HomeMy WebLinkAbout0093640-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 1250 HARNEY AVE
CITY OF OSHKOSH
No
93640
HVAC PERMIT - APPLICATION AND RECORD
Owner ANGELA R GAJEWSKI
Create Date 04/16/2002
Plan
Contractor WESLEY HEATING & COOLING INC
System
~ Gas
o New
~ Forced Air
I I Electric
Chimney Type K:.) Chimney A
UOil
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
I I Solar L I Solid
D Other
~ AlC U Vent
LI Con. Burner
Fuel
Heat Loss
U As Approved
K:.) As Per Plan
U Radiant
I I Hot Water
() Chimney B
. Existing
() Variable
() Not Applicable
BTU Rate
() Not Applicable
. Other
Value 0
Value 75m
Use/Nature SFRllnstall replacement furnace, new central air, and basement ductwork. *EIV form from Solar Electric for the furnace replacement.
of Work
Fees: Valuation
$6,100.00
Plan Approval
$0.00
Permit Fee Paid
$96.50
Issued By: \.z vv\
,
Date 04/16/2002
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
1736 SAL STREET
GREEN BAY
WI 54302 - 0
Telephone Number (920) 468-6951/235-E
,;~
~-03-2002 12:06PM
FROM WESLEY_HEATING 4142357550
P.2
~
OZt!$QtH
Di.vision of IM~~t:ion Sorvice$
:21 s churon Aven...e
P.O. Box 1130
~~Q$~. W~ S4903.~~~~
p~ II (920) 2~6-SM4 '
Phone (920) 23~-S04$
HVAC PERMIT APPLICATION
All fields/information after bold catego,;;,:le$ mu.st be provided.
Incomplete applications will not be processed.
DATE
/ ~ S () 1-/ ~t2.N 4'i 'I IrV e
JOB ADDRESS
OWNER ktJ'tEL.1J 6If..TG~SI<I
CON"tRAC'l'OR W t-S t..E., y HMrI rJ' f CO()(,.( 1\16
CIRCLB J\.LL APPLI~
os E CATBGORY (-S:X-~LE
~--
FAM~LY)
---
OlL
DUPLEX
MULTl-F.AMILY
COMMERCIAL
INDUSTRIAL
FUEL
eLECTRIC
~
SOLAA
SOLID
~YSTBN
@
VENT
TYPE
CON. BURNER
MANUFACTlJRSR tu.xl L-I,vtll-
OTHER
B.W RATE
AS PSR, PI.,AN
NATURE OF WORK: ~ (l~')()X 6304623-1$;), ~ t!..k-~
t:1~(.lI-'4J/JQX #S~9-oA)i ~< ~ ~,
VALUE (Includi.ng l.abor and materiab;) $ (., 100. QO
ELECTRICALCONTRACTOR SOt. ~ U e..e.r/C.( e...
Electrical installation'of new/replace~nt equipment shall 'be done ~J licensed
contractors.
~~
~
Valuation
$0 to $1, 000 . OO'.~._______~~_____'~_'~'_'__M'_"""_~'_'___"_.__._~"'..$20. .00
$1,000.01 to ~~lO, 000. OO.......m......._.................~"....................................._................................$20.00 for first
$1,000.00 plus $1. SO per $:1.00.00 valuation or part thereof
",
$10,000.01 to $25,000. OO..M._.__._....._..._~____~._____.._..._.~...____._..._$lS5. 00 for first
$10,000.00 plus $1.00 per $100.00 v~luation or part thereof
Ove r $ ~ 5 I 000 . 0 0 ....._._._._.......m_.._.._...........................m._...._..._~._......._..................................._.. '
per $100.00 val'
· Submit paY'fll.ent with applicat.ion.Failure to pay t..ithin
fees being doubled Qr $100.00 plus the normal permit fee,
greater.
is
f;'
'4-03-2002 12: 06P~v1
FROM WESLEY_HEATING 4142357550
P.3
Q4/e3/Q2 11:22 FAX S2U t36 7725
SQlar Electric
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