HomeMy WebLinkAbout0119764-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1550 W BENT AVE
CITY OF OSHKOSH
No
119764
HVAC PERMIT - APPLICATION AND RECORD
Owner
SYED/MUNAZZAH HUSSAIN
Create Date 05/30/2006
Plan
Contractor STEINBRUNER HEATING & COOLING
1 I Gas I 1 Oil
Fuel
System [7] New
U Forced Air U Radiant
I I Electric 1 I Hot Water
Chimney Type [) Chimney A () Chimney B
Heat Loss K) As Approved . Existing
BTU Rate r) As Per Plan ( ) Variable
Category 501 - Residential-Air Conditioning
1"'1 Eiectric
n Replace
U Steam
I I Suppl.
I I Solar
I I Solid
n Other
. Direct Vent
[.!J AlC I
1 I Con. Burner 1
( ) Not Appiicable
UVent
( ) Not Applicabie
. Other
Value
Value
Use/Nature SFR /INSTALL 3T AlC & AIR SYSTEM & DUCT WORK EiV PROViDED BY SECKSR ELECTRIC
of Work
$5,000.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$80.00
Date 05/30/2006
Issued By:
Sr\ìW
0 Permit Voided I
Parcelld 1# 1200780000
in the performance of this work, I agree to perform ail 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
AgenUOWner
Address
600 OREGON ST
OSHKOSH
WI 54902-0
Telephone Number
(920) 426-1830
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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19204251890
STEINBRUNER HEATING:
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10 (Electrical Contractor Namei
~ ()(){A/-f"A¿'1 P[r&ØtI1-Nilc/ fJ.n
(1ddress) (City)
have been ~ontracted to perfontl electric Installation work for VI
I (N e of party contracted to
at thefo o I ing address: --L5'60 ¿J. ~..~
i (Address where work will be p rformed)
The nature ~fthe work consists of: (Check One or Describe the Na! re of Work)
.x-I Reconnection or new circuit for replacement Heating PI t and/or NC Condet'lser.
- I Reconnection or new circuit for replacement Electric W ter Heater or power vented
I water heater.
- ,Reconncction oftha Service Entrance Cable, Meter Box alterations to receptacles
! and lighting fixtl.lTes due 10 siding / soffit installotio Note: New Service
! Entrance Cables will require a se )lII'IIte pem\it.
- I Reconneclion or new circuil for the replacement of oth permanently wired
I appliances / fixtures.
- New circuit for me addition of AlC to an individual dwl' ing unit (house or the
I individual systems in a duplex or condominium), inc uding required service
r electrical outlets.
- lher
-,--
I
The value of tiS work is $ ?
I hereby veri, Ihis work will be performed by an employee oflhis co panyand further verify
the reconnect on / installation will be done in compliance with manuf;! 'turer and Electric code
requirements.
I
Electric Installation Verificat OD
(Signature of Company Officer)
I
I
Dui JI)£ SeCé;t,¿
(Print Name of OffKCi)
5/ 2.S/ 0 C.
(Date)
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