HomeMy WebLinkAbout0094430-HVAC
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OSHKOSH
ON THE WATER
Job Address 2155 HICKORY CT
CITY OF OSHKOSH
No
94430
HVAC PERMIT - APPLICATION AND RECORD
Owner CLASSIC HOMES BY KUBA
Create Date 05/16/2002
Contractor BREWER HEATING
Fuel t~ Gas UOH
System ~ New
~ Forced Air U Radiant
I t Electric l J Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss KJ As Approved () Existing
BTU Rate KJ As Per Plan () Variable
Category 502 - Residential-Both
U Electric
Plan
U Solar
U Solid
D Replace
U Steam
U Suppl.
. Direct Vent
I
D Other
~ AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
o
Value 90m BTU
Use/Nature NSFRllnstall new HVAC system.
of Work
$4,900.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$78.50
Issued By:
K\'Y'\
Date 05/16/2002
D 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 N8804 N DOUGLAS STREET
RIPON
WI 54971 - 0
Telephone Number (920)748-6494
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OWNER
CIRCLE ALL APPLICABLE
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iJjULTI -FJ:J'fJILY
COJ'.'lHEPCIAL
INDUSTRIA.I.,
ELECTRIC
SOLp~'R.
SOl.,ID
SYSTEH
REPI.,p.CE
OTHER
TYPE .-
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~R"CE~
P..F...D IpJ~T
STEAl\']
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VENT
ELECTRIC
HOT 11;TATER
SUPPL.
CO)";. BURNER
IS CHIMl~EY BEING LI~ED LINER SIZE
Note: All chimneys shell be sized per the BTUJs being vented.
j\'lPJilLJFp.CTURER
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
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OTHER
HEAT LOSS
AS APPROVED
EXISTING
NOT 1'.PPLICl'..BLE
OTHER VP..'.LU~ 9tj cfYIJ p1Yl ~J
BTU RATE
AS PER PLJ'..J.\J
\i J'.."",l\.lp...B LE
NATIJRE OF WORK:
VALUE (Including labor and materials) $ L.('ftJi:J '.-
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ELECTRICAL CONTRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
Fees
$ 0 to $1, 000 . 0 0................................................................................................,......................................$20. 00
$1 J 000 . 01 to $10, 000 . 0 0...............................................................................................................$20. 00 for firs t
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,.000. 9~ to $25,000. OO..,''i.;,.........."........................;'';..~.....;............!.......................................$155. 00 for first
$10,000.00 pl-qp. $~.,OO per $100.00 valuation or part thereof
Over $ 2:' , 000 . 0 0 ...............................................................................................~......................................$3 05 . 00 plus $ 0 . 50
per $100.00' valuation or part thereof
· Submit payment with application. Failure to pay within 30 days will result in
fees being doubled Or $100.00 plus the normal permit fee, whicb ever is
greater.