HomeMy WebLinkAbout0119048-HVAC (boiler)
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OSHKOSH,
ON THE WATER
Job Address 803 W 10TH AVE
CITY OF OSHKOSH
No
119048
HVAC PERMIT - APPLICATION AND RECORD
Owner
MARIA C RIOJA
Create Date 04/21/2006
Plan
Contractor WESLEY HEATING & COOLING INC
E'J Gas I I Oil
Fuel
System n New I
U Forced Air I U Radiant
I I Electrlc .-J 1,(1 HotWater
Chimney Type K) Chimney A U Chimney B
K) As Approved . Existing
Heat Loss
BTU Rate 0 As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating-
U Electric
[7] Replace
U Steam
I I Suppl.
I I Solar
I I Solid
. Direct Vent
0 Other
U AlC I U Vent
I I Con. Burner I
( ) Not Applicable
(2 Not Applicable
. Other
UselNature SFR I REPLACE EXISTING BOILER'EIV SOLAR ELECTRIC
of Work
Value
Value
$4,245.00
Plan Approval
$0.00
Permit Fee Paid
$69.50
Fees: Valuation
Issued By:
Date 04/21/2006
0 Permit Voided I
Parcelld # 1306130000
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 starting such activity.
Signature
Date
Agent/Owner
Address
3220 BASLER LN
OSHKOSH
WI 54901-0
Telephone Number
920-235-6951
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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I (We)
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(Electrical Contractor Name)
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(St¡¡.te)
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(Zip Code)
have been con.u-acted to pcrfonn electric installati<:m work for ~ ~~ ~ ~~~ ~~
at the following addre.<:s: '?<.~ \...~ \\::-.1Ia ~ '"'\
(Address where work will be perfOmled)
The nature of the work consists of: (Check One or Describe the Nature of Work )
~ Reconncction or new circuit for replacement Heating Plant and/or Ale Condenser.
- Reconnection or new circuit for replacement Electric Wate, Heate¡- or power vented
wate¡- heater.
- Reconnection oflhc Service Entrance Cable, Meter Box, alterations to receptacles
and iíghting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will ~uire II separate permit.
- Reconnection or new circuit for the replacement of othe-r permanently wired
appliances I fixtures.
- New circuit fo, the addition of NC to an individual dwelling unil (house or the
individual systems ;11 a duplex or condominium), including required service
electrical outlets.
- Other
The value of this work is $
I f"8 "-'"
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
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(pnnt Name of Officer)
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(Date)
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