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0
OSHKOSH
ON THE WATER
Job Address 1717 W 7TH AVE
CITY OF OSHKOSH
No
117010
HVAC PERMIT -APPLICATION AND RECORD
Owner
STEVENNICTORIA UTECHT
Create Date 10/19/2005
Plan
Contractor HERITAGE HEATING & COOLING INC
I I Gas I 1011
Fuel
System n New
U Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type K) Chimney A () Chimney B
Heat Loss K ) As Approved e ) Existing
BTU Rate K ) As Per Plan e ) Variable
Use/Nature
of Work
Category 501 - Residential-Air Conditioning
I I Solar
I 1 Solid
1';1 Electric
PI Repiace
n Other
U Steam
I I Suppi.
e) Direct Vent
I!J NC I
I I Con. Burner 1
. Not Applicable
U Vent
. NotApplicabie
. Other
Value
Value
FRI Replace NC system - No EIV provided - A SEPARATE ELECTRiCAL PERMIT IS REQUIRED FOR CONNECTION OF THIS
PPLIANCE
IV provided via phone by Steffens Elect.
Fees: Valuation
$1,600.00
Plan Approval
$0.00
Permit Fee Paid
$29.00
Date 10/28/2005
Issued By:
0 PenmitVolded I
Parcelld II 0613040000
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
N4302 TWELVE CORNERS RD
BLACK CREEK
WI 54106-0
Telephone Number
(920) 730-8490 HOM
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.