HomeMy WebLinkAbout0119369-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 621 SCHOOL AVE
CITY OF OSHKOSH
No
119369
HVAC PERMIT - APPLICATION AND RECORD
Owner
ALBERTO G/SANDR GAMEZ
Create Date 05/08/2006
Plan
1 I Oil
Category 501 - Residential-Air Conditioning
1"'1 Eiectric
Contractor MCM AIR INC
Fuel I I Gas
System [7l New
U Forced Air
U Eiectric
Chimney Type U Chimney A
Heat Loss 0 As Approved
BTU Rate [) As Per Plan
n Replace
U Steam
w~ I 1 Solid
n Other
-.J ~ AlC I U Vent
1 I I Con. Burner I
U Radiant
1 1 HotWater
() Chimney B
( ) Existing
LLSuppl.
() DirectVent
. Not Applicable
( ) Variable
. Not Applicable
. Other
Value
Value
Use/Nature FR/ Install AlC - EIV provided by Seckar Elect
of Work
Fees: Valuation
$2,300.00
Plan Approval
$0.00
Permit Fee Paid
$39.50
Issued By:
Date 05/08/2006
0 PenmitVoided I
Parcelld # 0201400000
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 perfonm the work
described in this permit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
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, Penmit 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
I(We)~~ eLec:r~'" (.0. IIJc.
. (E1ec:âical ContradorNamo)
9120 ('J)tJ ~ev PUJ¡\t¡k~~ ~t>. (,J,1J¡JECo JIJe; fN( $\ Cj8C,
(MdmI) (Ci (St&1e) (Zip Code)
ban been con!ractQd to parform el80trlC bul&l1&1io11 WOfk tor ~.
(Nun. otpany COI11nçtc4 to)
1'0'2 \ ':')c.\.-\CO L- ~ D. .
(~ whero wo¡ c ,..¡n be poñoz:mod)
at tha following addIeu:
The nature o!the woIkCOlUåtl of: (ÇhockOAlorDoacribothaN&blnlo1'Work)
- R.oconnect!on or now cImút tor ~ Ha!Iq P- &rIt!Jor AlC ~.
- Rcconnect!on or now circuit tor replacemeDt meotrio Water Heater or power vented
.' water beater,
- Rcconncc;tioa of th, SQ'VÌcc Entn!lco C&bk. Moter Box. ~ to receptacla
me:! lighting fixturcI duo to IÌd!D¡ I aomt mot.notlon. Note: New SCI'Vico
Entrance Cables ,..¡n rcquhe a aepm.to pmt.
- Reconnect!oa or now c:ùcu1t !or tha npl&ceal=t 01' other pcnuancnt1y wired
appUances I fix1\IreI. .
X New CÏIQÛt for the additioa o! A1C to m tNli.,,¡dutzI dwIlllllzllllit (housa or the
indiv!<1uall)'ltecns In . c1\I¡)lcx or ~um), lnc1udinJ required $ezv!c:e
el~trical outlet¡,
- Other
Tho value O!thil woIk 18 sJ 50.00
I hacby vuif'y thi8 work wUI. b, pcdolmtd by m anpJoyM ofth18 campany and!urtber verify
!be recouQC;Ûon I illltanatiol1 ,..¡n be done 111 CODlpUmce with manu!acturer I:1d Elcc;tric çodc
requ!z'e=tl. .
ji~~ f1{L
(SI¡nan¡re'o!CompmyOrncer)
þtA1Je-~. ~
(Print Name 01' Officer)
5-3-0(¿¡
(Due)
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