HomeMy WebLinkAbout0117982-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 1153NMAINST
CITY OF OSHKOSH
No
117982
HVAC PERMIT -APPLICATION AND RECORD
OWner
ADALBERTO V E VA2QUEZIROBERTO ZE
Contractor STEINBRUNER HEATING & COOLING
Fuel 1,(1 Gas I 1011
System n New 1
U Forced Air U Radiant
1 I Electric 1,(1 Hot Water
Chimney Type K) Chimney A . ChlmneyB
Heat Loss K) As Approved . Existing
BTU Rate K) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
Create Date 01/25/2006
Plan
I I Soiar
1 1 Solid
I I Electric
[7] Replace
U Steam
I I Suppl.
nOtl1er
( ) DirectVent
U NC I
I 1 Con. Burner I
( ) Not Applicable
U Vent
() Not Applicable
. Other
Value
Value
Use/Nature FRI Replace beller, EIV provided by Seckar Elect.
of Work
Fees: Valuation
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$42.50
Issued By:
Date 01/25/2006
D Permit Voided I
Parcelld # 1007540000
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 pany, if you perfonm the work
described in this penmit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
600 OREGON ST
OSHKOSH
WI 54902-0
Telephone Number
(920) 426-1830
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.
011'23/2005 09: 27
19204251890
STEINBRUNER HEATING:
PAGE 02
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. Electric Installation Verificati n
I
I (We) £.LEc.. '(7e. Co CO;...
I (Electrical Contractor Name)
~ú~ (...v i?-t> W
(AfdreSS) (City)
have been c ntracted to perform electric installation work for S
, (N
at the fOIlOW~ng address: '3 ¡{,I,
i (Address where work will be p normed)
The nature Jthe work consists of: (Check One or Describe the Nat e of Work)
-.i. IReconnection or new circuit for replacement Heating P ant and/or AlC Condenser.
- IReconnection or new circui t for replacement Electric ater Heater or power vented
I water heater.
- Reconnection of the Service Entrance Cable, Meter Bo , alterations to receptacles
! and lighting fixtures due to siding / soffit installatio . Note, New Service
i Entrance Cables will require a separate permit.
- IReconnection or new circuit for the replacement of oth r pennanently wired
I' appliances / fixtUres.
- New circuit for the addition of NC to an individual dw lling unit (house or the
I individual systems in a duplex or condominium), in luding required service
I electrical outlets.
- ¡Other
I
The value Of/this work is $ -: .
J hereby veri y this work will be performed by an employee of this c mpany and further verify
the reconnedion / instaHation will be done in compliance with manu acturer and Electric code
reqUirements!
~ro.AJ... . 8 A /- ¿ 3-0?
(Signaitre of Company Officer) (print Name of Officer) (Date)
ß4î.9G.
(Zip Code)
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