HomeMy WebLinkAbout0118490-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 758 W 10TH AVE
CITY OF OSHKOSH
HVAC PERMIT. APPLICATION AND RECORD
No
118490
Owner
ELIZABETH J FINK
Category 500 - Residential-Heating & Ventilating
Create Date ~
Plan
Contractor BLACK-HAAK HEATiNG
Fuel III Gas
System [l New
~ Forced Air
U Electric
Chimney Type , Chimney A
Heat Loss [) As Approved
BTU Rate [) As Per Plan
UOii
U Eiectric
I?I Replace
U Steam
LI Suppl.
U Solar
U Solid
0 Other
U Vent
U Radiant
UJ;~
U AlC I
L I Con. Bumer !
Not Applicable
Chimney B
e Existing
Direct Vent
( ) Variable
() NotApplicable
e Other
Value
Value
Use/Nature FRI Repaice older direct vent furnace. Elv provided by Krueger Elect.
of Work
Fees: Valuation
$2,890.00
Plan Approval
$0.00
Permit Fee Paid
$48.50
Issued By:
Date~
0 Permit Voided!
Parcelld # 1305713200
In the performance of this work, I agree to perform all work pursuant to ruies governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfonm the work
described in this penmit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvais before starting such activity.
Signature
Date
AgenVOwner
Address
PO BOX 3070
APPLETON
WI 54914 -70
Telephone Number
920-757-9990
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Electric Installation Verification
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( trical Contt-aClor Name)
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(Address) (City) (State) (Zip Code)
have been eonl'Olcted to'Perfonn electric in..talJatlon work for 'í3/Q.t...¡.!... ¡/Q,Cf¡{ ftc¡I1.19
(Name of party contr;\ctod to)
atth"jonowingaddrc:~s: .~Dfh 1Yvü..-- ~ OS\1~h
(Address w ere work will be perfonned)
The 113!ut'O ofthe work con¡;istl; of: (Check One or Describe the Nature of Work)
4- Reconncction or new circuit for replacement Heating Plant and/or AJC Condenser.
- Reconnectioo or new circuit for replacement EJeçtric Water Heater.
'.'- Reeortn<:ction of the Service Entrance èable, Meter Box, alterations to receptacle:; a.nd
lighting fi¡cturcs due to sidlng.l soffit it1$tallation. Note: New ~crvice Entrance
Cablca will require a separate pennit.
-_. -- Recnnnectioo or new circuit for other pennanl!l1t1y.wireú appliances I fixtures.
-- Gtber
The value of this work is $
! ..$' ()
I hereby verifY this work willae performed by an otnployee ofthís company and 1\Irther verify the
",connection I instalJahon W111 be done in compJÎm1cc with ma.nufactUrer and Electric code
requirements. '.
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(SjPJJ,;1tu~ Y Officer)
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