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OSHKOSH
ON THE WATER
Job Address 1586 BRENTWOOD CIR
CITY OF OSHKOSH
No
119563
HVAC PERMIT. APPLICATION AND RECORD
Owner
LINDA S HARTEN IAN LIVING TRUST
Create Date 05/17/2006
Plan
Contractor GARTMAN MECHANICAL SERVICES
I I Gas I 1011
Fuel
System n New I
U Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss U As Approved () Existing
BTU Rate D As Per Plan ( ) Variable
Category 501 - Residential-Air Conditioning
[7]Electric
Pl Replace
n Other
I I Solar
I I Solid
U Steam
I I Suppl.
() Direct Vent
~ PJC I
I I Con. Bumer I
. Not Applicable
U Vent
. Not Applicable
. Other
Value
Value
Use/Nature SFRI Replace PJC - EIV provided by Bowman Elect.
ofWork
$1,800.00
Plan Approval - $0.00
Permit Fee Paid
$32.00
Fees: Valuation
Issued By:
Date 05/17/2006
D Permit Voided I
Parcelld # 1321910000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
AgenUOwner
Address
PO BOX 2264
OSHKOSH
WI 64903 - 2264 Telephone Number
(920) 231-5530
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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OJHKOfH
ON '" WAm
ChyofOshkosh
Division ofInsp,"ion SoM'"
215 Ch""h Av'nu,
PO Box 1130
Oshkosh WI 54903-1130
Offi" 920-236-5050
Fox 920-236-5084
Electric Installation Verification
I (We)
Dc)(-v~V'... E lc..Jr-ì<-. i-¿ L
(Electrical Contractor Name)
9/4 1/) J). ti- k Oslcl,(j)s,k INK :; Ljj-ðL
(Address) (City) (State) (Zip Code)
have been contracted to perfonn electric installation work for ~\I\(\D~~ 1'\ ^ 0. (),
(Name of party contracted to)
at the following address:
\:::Fh<J¡ M ~~ ~ J\J
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
l
Reconnection 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.
Reconnection 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 permit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances / fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual sy.~tems in B duplex or condoIPiI1Ï1.!..'TI), including required service
electrical outlets.
Other
The value oft11Ïs work is $ \so-(::()
I hereby verify t11Ïs work will be perfonned by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
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(Signature of Company Officer)
¿hed iJDw;n",-Yl
(print Name of Officer)
6\<\\0\.0
(Date)
5/02