HomeMy WebLinkAbout0118461-HVAC (replace boiler)
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OSHKOSH
ON THE WATER
Job Address 913-919 NEBRASKA ST
CITY OF OSHKOSH
No
118461
HVAC PERMIT - APPLICATION AND RECORD
Owner
GRACE EVAN LUTHERAN CHURCH
Create Date 03/10/2006
Plan
Contractor GARTMAN MECHANICAL SERVICES
Fuel 1"'1 Gas I I Oil
System n New 1
U Forced Air U Radiant
~~ ~~
Chimney Type ~yA ( ) Chimney B
Heat Loss ~pproved . Existing
BTU Rate 0 As Per Plan U Variable
Category 510 -Ind. & Comm-Heating & Ventilating
1 I Solid
I I Electric
0 Replace
U Steam
I I Suppl.
I I Solar
n Other
U Vent
. Direct Vent
U AlC I
I I Con. Burner I
0 Not Applicable
( ) Not Applicable
. Other
~
I
Value
Value
1,000,000
"':."::::: 1'0000"" ""_OO~~.,,~
Fees: Valuation
$29,890.00
Plan Approval
$0.00
Permit Fee Paid
$329.50
Date 03/10/2006
Issued By:
D Permit Voided I
Parcelld # 0301650000
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 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 stariing such activity.
Signature
Date
AgenUOwner
Address
PO BOX 2264
OSHKOSH
WI 54903 - 2264 Telephone Number
(920) 231-5530
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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PO Bo, 1130
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om" 920.236.5050
F" 920.236.5084
Electric Installation Verification
I (We)
Dr...1?X L{;«-
[léc.Tr( ¡ c...
(Electrical Contractor Name)
Pi Cl<ETT W.I,
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for at&rJ11l(~ ¡.!el'rrllv¿
(Name of party contracted to)
yqo
êfÝ f<O
FF
s--l{ q 10 '-I
at the following address:
9/3 ;1trvllS j( /1
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconm;,.tion or new circuit for replacement Electric Water Heater or power vented
wat(~r heater.
Reconnection ofthe Service Entrance Cable, Meter Box, alterations to receptac1es
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances / fixtures.
New circuit for thl; addi.tion of AlC to an individual dwelling unit (house or the
individual S¡SkillS in a åuplex or condominium), inciuáing required service
electrical outlets.
Other
The value ofthis work is $ 2-<:> <:> . <:9
?
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
o,o~
K.iLLIf' D ,))æ,í:;'Xwe
(Print Name of Officer)
'Z-~Z""-°<1
(Date)
5/02