HomeMy WebLinkAbout0118630 H
~-
OSHKOSH
ON THE WATER
Job Address 143 W 22ND AVE
CITY OF OSHKOSH
No
118630
HVAC PERMIT - APPLICATION AND RECORD
Owner
KATHLEEN A BINDER
Create Date 03/22/2006
Plan
Contractor A-1 HEATING & AlC INC
Fuel 1"1 Gas 1
System n New ~
U Forced Air 1
1 I Electric 1
Category 500 - Residential-Heating & Ventilating
I 1 Solid
1 I Electric
0 Replace
U Steam
1 I Suppl.
1 1 Solar
I 1 Oil
n Other
Chimney Type K) Chimney A ( ) Chimney B
Heat Loss K) As Approved . E>dsting
BTU Rate 0 As Per Plan 0 Variable
() Direct Vent
U AlC 1
1 1 Con. Burner 1
. Not Applicable
U Vent
U Radiant
1"1 Hot Water
( ) Not Applicable
. Other
1
--.J
Value
Value 80,000
Use/Nature SFR I BOILER REPLACEMENT 'EIV BELL ELECTRIC JOB #3004
of Work
Issued By:
$3,293.37
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Plan Approval
$0.00
Permit Fee Paid
$54.50
Date 03/22/2006
Fees: Valuation
D Permit Voided I
Pareelld # 1402530000
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 strongiy 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
wa078 HILLCREST CT
HORTONVILLE
WI 54944-0
Telephone Number
920-779-8838
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
I (We)
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(Electrical Contractor Name)
---- Pi?:.
(Address)
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/lfM¿¡jh~
(City)
.-'30)(
"VI S'Y'lS:L
(State) (Zip Code)
A-I lIéOrJ.'flJ rJ. ~G
(Name of party contracted to)
f{GoJ.hy fJr"è-lf' 1'13 Iv' '-1... d ~Î CMJff)~4
(Address where work will be perfonned) d-3S-J...JS I
have been contracted to perfonn clectric installation work for
at the folJowing address:
The nature of the work consists of: (Check One or Describe the Nature of Work)
__~econncction or new circuit for replacement Heating Plant and/or NC Condenser.
- Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
---- Reconncction of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
-- Reconncction or new circuit for the replacement of other permanently wired
appliances / fixtures.
--.-. New circuit for the addition of AIC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
- Other
----.-..----
-.-...---.--..-----.--.
The vallic of this work is $...
I hereby verify this work will he perfonned by an employee of this company and further verify
the reeonncetion / installation wi1l be done in compliance with manufacturer and Electric code
requirements.
MJ~ --------
(Signalure of Company Officer~
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(Print Namc of Officer)
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(Date)
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