HomeMy WebLinkAbout0117473-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 330 SEAGLE ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
117473
Owner
LORI M BOUGIE
Create Date 12/05/2005
Plan
Contractor
Fuel
RYF HEATING & NC INC
1"1 Gas
n New
System
~ Forced Air
I I Electric
Chimney Type l) Chimney A
Heat Loss
l) As Approved
l) As Per Plan
BTU Rate
Ç.atego:>,- 500 - Residential-Heating & Ventilating
I I Oil
I I Solar
I I Electric
0 Replace
U Steam
I Solid
U Radiant
I I HotWater
I I Suppl.
~er
U NC I U Vent
I I Con. Burner I
C) Not Applicable
() ChimneyB
C) Existing
. Direct Vent
. Not Applicable
. Other
Value
C ) Variable
Value
Use/Nature F\ Furnace replacement. 4" Chimney liner lor ater heater.
olWork EIVlrom Seckar Electric.
Fees: Valuation
$3,400.00
$56.00
Issued By:
(.If/('
Plan Approval
$0.00
Permit Fee Paid
Date 12/05/2005
0 Permit Voided I
Parcelld # 0613510000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City 01 Oshkosh has no authority to enlorce easement restrictions 01 which it is not a party, il 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
PO BOX 450
WINNECONNE
Telephone Number
WI 54986 -450
920-582-4451
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 IDltaUatloD VerificatÎoD
It tht folIowiD¡ addle,,:
I(We)Se1:\c-Af2- £'(..Ë'"CneIL CÓ IIVc-,
(Electrical Contractor Name)
8'J~() coofê--OVé~ f¿(.l"r.fr-.f--,f:: ßOI\f'.:>,ljJjrJNeCOf\lrJe- vJ¡ 54'12>1ò
(Addm.) (City) (Stlte) (Zip Code)
lv.vo been CODtrIGtIId to pl1'formeleotric inNllation work for f{ f If¡:; fer (rJ (:;;
(Nwo of party contracted to)
53 ~Ad~ £~l{.~~ win be perfonnccl)
The n&tllre oftbcwork COII;Siata of: (Cblck One or Describe the Nature of Work)
& l'ttCOllJltCtion or new cirellit tor 'ep1acemtD! HeatiD¡ PJat lDdIor AlC Condenser.
- !.eçonI¡ecUon or ntW circuit for replllCOlUetrt E1ectrlc Wiler Heater or power vented
wa.be8ter.
- :a.-dOll of the Service Eutnnco Cable, Moter BoJ(. alterations to rec:eptICles
ÍIIId lishtlns ñxlut'ell duo to .idin¡ ¡8offit ill8tal1adon. Note: New Service
Bntrraac. Cables wiIJ require a separate permit,
- RlCOUection or new circuit for the replacement of other pormanGlltly wired
ÇpIW1ee.¡ ftxt\ll'Ot.
- New clrouit for tbt addition of AIC to an btt/lv¡dual ,JweUiHg WIll (how;e or the
it'ld!vlðual systems in a duplex or condominium). ineluding requitllCl service
tltotrioll o~.ta.
- Other
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The vll....,o!Uû, work I' S ¡JIlt) OQ
I heroby Verli)' Ihi8 wOl'ic will be ¡>«formed by an employee of this campany and fur-.her verify
the recO\I:telCtiœ I inaiallatioll ""n be done in compliance with 1:1811llfacturer a.'1d Electric code
reqUÚ'tm8rttl,
~. ~~'o¿;[J~ '
~_m,o_)
Ì)lft¡V¡:: r:.. s.È'GK.~
(Print Name of Officl\!l')
1/-;2.'/-0",-
(Dare)
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