HomeMy WebLinkAbout0116745-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1558 W 9TH AVE
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Contractor E C MERRILL INC
CITY OF OSHKOSH
No
116745
HVAC PERMIT - APPLICATION AND RECORD
Owner
JAMES R BORCHARDT SR
Create Date 10/12/2005
Plan
Category 500 - Residential-Heating & Ventilating
Fuel 1,(1 Gas I I Oil
System n New I
~ Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type () Chimney A ( ) Chimney B
Heat Loss ( ) As Approved . Existing
BTU Rate ( ) As Per Plan ( ) Variable
Use/Nature fr / replacing furnace' EIV Witzke Elec
of Work
I I Solar
I I Solid
I I Electric
PI Replace
U Steam
I I Suppl.
. DirectVent
0 Other
U AlC I U Vent
I I Con. Burner I
( ) Not Applicable
() Not Applicable
. Other
Value
Value
Fees: Valuation
$2,995.00
Plan Approval
$0.00
Permit Fee Paid
$50.00
Date 10/12/2005
Issued By:
0 PermitVoid~
Parcel Id # 0610610000
In the perfonnance of this work, I agree to perfonn 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' rmit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to s ny n sary app before startin9 such activity.
AgenUOwner
.---
Date L'R -~2 ....{)".
Signature
Address
1018 W SOUTH PARK AVE
OSHKOSH
"^"'-- 54902 - ~ Telephone Number
(920) 235-3600
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.
OCT .12.2005
8:08AM
WITZKE ELECTRIC"
NO. 055
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Electric Installation Verification
I (We) _~1.i.~_f) ecIrl c., J:r¡C.
(Electrical Contractor Name)
155 E. "Pa.~ A\!eI)ue.. Oshk.oSh
~d~e") (Cny)
have been contracted to perform electric i.nsta11ation work for
\NI:.
(State)
t:.C, Þlerri/
(Name of party contracted to)
5¥40(
(Zip Code)
at the following address: /65~
W. q-M. Ave.
(A~ess where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
L Recomection or new circuit for replacement Heating Plant and/or AlC Condenser.
- Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
- Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
- New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condomiDium), including required service
electrical outlet$,
- Other
The value of this work is $
15lJ'()O
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnectionl installation will be done in compliance with manufacturer and Electric code
requirements.
~'~~
(Signature of Company Officer)
'-;'r\ a\~
(Print Name of Officer)
/0-IJ4)5
(Date)
5102