HomeMy WebLinkAbout0120730 H
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OSHKOSH
ON THE WATER
Job Address 3020 LAKE REST LN
CITY OF OSHKOSH
No 120730
HVAC PERMIT -APPLICATION AND RECORD
Owner THOMAS L GERTH
Create Date 07/25/2006
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System D New
l!::J Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A () Chimney B
Heat Loss K:) As Approved () Existing
BTU Rate K:) As Per Plan () Variable
U Solar U Solid
D Other
l!::J AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / REPLACE FURNACE AND AlC, EIV PROVIDED BY ELECTRICAL CONSTRUCTION SERVICES LLC
of Work
Fees: Valuation
Issued By: iirnLd
$3,200.00
Plan Approval
$0.00
Permit Fee Paid
$58.00
Date 07/25/2006
D Permit Voided I
Parcelld # 1415620000
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
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901 - 0
Telephone Number 235-1523
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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(,f,f;'....-',
Cil't' of Oshkosh
Di;'iskm of Inspecdon Services
2i5 Church Avenue
PO Box 1130
Oshkosh W1 54903.1130
Office 920~236-5050
Fax 920.236.5024
JUl 2 5 2006
DATE
Electric Installation Verification
I (Vve)
have been contracted to perform electric installation work for _.('1;t:/t2tL. ~Llz:?_~)f/t-
(Name of party contracted to)
at the following address: ~O S O~~~_~q.0~ ___.____..____"
(Address where work will be performed)
:,.>:'
The nature of the \-vork consists of: (Check One or Describe the Nature of Work)
.~. Reconnection or nc\-v circuit for replacement Heating Plant and/orA/C Condenser.
Recop..uection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection afthe Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables wiII require a separate pennit
Reconnection or nevI circuit for the replacement of other permanently wired
appliances / fixtures.
Nc\v circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
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The value of this work is $__LQCI. f5?~_..
I hereby verify this work will be perfonned by an employee ofthi5 company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric. code
reqmremems.
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. ',-;'~C"$')'~'~\>"'"'~. \.~)1,;~
(Print Name of Officer)
"tft{f" ") /. ... I.
r'~~i~S:LQ.'____._._
(Date)
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