HomeMy WebLinkAbout0119436 H
0
OSHKOSH
ON THE WATER
Job Address 151W19THAVE
CITY OF OSHKOSH
No
119436
HVAC PERMIT -APPLICATION AND RECORD
OWner
LAVERNE R MORTENSEN
Create Date 05/10/2006
Contractor DRUCKS PLUMBING & HEATING CO IN(
1 I 1011
Fuel I Gas
System [7l New I
U Forced Air U Radiant
1 J HotWater
I 1 Electric
Chimney Type [) Chimney A () Chimney B
Heat Loss [) As Approved () Existing
BTU Rate [ ) As Per Plan ( ) Variable
Category 501 - Residential-Air Conditioning
Plan
1,/1 Electric
n Replace
U Steam
U Suppl.
I I Solar
I I Solid
-.---J
I
I
n Other
~ AlC I U Vent
I 1 Con. Burner I
() DlrectVent
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFRIlnstall new AlC - EIV provided by Triumph Elect
of Work
Fees: Valuation
$3,000.00
Plan Approval
$0.00
Permit Fee Paid
$50.00
Issued By:
Date 05/10/2006
0 Permit Voided I
Parcelld # 1401980000
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 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
P a BOX 355
MENASHA
WI 54952 -355
Telephone Number
920-426-2654
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.
U5/03l06 08: 32 F.U 72~U651
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Electric Installation VerlfieatioD
(1)(We)\{I\A~~h ~I-ec-h--.:~ f^~
, (Electrical Contractor Name) þ/,i7¿ <.rv"'"
1;;1:> \)j, 'vJ'í..{LþtIJ!/ ~V'£ ~ 'U~-<; I: J WJ 5V1' t'f
(Addro$s) (City) (St4te) (Zip Cede)
have bl'en C( ,\ttaeted to perlbnn e1ectric inSta11a.tion woric fur \::)~'> fL..~1!. + ~
(Name of pørty contIacted to)
at the fòllðwing addœss:
L "Sï \
t...) l <t ill A £I~
(Address wher.e woric win ~ performed)
The natute oftbe work consists of: (Cheek One or Describe the Nature ofWotk)
-X RecoM1!.Ction or new cifC\~it for :t'etIlacement IIMitl.g ~1!t9!t ICldfor AlC Condense¡:,
- R.econudO11 or new circuit for ~l8cement E1ectti.c Water Heater.
- Reconncct.ìon oftbe Service Entrance Cable, Meter ]3011:. alterations to t'ßCetltacles and
lighting fixtures due to siding { soffit installation. Nøte: New Service E\'!.T.mIICe
Cablas will require a sepa:ráte permit.
- :R.eoonnection or new cm:uít for otherpemmnent1ywû:'ed appliancl!$l fixtUreS.
Other.
The value afmis work is $ cJ. () D. ) ~
I hereby verify this work will be perlbrmed by an employee of this co.mpa:nyand further verilY the
m:onnec:tion I installation will be done in compliance with manufacturer and Electric code
requirèments ,
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(Signa: of'CompanyOfficer)
Yh CI.<" ~ R-e. h Irttir>
(print lime of Officer}
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