HomeMy WebLinkAbout0118180-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1411 GRAHAM AVE
CITY OF OSHKOSH
HVAC PERMIT. APPLICATION AND RECORD
No
118180
Contractor MCM AIR INC
Fuel U Gas
System 0 New
_., U Forced Air
L I Electric
Chimney Type
Heat Loss KJ As Approved
BTU Rate U As Per Plan
Owner
PAUUAMBER GIDDINGS
L I Oil
Category 501 - Residential-Air Conditioning
Create Date ~
Plan
U Solar
U Radiant
LI Hot Water
~I Electric
0 Replace
U Steam
L I Suppl.
L I Solid
0 Other
~ AlC I U Vent
L I Con. Burner I
( ) Variable
Use/Nature SFR/ Install AlC, EIV provided by Seckar Elect.
of Work
. Not Applicable
. Other
Chimney B
( ) Existing
Direct Vent
Value
Value
Fees: Valuation
$1,850.00
Plan Approval
$0.00
Permit Fee Paid
$33.50
Issued By:
Date~
0 Permit Voided I
Parcelld # 1600660000
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 nota 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
Agent/Owner
Date
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 VerifIcation
l(We)~'F-A~ e?.eC:T~I' Go. ,Ale.
. (E1eçIIica1 ConIJ¥tOî'Namo)
.91'20 rDù þNe'I PiV¡\tIk~~ ~t>. fÑINiJElOIJIJe: tNI S'lí8G,
(AddmI) (0 (S1I1C) (ZIp Code)
b&ve 'œen con!raácd to perform ellOtrlC 1mta11a1!on wo:k tor ~.
(Name of pan)' COIIItaçICd 10)
\4\ \ G{èAH¡~\VÎ .
(~ whero wo:Ic win be pori'œmod.)
The a&two of tho won; CO1WIt¡ 01'. (ÇboGk OM or Dcacribe. the Nann ofWark)
- Reco=tCt!OIl or new cl:cuh for ~ BeazIø¡ ~ lD4Ior AlC CondenIa-.
- R.ccolllltCtlon or new cIrcu1t tor replacement E1eotrlo Water Heater or power vented
. W&Ier beater,
..:...- ~eçtÎoa of tho Sorvicc Eutn.Dce C&b1c. MoIIIt Søx, tJtemions to receptae1=
IIId U¡htin¡ fix1urc8 due to Iid!II¡ !lOmt f1ott.n.rtou. Note: New SOI'VÏçe
Entnmu Cables win rcquhe & acpm.to pcœiL
- R.eco=ectioo 01' new CÙ1:Uit Cor the %q)1accncnt or ather pcnuantatly wired
çp1Ianccsl fixture8. .
.){. New circuit for the addilioa of AIC to &IIlndJvldutd dwlUtnz IlIIlI (house or the
individual IystIllIll In . ~1u or coadomInlum), ÚIC1u4inJ requlrecl $ervlcc
clootrical outlets.
- Other
at 1110 follow¡ addrc":
Tho value OtUUI watk 18 sJ boo 0 0
I hc:eby vcmy thiI work wUl. b. pcdozmtd by &II employ" ofthla c:ampany IIId 1Urtber verify
!be recoa;=on/ InIt&I1atiOIl wi11 be done in comp1llnce wilh ~r.CN1eI' cd Electric; co4c
RQ1I!re-, ,
j~d~
(51 o!CompmyOfficcr)
þrMl11?. f5el.j:.JcR.
(Print Name of O£1içor)
/. 3/-0 t.o
(Date)
SIll:
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