HomeMy WebLinkAbout0120893-HVAC (boiler)
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OSHKOSH
.ON THE WATER
Job Address 644 AMHERST AVE
CITY OF OSHKOSH
No 120893
HVAC PERMIT - APPLICATION AND RECORD
Owner PATRICK C MAYERL
Create Date 0.8/0.21200.6
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas IJ Oil
System o New
U Forced Air U Radiant
U Electric ~ Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 50.0. - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
I I Con. Burner
U Electric
~ Replace
U Steam
I I Suppl.
. Direct Vent C) Not Applicable
() Not Applicable =:=]
. Other ~
Use/Nature ISFR /INSTALL HOT WATER BOILER, EIV PROVIDED BY SLIM'S ELECTRIC
of Work I
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Value
Value
Fees: Valuation $7,965.0.0.
Issued By: Srr::Jl~
Plan Approval
$0..0.0
Permit Fee Paid
$130..0.0.
Date 0.810.21200.6
D Permit Voided I
Parcelld # 0.70.2850.0.0.0.
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
Agent/Owner
Address
PO BOX 2264
OSHKOSH
WI 5490.3 - 2264 Telephone Number (920.) 231-5530.
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.
(t)
~
Cily QfOlhkoth
Divisicm ofllllpection Sel'Yicn
:llS Chu&oeh ,,_
PO Box 1130
OI/Ikash WI 54903-1130
<lIIIoe 920.236-S050
Fax 920-236-5084
RECEIVED
AUG 0 2 2006 ]
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COMMl' i Tt DEVELOPM
Electric Installation V enliCit~t
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have beeo <XlI!1%aCtcd to perfunn eleetric iostalIation work lbr ~ ~ .9
" (Name of party contr to)
at the following address: \ d-\ t\ Cl..n-\~~
(Address where work will be performed)
I (We)
The nature of the work consists of: (Check One or Describe the Nature of Work)
--A-
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection oftbe Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
EntraJlce Cables will require a separate permit.
Reoonnection or new circuit for the replacement of other permanently wired
appliances 1 fixtures.
New circuit for the addition of Ale to an indiVidual dwelling unit (house or the
individual systems in a duplex or condominium), including n:quired service
electrical outlets.
Other
The value oftms wolk is $ a<;a > CJ..).
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
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L?h'v I L) A )1,:,r lyfA
(Print Name of om
~\\\o~
(Date)
5102