HomeMy WebLinkAbout0120296-HVAC (furnace; a/c)
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OSHKOSH
Ol'iTHE WATER
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Job Address 1609 ELMWOOD AVE
CITY OF OSHKOSH
No 120296
HVAC PERMIT -APPLICATION AND RECORD
Owner KELLY/SARA JO SAMPLES
Create Date 06/29/2006
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat loss D As Approved . Existing
BTU Rate ~) As Per Plan C) Variable
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
. Direct Vent () Not Applicable
C) Not Applicable Value
. Other Value
Use/Nature JSFR / REPLACE EXISTING FURNACE AND AlC, EIV PROVIDED BY SOLAR ELECTRIC
of Work
Fees: Valuation W74.OO
Issued By: ~ ~
Plan Approval
$0.00
Permit Fee Paid
$110.00
Date 06/29/2006
o Permit Voided I
Parcelld # 1200940000
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 perform the work
described in this R rmit application w' I an ea ement, the City strongly urges the permit applicant to contact the easement
holder(s) and to re ny neces ary pro s before starting such activity. / I
Signature Date t,,! LEI Lf20
Agent/Owner
OSHKOSH
WI 54901 - 0
Telephone Number 920-235-6951
Address
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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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J!.N-19-2006 21: 46 FROM: r..JESL~ f-EATING
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(920) 235-6951
TO: 2367725
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City ufOitlkosh
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Electric Installation Verification
" ~ '1- J ~. ~ \. ~
". I (We) ~}..~..,. ~ ~:J\,~"-.~ )
(Electrical Contractor Name)
C"'\~'\J~~~. ~~~" ~'-.. ~
(Address) (City) (State) (Zip Code)
have been """""* to pedlmn cl<:clric inslaIlaliOll wod< for \~" "~~;;J1:~ ~~
(Name 0 ) '---J
at the fonowing address: \\ .~~ ~ '- ~\ .."'""-~ ~~"
. (Address where work will. be perfonned)
The nature of the work consists of: (Check One or Describe the. Nature of Work)
..:b...... Reconnection or new circuit for replatement Heating Plant and/or Ale Condenser.
Reconnection or new oircuit for replacement Electric Water Heater orpoWeT vented
water heater.
RecQMection of the Service Entrance Cable., Meter Box, alterations to receptacles
and lighting. fixtures due to liiding I soffit installation. Note: New Sexvice
Entrance Cables will reqt.lire a separate pmnit.
Reoonnection or new circuit for the replacement of other pemumently wired
appliances I fixtures.
New circuit for the addition of Ale to an individu.al dwelling unit (house or the
individual systems in a duplex or eondominiunl). including required ~erviee
electrical oudets.
Other
The value of this work is $ /#----
.
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation wiH be done in compliance with manufacturer and Electric code
requirements.
~1f(Jp.~ C-/f!4t'Y
(Print Name of Officer) tDRte
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