HomeMy WebLinkAbout0126378-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 803 N SAWYER ST
CITY OF OSHKOSH
No
126378
HV AC PERMIT - APPLICATION AND RECORD
Owner JUELANE F KLABUNDE
Create Date 08/20/2007
Contractor
GARTMAN MECHANICAL SERVICES
Category 500 - Residential-Heating & Ventilating
Plan
Fuel
~Gas-I U Oil U Electric :=J U Solar .-J
D New 0 Replace ______~
~orced ~ 0 Radiant U__Stea~_=_=~~ U NCJ
U_!=~~~tIic==~ IT!:i'?l.l{Vatt:l~J U__~_~EI._==== U Con~Bur':1t:lr:::]
O::~~iK:==~--aC~i~~~~=====IpJ~~CYenI=_--- ----__OJ.J~t},p.Eii.c.@~===
U~~___=_____=:I~.!!9.._=-:=-==O'_f\J'?tEpplj~'!.~e_==-~=_=: Value
U As Per Plan _ -----------.0 Variable::'=:::'--. Other=-======:::=: Value
System
U Solid
D-~th~____~J
U__~~!_____---=J
Chimney Type
Heat Loss
BTU Rate
Use/Nature !SFR /INSTALL 60,000 BTU FURNACE REPLACEMENT, EIV SIGNED BY SLIM'S ELECTRIC "debt acct
of Work.
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Fees: Valuation $3,480.00
Issued By: ~ --
Plan Approval
$0.00
Permit Fee Paid
$62.50
Date 08/21/2007
D Permit Voided I
Parcelld # 1603530000
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
!:'Q.!3_0X 2~64 ________________ OS_Ijf5Q.~t!...._____ WI _ .54903 -226<1._ Telephone Number ~~~1.231::553Q__
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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'HVAO PERMrr APPLICATION
' AU lllfbnnallo,n 'ancrbold 1:Ble,orlllJ minI be pra~lcI~d.
~l1l:l)mplolc .pl'lioaliol'lJ will no.( be prD~c:lillCd.
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(::: . : · ' Appi,callon(s) and fC:~(!I) c~n be broughi to City Hall, Rpom 2.0.5 Dr inlI!lc;.;l Lu ImlpeoUon Bervicr:s, PO Dox lln,
,1,,' I:, Oeh.koah WJ 54903-1 ns. COlnm::nclng work wJthout pcrmlt(s) wfU result in [~tS b~]ng doubl cd or Sl 00,00 plUlllb~
.~'::':' . noi'i'nAI permit foe, whf[)h CVC:r b gn:,.lllc::r. . . " I '
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tl:/ '"~j/ 'fiij.~ bdttnwoyA, , , DcbJm",y D .~, Von' " OOth" .
:t:!.~~l>;. . :,'~J.lf. LOSS, tJ~s Approved tl!@diflg ONotkpll~bl~
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Electric InstaDatloD Verification
t (We) SLIM'S ELECTRIC INC.
(EI~cal Contractor Name)
2608 Oakwood Circle Oshkosh
(Address) (City)
WI
(State)
. 54904
(Zip Code)
hllve: been contracted to perform electric installation work fo
(I of pany contracted 10)
~~~
. (Address wh,,", W - be performed)
at the fonowing addreas:
The DIltuRl of the work consists of; (Check One or DCIICI'1De the Nature of Work)
~ R.econnectiOll or new circuit for replacement Heatiq Plant and/or A!C CondCIllilC't,
R.eoonnection or new circuit for replacement Electric Water Heater or power vented
water beater.
Reconnection of the ServWe. Entrance Cable, Meter Box, alterations to receptacles
and lightina nxt'a11:5 clue to siding / soffit installation, Note; NCM Service
EDtranCIll Cllbl" will reqwre a separate permit.
~ Reocnncctiol\ at new circuit for the rep18COUlent of other permanently wired
appli81lCCS ) tbt'unls.
_ New circuit for tbc addition of Ale 10 an IlI.dMduat dwelling Wlil (house or the
individlUllaysteml in a duptex. or condominium). incluclios reqWred. service
ol.ectr1cal outlets.
Other
The value of this work ill $ dt:() l'::::/,)
I hereby verify this work will be performed by an employee of this company and fm1her verify
the reconnecticm / instaUationwill be done in eomp.li.anco with manufacturer and Electric code
rcqU1rcmCllUl.
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(Print Name of om
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