HomeMy WebLinkAbout0117175-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 848 OSBORN AVE
CITY OF OSHKOSH
No
117175
HVAC PERMIT -APPLICATION AND RECORD
Owner
PRISCILLA M BALDRIDGE
Create Date 11/07/2005
Plan
Contractor RASMUSSEN'S HEATING & AlC INC
I I Oil
Fuel 1"1 Gas
System n New I
~ Forced Air U Radiant
I I Electric I I HotWater
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
I?I Replace
I I Solar
I I Solid
n Other
U Steam
I I Suppl.
U AlC I
I I Con. Burner I
. Not Applicable
U Vent
( ) Direct Vent
. Not Applicable
. Other
Value
0
Value
Use/Nature FRI Replacing the existing furnace. EIV from Slim's Elec.
of Work
Fees: Valuation f
Issued By: ~ )r---
$2,840.00
Plan Approval
$0.00
Permit Fee Paid
$48.50
Date 11/07/2005
0 Permit Voided I
Parcelld # 1306310000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a parfy, 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
AgenUOwner
Address
5154 DAVID DR
OSHKOSH
WI 54904 - 8850 Telephone Number
920-235-6569
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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E1edrie IDstaJ)ation VerifieatiOD
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(Addœ8s) (City) (State) (Zip Code)
bavebeen ~fOpcdbJm eJecIIic iDøIIIJhItinn wodtfor 1.<~sÞt...~""'~ H vA L. .
(Name of party con1racted to)
at the fOJ1owiDg addø:øs:
94Ð cJsh1t'n
(Addœss wheœ wo.rk wm be performed~
The JJ8I.ureoftheWOlk COD8ÍIiIB 01: (Çheck ODe or Deøcdbe tho NaCureofWmk)
-X- ~ an.. ciø:ait ill' ~ ØeaIiøg PJaøt Ø6iIJI« .AIC Coødeøser.
- ~ .DØWciø:aitfbl'lepJøcem.oø&EIcGIIio 'W8fcrBeatcrorpowerveøted
WIlla' ..... .
- ~IA""" of the Senice.J:iIIInø:e Cable. VdIr Box. .......... to œcep1acles
- JiPIÏDI fixba8 _1D ...' 8CdIit~ Høte: New Service
:BuImaøe OMs 'Will øqaiIe a......, pcmút.
, - :Ró""!I""""'CII'...,ciø:ait"1ho1!",,"""'-ofødlar~..-~.t1,jwired
è awR-'fixIIna.
- New cåait .. die 81ditioø of NC 1D -,.".......... . tlwøI1iIIg" (hœsø or the
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eIecIdcaJ CIIdIefB.
- 0Iber
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The value oftbiø WOIk is s /50, 00
I hereby ve.dfYtbiø walk 'Will be .....1òubed by all CIIIpIoJee oftbiø c:ompaay aad iia1her verify
the ~, ~ w:iD. bec1øœ in cømpJiance with m-tä-. aad EIectrie eode
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