HomeMy WebLinkAbout0123125-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1215 BAY SHORE DR
CITY OF OSHKOSH
No
123125
HVAC PERMIT -APPLICATION AND RECORD
Owner STOUGHTON PLAZA LLC
Create Date 01/08/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel l!:J Gas I J Oil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate K:) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
I
I
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
() Not Applicable
. Other
Value
Value
120,000
Use/Nature SFRI Replace furnace. EIV provided by Slim's Electric. .'DEBIT ACCT'..
of Work
Issued By:
$4,250.00
t2/?'Z:4
Plan Approval
$0.00
Permit Fee Paid
$74.50
Fees: Valuation
Date 01/08/2007
o Permit Voided I
Parcelld # 0803910000
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 54903 -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.
JAN-OB-20D7 03:59 PM
P. 02/02
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Electric Instanatlon Verification
t (We)
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Addrc5s) '(city) (Stine) (Zip Code)
have boeo _cd to perf...... electric iaItol1aUoo wodc.jbr ~.~ ~~. t{ 0-')
(Name ofp conti ted 10)
at the followinS' address: \:).\~ ~~ . ~
. ( wbere work will be performtd)
The nature oftbe workcolllislB of: (Check One or Describe tho Nature of Work.)
~
ReconnectiOD or new oircuit for rep!lCCIIJlent Heating Pl8llt and/or Ale Ccmdenaer.
Rcconnection or newcireun for replacement Electtic Water Heater or power vented
. wacerneuer.
RecaDnftOtion"ofthe Service Bntrance Cable, Meter Box. alterations to receptacles
and lighting fixtures due to tiding I soffit installation. Note: New Service
Entrance Cables will require a soparate pemtit.
RecaMection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New oircuit tor the IddJdon of Ale to I11lndMdual dwelling unit (house or the
indiviclual 8yatel!l8 in a duplex: or condominium). incJudiag roquired service
electrical outlets.
Other
The value Ofthi8 work is $ 8so .O(J .
J hereby verify this work wU! be performed by an mnploycc of this company and fwtber varlfy
the: rocannection I ins1a11ation will be done in compliance with manufacturer and Electric code
fCquirclncnbi.
OJAf#-
(Sigoature of Comp~ eel)
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72<'!'" I '2 A-y.,,,:;..-lif4
(Print Name afOm
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(Date)
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