HomeMy WebLinkAbout0117389-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 1725 BRENTWOOD DR
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
117389
Owner
JOHNNY E/JUDY SMITH
Create Date 11/23/2005
Plan
Contractor MCM AIR INC
Fuel 1,(1 Gas
System 0 New
~ Forced Air
I I Electric
Chimney Type U Chimney A
Heat Loss K) As Approved
BTU Rate K ) As Per Plan
Category 502 - Residential-Both
I I Electric
1 IOii
1
I I Solar
I 1 Solid
I?I Replace
U Steam
1 1 Suppl.
n Other
U Radiant
I I Hot Water
() Chimney B
. Direct Vent
~ PJC I
I I Con. Burner 1
e ) Not Applicable
U Vent
. Existing
. Variable
e ) Not Applicable
e) Other
Value
0
Value
Use/Nature FRI Replace furnace and PJC , Install 3" Chimney Liner, EIV provided by Seckar Elect.
of Work
Fees: Valuation
$6,300.00
Plan Approval
$0.00
Permit Fee Paid
$99.50
Issued By:
Date 11/23/2005
0 Permit Voided I
Parcelld # 1318220000
In the perfonmance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
hoider(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number
920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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. Electric Inltallation VerUIcatfoD
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. (EIedrlca1CoatractDr'Namo) '.
5<120 rntJ ~ev PÜJ¡\tIk~~ ~bo {,rJ/lJfJEloiJlJe: CAJ( ê'l~eG,
(AddmI) (CI (S\a1c) (Zip Code)
b&ve bun con!ractcd to perform el801Íic inltaJIallon wœk tor ~.
. (N ami or pany COI1\n.CtecS to)
atthoroUowinll~5S: \ï 15' 8v-e.~'\t"~~. .
(~ 'IV- WOIk wm be p
, ,
The a.wro of the woikCOlUiN of'. (Çboçk OneorDoscribetheNlllUeofWork)
- R.ecolll18C1iou or new chcl11t toe ~ HeaI!D¡ PIIZI& 8DdIor AlC Coudezacr.
- Rccolll18C1ion or new circuit toe rep~ Eleotrio Water Hoater or power vCll!ed
: W&tcr hca1c:r.
- R.oconneçtioa o!thc Scrviec Entrllm C&bJe. Meta' Box, aJ~ to roceptac1a
au! Uzhtln¡ fixturcI due to IÍd!D¡ IIOflit mot. l of: OII. Note:. New Servic:e
Entnsœe Cablc$ wm rcquiø & ICpC&to pamit.
- Rcconnect!oo or new dreuit !or tho np1aceai=t of other pamancat1y wired
~~œ/~ .
..){. New ein:uit for the additioa of AJC to II) fMlvldu41 tlwfllbl6l11111 (house or Ibc
indivic1uall)'ltems In . duplex or çcc4omInI1III1), Inc1u4in.s required SeMee
elootrio&1 olUlcti.
- Other
Tho value ofthil wœk II sJ boo 0 0
1 hcrcbyverlJy thiJ work w!11, b. pccforml4 by II) employ" ofth1a c:ampany IZI4 tUrtber verify
the recoø:1:.ctiOl1/wtaIlation will be done m CODlp1lmce with mmu!actwer c1 ElÐC:W co4e
nq1l rc1llCDtl. ,
l¡ ~~ !1<L
(SI¡¡wuro'Of ComplllY O!IIcer)
blA1Je- ¡e. f5El):.!tR.
(Prim Name of Officer)
H~ !~-&S- ,
(Date)
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