HomeMy WebLinkAbout0127640-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 1633 HICKORY ST
CITY OF OSHKOSH
No
127640
HV AC PERMIT - APPLICATION AND RECORD
Owner EILEEN E STEINER
Create Date 11/0.5/20.0.7
Contractor
STEINBRUNER HEATING & COOLING
--'---
Category 50.0. - Re~idential-Heating & Ventilating_
Plan
Fuel
~~as _~-=:=J ITOII---]
O_N~~__-~
0:I~~:=J
~Electric l
[]}lectljs:__J
~~_-------.J
U Solid
Chimney Type D Chimney A
[~L!3~E~.s:~~_______j rr()-.!h~_____.___n__:
[I.Radiant -~ U Steam -===J U ~~_===:.== D.:~~~==:==
D=~--::J u. Suppl.___~ U_~~-=[Ur-I1~!J
. Chimne~~=-r:I9~~-=-=-D::liot-AE~Ca~le ==J
._~~_~ _ W~EJ?~bl~__--=::::J Value __.________
U Variable ___~. Other _____J Value _______n_~9_'QQ9
System
BTU Rate
o As Approved
On As Per Plan
Heat Loss
__._____.__~._______n_____I
i
I
1
I
I
Use/Nature Si=RlREPLACE F-URNACE,EIV SIGNED BY SECKAR ELECTRIC **debt acct
of Work i
-.-._-----_.-.__._~---------_.._-_._._-~._-_..._---_..-.-.--.--- -.,_.._~-----_._----------'----'"--- ..-.------.--....-.-..------.----....-.
Fees: Valuation _______---.J>..?_,5DD.OQ
Issued By: ~K
Plan Approval $0..0.0.
Permit Fee Paid
$47.50.
Date 11/0.5/20.0.7
D_~errTl~t..Y.:>~d~
Parcelld # 1512880.0.0.0.
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
60.0. OREGON ST
OSHKOSH
WI 5490.2 - 0.
Telephone Number
(92Dlt\.~6-~83D __
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
11/01/2007 10:35 19204251Sg0
STEINBRUNER HEATING:
PAGE 03
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. AppliCllt1on(') and ~~ C8D be brcJUIbt fD City Ball, bOlD 205.1JI8i]cd 10 ~ Servic:o. PO Box J 128.
~ WI 54IlO3-1 28. c-.......... """"'..._ ....mil(.)..rn -.It ill - be&Is ckd>kd ... SIOO.OO phs tbo
..-J pcnnit fee, ever is pita'.
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.-ADDUS8. ~ \3 3
HVAC PERMIT APPUCAnoN
All iJrl\,..~llIo~ .. boW ~ J.IPIt be provided.
Jnccrm9'" """"-tWw wm DOt be paM c(I
CPrIt iii ALL .4PPLl
1JIJlCAT'JtGOa, Y
, I8ias1e FamilY or1ex
OMulti..Pamily
[JR.ental
oConJJn<<Cial
ClIndUJtrial
~Iace
JOEL
:paace1PTJOJll 01'
v.u.m: ~ -1- .. ___.............. _II) s .).5 Qv uO
JLECTRlCAL coNTJlA.crOR_Y""........ I1B .iIecb1C1....11dO. ,.,>.-.- ,- ,..cbed(I(~'
EI_rlI!tllItllIRJlMlon I1f~I6tP'lpmMI shllll bi tlDIf'1Iy JIi!tMRd cvr4,~'
, ;
11/01/2007 10:35
19204251890
STEINBRUNER HEATING:
PAGE .04
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ot&c 920-U6-5O.1O
Fa; 910-236--'
I (We)
lE.Le~~1 c.. COJA.etr.NV INL
(Electrical Contractor Name)
S1 11.1 tJAlf; tV> ~c..t;B
(Ad 55) (City) (State) (Zip Code)
have been CQ~tracted 10 perfonn electric installation work for .&i p/;i! ONe]!::.
I . (Name of party contraeted to)
at the followi~g address: J ~ 53 1.1; I;, Ct1d - . . .. ....
: ~ work will be performed)
The nature ofle work consists of: (Check One or Describe the Nalme of Work)
Electric Installation Verification
-t- econnection or new circuit for replacement Heating Plant and/or AlC Condenser.
econnection or new circuit for replacement Electric Water Heater or power vented
water heater.
econneetion of the Service Entrance Cable, Meter Box, alterations to receptacles
: and lighting fixtures due to siding I soffit installation. Note: New Service
. Entrance Cables will require a separate permit.
teconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
ew circuit for the addition of Ale to an individual dwelling unit (house or the
I individual systems in a duplex or condominium). including required service
1 eleCtrical outlets.
ither
\
The value Of~iS work is $_
1 hereby veri~ this work will be performed by an employee ofthis company and further verify
the r~connect on I installation will be done in compliance with manufacturer and Electric code
reqUirements.
cL,
re 4f Company Officer)
!
!
~~IS~Ae.
(Print Name of Officer)
~
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