application within an easement, the City strongly urges the perona applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
600 OREGON ST
OSHKOSH
WI 54902-0
Telephone Number
(920) 426-1830
To schedule inspections please cali 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.
09/26/2005 11:52
19204261890
STEINBRUNER HEATING:
PAGE 04
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Electric Installation Verificati n
¡(We)
~44.e"
(Zip Code)
"i
51 0 CDUN1J¡ ~~
(Ad4ress) (City)
have been coJtracted to perform electric installation work for S
I ~~
at the fO!Jow¡Jg address: ;) :; tJ ~
I (Address where work wi\1 be pe ormed)
The nature oflhe work consists of: (Check One or Describe the Natu e of Work)
~ Jeconnection or new circuit for replacement Heating PI t and/or AlC Condenser.
Reconnection or new circuit for replacement Electric W ter Heater or power vented
I water heater.
Reconnection of the Service Entrance Cable, Meter Box alterations to receptacles
I and lighting fixtures due to siding I soffit installation Note: New Service
I Entrance Cables wi\1 require a separate permit.
Reconnection or new circuit for the replacement of oth permanently wired
I applíance$ I fixtures.
J1¡ew circuÌ1 for the addition of AlC to an individual dwe ling unit (house or the
! individual systems in a duplex or condominium), inc uding required service
1 electrical outlets.
'(her
I
The value OfttiS work is $ "? -
I hereby verif this work will be perfonned hy an employee ofthìs co pany and further verify
the reconnecti n / installation will be done in compliance with manuf ctUrer and Electric code
requirements,l
lIP- f~~. B A 9-¿8-~
(Signalre or Company Officer) (Print Name of Officer) (Date)
I 0
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