HomeMy WebLinkAbout0120888-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 620 E CUSTER AVE
CITY OF OSHKOSH
No 120888
HVAC PERMIT - APPLICATION AND RECORD
Owner DIANE L HALBACH
Create Date 08/0212006
Contractor STEINBRUNER HEATING & COOLING
Fuel ~-~ UOil
System o New ..--1
U Forced..~ U Radiant
U Elec.!i~_=:=J U Hot Water
Chimney Type ill~l]1~ey A C) Chimney B
Heat Loss LL..~ Approved () Existing
BTU Rate D-~ P~r Plan () Variable
Category 501 - Residential-Air Conditioning Plan
U Solar U Solid
o Other
~--=:=J U Vent
U Con. Burner I
. Not Applicable ~
~ Electric
~ Replace
U Steam
U Suppl.
o Direct Vent
. Not Applicable
J Other
Use/Nature FR / REPLACE Alc, EIV PROVIDED BY SECKAR ELECTRIC
of Work
Value
Value
Fees: Valuation ____ $1,500..:00
Issued By: S VY'\ ~
Plan Approval
$0.00
Permit Fee Paid
$32.50
Date 0810212006
o Permit V~ided I
Parcelld # 1507490000
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 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.
07/05/2005 10:25
19204251890
STEINBRUNER HEATING:
PAGE 05
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Electric Installation Verilicatl D
r (We)
~c,[;ar S{e,-k"
(Electrical Contractor Name)
have been c~ntracted to perfonn electric installation work for
at the folloWing address: I A 2a cr. (> -li ~ 4r-~-r-"'---
I (Address where work will be p
The nature dfthe work consists of: (Check One or Describe the N:lt o I Work)
~ : R.econnection or new circuit for replactm1ent Heating PI t and/or Ale Condenser. .
~ . Reconnection or new circuit fOT replacement Electric W ter Heater or power "entad
I water h~atcr.
_ 'Recoxmectlon of the Setvice Entrance Cable, Meter Box alterations to receptacles
. and lighting fixtures due to siding I soffit installlltiO~ Note: New Service
! Entrance Cables will require a separate pernlit.
IReconnectjon or new circuit for the replacement of oth permanently wired
i applian,es I fixtures.
INew circuit fur the addition of Ale to an individual dwc 'brg unit (house or the
I individual systems .in a duplex or condominium). inc uding required service
j electric-.a1 outlets.
piher
!
I
i ?
The value ()f~his work is $
i
I hereby veri& this work will be performed by an employee of this co pany and further verify
the reconnc:::ctlon I installation win be done in compliance with manufi turer and Electric code
requiremen ts.l
" J~
(Signature of Company Officer)
(c<"KL. ~~.r
(Print Name of Officer)
& - S--O c...
(Date)
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