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OSHKOSH
ON THE WATER
Job Address 1310 IOWA ST
CITY OF OSHKOSH
No
119672
HVAC PERMIT - APPLICATION AND RECORD
OWner
RICHARD L WOKOSIN
Create Date OS/24/2006
Plan
Contractor DRUCKS PLUMBING & HEATING CO IN(
I I Gas UOil
Fuel
System [7] New
U Forced Air U Radiant
LI Eleclric I 1 Hot Water
Chimney Type [)Chimney A () Chimney B
Heat Loss U As Approved () Exisllng
BTU Rate K) As Per Plan ( ) Variable
Category 501 - Residential-Air Conditioning
1"'1 Electric
n Replace
U Steam
I I Suppl.
I I Solar
I 1 Solid
n Other
( ) Direct Vent
~ AlC I
1 I Con. Burner 1
. Not Applicable
U Vent
. Not Applicable
. Other -_--.--J
Value
Value
Use/Nature SFRIlnstall AlC - EIV provided by Triumph Elect.
of Work
$3,091.00
Plan Approval
$0.00
Permit Fee Paid
$51.50
Date OS/24/2006
Fees: Valuation
Issued By:
D Permit Voided I
Parcelld # 0904120000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
POBOX 355
MENASHA
WI 54952 -355
Telephone Number
920-426-2654
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Penmit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
. On/18/o6 oa: 10 FAX TUoMi
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Electric.lnstallation Verification
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(Electrical Contractor Name)
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(Address) (City) (State) (Zip Code)
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(Name ofparty contracted to)
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(Address where work will be pmQX'IJ:\ed)
The na.t.Uxe of the work cO1\lli$ts of: (Ch=k One or Describe the Nature ofWorlc)
at the tOIlðwing address:
¡'bID
~ RflC91mlst!iefJ M new o:ircuit for repJacoment ijøatÞ;¡g ffl,1IIJi MlÜIr AlC Condenser.
- R¡;¡:;o:onection or new circuit for rep]a¡:ettlet1.t Blec1rlc Water Heater.
Reç~ of tbe Service Entrance CahIll, Meter Box, alterations to receplaCles and
lighting fixt1.Q"eS due to siding I soffit instaUalion- Note: New Servìce En11'ance
Cables will require a. separate permit.
- 'R~on or new circ:uit for otber pemlìlnent!.y wired appli_1 fixtures..
Other '
The "~ue of this work is $ Ò () II, U \)
1 hereby verifY this work will be pe.rfonned by an employee oftbis company and further verifY the
rec:onnection I instal1a¡ÎOo wiU 1)e done in compliance witb mm¡ufac:tu.rer and Electric code
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