HomeMy WebLinkAbout0127974-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1100 CEAPE AVE
CITY OF OSHKOSH
No
127974
HV AC PERMIT - APPLICATION AND RECORD
Owner DANIEL J/JESSICA L RYAN
Create Date 11/27/2007
Contractor GARTMAN MECHANI9AL SERVICES Category 500 - _~~sJ~L~~~!~.HeatinJLI!<-.Y~~Qg___ Plan
Fuel ITGa~.___--.J QQ[I-:::J ITETeCfrYc--l U Solar_.===:J 0 Solid __.J
System DJ'lew ~ ~_~~~~~_~ 0 Other .J
~ Forced Air Q~dIai1t~ U Steam_:=] U AlC -~ D_Vent_.__~
U ElectriC! U Hot Water:=J U~~p~:=-~=] U Con.!3:~Q~IJ
Chimney Type . Chimney A () Chimney B ._:=:=--==O~~==~~===.~O}\jot AFPFc:a_~~._.=1
Heat Loss D As Approved . Existing ___.__U Not AeplicabJ.~:_::J Value _._______.
BTU Rate D..As Per Plan () Variable ..-===.I=Qii1er---====::J Value ___.___~.Q&().Q
Use/Nature Duplex (lower unit) / Replace furnace. EIV provided by Slim's Electric. '*DEBIT ACCT**.
of Work
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Fees: Valuation ___~b.270,Q()
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$44.~0
Date 11/28/2007
o Permit Voided '
._~--_._-----_._._---~
Parcelld # 0802700000
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
!~2.()L2.~'1.~~_.
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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.
NOV-26-2007 11:43 AM
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'HYAC PERMIT APPLfCATION
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NOV-26-2007 11: 43 AM
P.04/04
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DiYlIloDof~ 6cr\rkltt
::1. ChoDoll A_
Jl() Boll 1130
OIllmIh WI $49tlJ-lIJlO
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Fu. O2O-2Uo!Ol.
Electric lost.RatioD VerlficatioD
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SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh
(Address) (City)
WI
(StBtO)
54904
(Zip Code)
have bem CODtraeted to perform electric insta11atiM work for ~ ~
(Name of party contracted to)
\\00 ~
(Address wbere work will be perfonn<<l)
at tbe following address:
The ~ aCthe work oonsiSts. or. (Check One or Deaen.. the Nature of Work)
~ Reconnection or new circuit for faptacemant Hcatin& Plant and/or AIC Condenser.
R.ClCODncction or new circuit fur replacement Electric Water Helter or power vented
warM hoater.
RecolllK'J(:tion of the Service Entrance Cable.. MctcIr Bc>>:. alterations to receptacles
and lighting fixtures due to siding IlOffit installation. Note: Nmv Service
Emnmce Cables will require a SGp&rate permit.
Reoonncction or new circllit for the replacement of other permanently wired
appliances I fixtures.
New ciJ:cuitfor the &4ditton of Ale to an mdMdual dwelling uni, (houl~ or the
individual systems in a dup!ex or condominium). includiq required eorvice
electrical outlets.
Other
The value of this work is SJS(':) ( '"1')
J hereby verify this work will be perfonned by an employee of this company aDd further verify
the r",onnoorion / installation will be done in compliaDcl' with manufacturer and Electric code
rcquin:ancot.!l.
J)dv I i') -4 ~'::J~ /,,/4
(Print Name of om
\t~~Dl
(Date)
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