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OSHKOSH
ON THE WATER
Job Address 360 LILAC ST
CITY OF OSHKOSH
No
122581
HVAC PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES
Create Date 09/14/2006
Contractor AMERICAN HEATING & A C CO
Fuel ~I Gas UOil
System ~ New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A C) Chimney B
Heat Loss U As Approved () Existing
BTU Rate U As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
OSUppl.
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
C) Not Applicable
. Not Applicable
. Other
Value
Value
75,000 BTU
Use/Nature NSFRI New single family 1 story, 2 car attached garage and 14' x14' concrete patio.
of Work
Fees: Valuation
$5,000.00
Plan Approval
$0.00
Permit Fee Paid
$85.00
Issued By:
Date 11/16/2006
o Permit Voided I
Parcelld # 0611630400
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
1129 MICHIGAN AVE
OSHKOSH
WI 54902 - 0
Telephone Number 235-8090
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.
City of Ushkosh
Uivision of Inspec�ion Scrviccs �
�O. I3ox 1130 �
hkosh, WI 54901-I130 ��
rhunc (920) 21G-5050
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ON 1uF WAiFR
HVAC PERMIT APPLICATiON
NI in(ormation aRer hold c�egories must be provided.
Incomple�e applicatiuns will not be processed.
• Application(s) and fee(s) can bc hrought to ('ity !Inll, Ruom 20S or mailed to Inspection Serviccs, PO Box 1128,
Oshkosh WI 54903-1128. ('ommcncing work ��i�honl permil(s) �vill msull in (ees bring doubled or $100.00 plu5 the
normal permit fce, which cvcr is grcatcr.
oa
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�iF. ('A'1'F.GORY
�Singlc Family ❑I)uplcx OMul�i-Family ❑Rcnlal ❑('onimcrcial ❑Industrial
i t�F.l. �p(�as ❑filcctric ❑S��lid til'S"1'F:�I �cw ❑keplacc
❑C)il ❑Sular ❑Uthcr
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Porced Air ORadiant OStcam ❑A/(' O\lcnl OI:Icclric Clllu[ 1Wa�ci C_]Suppl.❑(�on. 13umcr �
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IS CIIINNFY T3FING ►,INF.11 �No Ol'cs LINf'.K tiIZIf �@ MnNUPAc'I�UiZIIR____�� �
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Nn�e�. nll cldmneys shall be sized per the Rl�l�'s heu�e vemed. � �
CHIMNF.Y 7'YPE �Chimney A ❑('himncy R )irect Vent ❑Other \�
HF.AT LOSS ❑As Approved ❑Lsic�in� �1ut A�,�,Iicahlc
l3'�lI RATF, ❑ns !'cr Plan ❑V�n,�hlc �hhcr \'aluc _ __7��00_(�t(/._�G�d�9-C�
UF.SCRIP"I IUN OF A1.1, �VORK IlF:ING DONF._. �tf/I _�,�,�gr,e �,,,a
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/r�VALI�F, (lncluding labor and all matcri:ils includin� li�;ht (ic(urcc) `� �dQQ — �
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