HomeMy WebLinkAbout0094530-HVAC (furnace & A/C)
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OSHKOSH
ON THE WATER
Job Address 1008 MACARTHUR RD
CITY OF OSHKOSH
No
94530
HVAC PERMIT - APPLICATION AND RECORD
Owner DAN & VESTA BURNS
Create Date 05/17/2002
Contractor E C MERRILL INC
Fuel 1,(1 Gas UOil
System ~ New
~ Forced Air U Radiant
I I Electric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate () As Per Plan . Variable
Category 502 - Residential-Both
I J Electric
~ Replace
U Steam
I I Suppl.
. Direct Vent
Plan
I I Solar
I Solid
o Other
U Vent
~ AlC
U Con. Burner
U Not Applicable
() Not Applicable
() Other
Value
o
Value
Use/Nature ISFRI Replace furnace & add a/c.
of Work
Fees: Valuation
Issued By: \( yY'"'
$6,125.00
Plan Approval
$0.00
Permit Fee Paid
$98.00
Date OS/21/2002
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 804 WITZEL AVE
OSHKOSH
WI 54902 - 5710 Telephone Number (920) 235-3600
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City of Oshkosh
Division ofInspection Services
. P.O. Box 1130
Os~osh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
/,
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. Application( s) and fee( s) can be brought to City Hall, Room 205 or mailed to Inspection Service~,. PO Box 1128,..
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus
normal permit fee, which ever is greater.
OR
jfvou are a contractor varticivatinf! in the Permit fee Account System and have adeauate funds. check [here
ifvou want this vrocessed through your account n
JOB ADDRESS
OWNER 1) AIJ
COl'\1J'RACTOR
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- DATE ?; /lsl OL
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CHECK ~ ALL APPLICABLE
USE CATEGORY
~mgle Family DDuplex DMulti-Family
o Rental
o Commercial
o Industrial
FUEL
Jj6as
DOil
~Replace
SYSTEM
DNew
o Other
DElectric DSolid
o Solar
TYPE
~rced Air DRadiant DSteam DAlC DVent DElectric pHot Water o Supp1. OCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimney B ~irect Vent o Other
HEAT LOSS DAs Approved Existing DNot Applicable
BTU RATE DAs Per Plan ra:.<rariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE ~lCij>L.-WL ~ 't:vn,u;kGq:; ~V) ~O
\A/v
VALUE (Including labor and all materials including light fiXtures) $ (;, 12S~
0"'
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~ '2..-' ...J
~v..'
vlJ
'10'
OR ~lectric Installation Verification form attached(ifReplacementj!!
Ele<:t!f:a; installation of new/replacement equipment shall be done by licensed con:1llrllctor:s.
ELECTRICAL CONTRACTOR
.3/02