HomeMy WebLinkAbout0126303-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 3420 JACKSON ST
CITY OF OSHKOSH
No
126303
HV AC PERMIT - APPLICATION AND RECORD
Owner T&D REAL ESTATE LLC
Create Date 08/16/2007
BTU Rate
U Gas . J
Ol-Jew
U Forced AG
o=!Ie:ctric J
[[Chimney A
o As Approved
K:) As Per Plan
D~~
Category 511_ - Ind. & Comm-Air Conditioning
U _Electric _:=:J U Solar =:J
o Replace .___._~
OSteam ~ ~ NC
~~=:J U Con. Burner
Plan
Contractor
GARTMAN MECHANICAL SERVICES
==:J
-.J
l
Fuel
System
Heat Loss
U Radiant
D. Hot Water
o Chimney B
o Existing
() Variable
Chimney Type
_~Q Direct Vent
. Not Applicable
. Not Applicable
. Other
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Value
Value
Use/Nature COMM / REPLACE 5 TON FOR 1ST NC FLOOR AREA, EIV SIGNED BY SLIM'S ELECTRIC **debt acct
of Work
i
.__J
Fees: Valuation $3,700.00
Issued By: ~
Plan Approval $0.00
Permit Fee Paid ___ $65.50
Date 08/16/2007
o Permit VoidedJ
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Parcelld # 1519603901
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.
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iUG-16-2007 09:10 AM
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'HVAC PERMIT APPLiCATION
. AU ltlfDnnIltlq'j1 liner bold elle~Drle' m\.l~l b~,~m:":ld~d.
~nf;o.mplole Bpplica.tiolU will nD.' b~ procc~Ecd.
l-~<' ' .. Appifcallon(B~ arid fc~(~) caiTf b~ broughl to City HBll, Room 7-05 Df i"naih:~ ~ Inspcc(f~p Services, PODox IllB, .
., 06hkollb Wi 54903-1128. Conun:-nclng work. vyHhotJt pcnmL(s) will I17l:u)\ In f~t..S bemg dOLlb'lad Dr $1 OD,OO plUll Lh~
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Electric InstallatiDIl Verlflcation
I (We)
SLIM'S ELECTRIC INC.
(Electrical CoDtractOr Namft)
2608 Oakwood Cirgle Oshkosh WI 54904
(A.ddresl!I) (City) (Stlte) (Zip Code)
^' CJ .
have been contracted to perform. electric installation work for cJ ")(y\.-'~C: JV\Q ^ LJ~,
(Name cfpany COD~
at the following addreB8: ~oO (\r..'Won . .
(Ad~ere work will be ped'ormed)
The nature gfthe work eonsilta of: (Check One or Describe the Nature of Work)
L ReconnectiOll OJ' now ciJ'cuit for rlplacmnant Hoatin8 Plant and/or Ale CondcDllcr.
RoconnectiOll or new circuit fof replacGDleDt Electric Water Heater or power vented
willer boater.
Reconnection ofabe Service Entrance Cable. Meter Box, altem.tions to J'C(;eptllCles
and lighting fix.tures due co sidmg IlIOffit imlaUation.Note: New Service
Entnlllce Cables .wlll lIq,ufe a eepame pmnit.
Reaonnection M new circllit for the repl&eement of othet permanently wired
appliances) fixtures.
New circwt for the ad.didon of Ale to an tndMduat dwelling unit (house or the
ind],viduallyatemB in a duplex. or condominium), inchadiua *Juhed. eorvice
electrical outlets.
Olher
The value OHMS work is ~O. D J
J hereby verify this work will be perfonned by an employee oftbis company and further verify
the roconnection I instaUation will be done in complioo.ce with manufactnrer and Bteetric code
rcquirmnont!.
Q.
?/JVIP4~:J~lilA
(Print Name of om
zllG La.
(Date)
5102
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