HomeMy WebLinkAbout0120560-HVAC (a/c)
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OSHKOSH
'ON THE WATER
CITY OF OSHKOSH
No
120560
HVAC PERMIT -APPLICATION AND RECORD
Job Address 760 CHRISTIAN DR
OWner ALAN UKARLA E EDELBURN
Create Date 07/17/2006
Contractor MCM AIR INC
Fuel ~ Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss [) As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
D Replace
U Steam
U Suppl.
o Direct Vent
U Solar U Solid
~ Other
~ AlC U Vent
U Con. Burner
. Not Applicable
() Not Applicable
o Other
Use/Nature SFR /INSTALL NEW AlC UNIT, EIV PROVIDED BY SECKAR ELECTRIC
of Work
Value
Value
24,000
Fees: Valuation $2,150.00
Issued By: S YY\ L. )
Plan Approval
$0.00
Permit Fee Paid
$43.00
Date 07/17/2006
D Permit Voided I
Parcelld # 1250171800
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 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
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
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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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OF
ITY DEVELOPMENT
. Electric Installation Verl11cat1OD
I(We) Sec.'fj(e ~1~.lC. Lo. IIJC.
. (Etectrical Contractor Name)
~'20 C.Q.~~eY piUJ\I~~ ~b. @.rJiJao~tJe: ~ S'lc;eG,
(AddmI) (Ci (S1I.1C) (Zip Code)
b&vo been eontra.ctcd to perform eleotric inlt&l1&tioll work tor At CIA. ~
(Name ofp&ny oomnete4 to)
It the following address: 7 (tJ 0 C \r1 '{' ; ~i ,CI 0. \1\ D Y" .
(Addre&J whero wo:k will be porfoEmod)
The tWUrl o!the work ccnsiItI oe (~One orDeacribe.theNatDre ofWock)
_ Reconnection or now chcult !or roplWlmIDt HeadDa t1lZ2& aDdIor Ale C.nn.rleultr.
_ R.ccoDneotion or new clreul~ !or rep~eut Electrio Water Heater or power vented
: W&tcr bcatc:r.
_ Rcconncetioa o!thc Smicc ktrmco C&b1c. Moter Box.lltcationl to roceptacla
and Ughtina ftxtu:ca duo to IidiDa laomt m~bl1.ttoa. Note: New Set'Vic;o
Entrance Cables will require a ItpItIJo pcaniL
_ R.econnectioo or now drcu1t !or the replwcent or other permantDtly wired
app1Lmces 11ixturea. .
$ NtNI cireuit for the additioc of Ale to an tM1vldu41 chH111118 wtU (houa or the
individuall}'ltemJ in . duplex or COCdM'ftift1um), i11c1udinj required se:rvice
electrical outletJ.
Other
. .
Tho :value O!~I work is sJ 60.00
I hereby verify thiI work wUl. b. pcdormtd by an employ" olthla Mmpany and t'urtber verily
the teCOD:1QCtion I inlt&l1ation will be doni in compUmce with manu!'ac:lurer cd Electric coc1c
Rq*mcntI. .
Ji~~ /1{L
(SiiJWUre1ot Company OfIIccr)
~tW6~. 5elJ:.~
(Print Name of Officer)
7-flf-Ofc
(Date)
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