HomeMy WebLinkAbout0083218-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1285 HURON CT
CITY OF OSHKOSH
No
83218
HV AC PERMIT - APPLICATION AND RECORD
Owner ROGER D SHAW
Create Date 12/04/2000
Contractor DRUCK'S PLBG & HTG & CLG
Category 500 - Residential-Heating & Ventilating
Plan
System
1""'1 Gas
1 1 New
l~ forced Air
I 1 Electric
Chimney Type r) Chimney A
1 UII
1 1 Solar 1 1 Solid
I. I Uther
U AlC I U Vent
1 1 Con. Burner 1
e ) Not Applicable
Heat Loss
r ) As Approved
r ) As Per Plan
U Kadlant
I 1 Hot Water
. Chimney I::l
. EXisting
e ) Variable
1 Electric
1""'1 Replace
U Steam
I 1 Suppl.
e ) Ulrect Vent
.1
Fuel
BTU Rate
e ) Not Applicable
. Uther
Value
Value 60,000
UselNature
of Work
Fees: Valuation $2,380.00
Issued By: ~m ~
~
Plan Approval
$0.00
Permit Fee Paid
$41.00
Date 12/04/2000
Qermlt VOided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
AgenUOwner
Address
504 3RD ST POBOX 355
MENASHA
WI 54952 - 0
Telephone Number (920) 426-2654
11/08/00 14:43 FAX 920 236 7725
11/08/06 11: 40 FAX T220ft51
- Solar Electric
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HOT WATER
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SUPPL .
CON. BUR1dUt
xs ~ :a&.n:G t.nnm"v' tlZnR S:tZE MANUP~
JiIQCIU .&l.l t:himD.ey& ebaU );Ie dzea filer t;he STa'e heiq ve:!.e4.
:::;n" AS u:::.= A :t::-: ~"::LB =-
aw ~ AS PEa PIoAli VAA~MI.B 01"BEn\V'.t\LUB~"btt:NJ
HATOU 01' WOJUt:
~1JB ttuclud:i.ng- labor and ma't.er:La1.a)
m.cn:rCAI. c:om'ItAC'l'OR. (;(,. -E~~
Slectri.cal ust:al.lation of new/replaceMent. equipllle'l:L
ecm~et:OTS .
Val.uat:1.0n.
e~~ ~
1.1 ]::>> d.c=e )q 1.f..ceu.84
$0 to $1~ODO.OO
.rlll! ....___..______......._
~
$20.00
$l,OClO~Ol to $10,000.00 ......... . , ....$;iO.DO ~Q't: t'i.~t
$1, ODO. 00 p1.u8 $1.50 pe;r $100.00 valua.t:Lon or par't:- :I!
$1.0,OQO.Ol too $25,000.00__ I ....$"1.55.00 :for :fiz:w't:. :
$~O,OOO.OO plus $1.00 per $~OO.OO valua~ion g: ~
OVe::: .$25,000.00_.. .......,_... _$:105.00 p1.ua $0.5
per $~OO_OO valuaeion or ~
. Submi.t paynl.ent With applic:aeion. Failure to pay w.itl:l.in 30 dAy. ...:1.11 reaw.t:. .sa
fees be;i.ng ,'doubled or $'100.00 pl.ue the normal tJl!!t.:!:"ntie fee, which sver .18
sreater.