HomeMy WebLinkAbout0102755-HVAC (install chimney liner)OSHKOSH
ON THE WATER
Job Address 508 W NEVADA AVE
STE]NBRUNER HEATING & COOLING
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
J eas I IIO"
Forced Air I b~ Radiant
Electric I I I HotWater
Owner PAMELA A MEYERS
Chimney Type ~.~ ChimneyA (~ Chimney B (,2 DirectVent
Category 500- Residential-Heating &Ventilating
F~ Electric q I IsOlar
[] Replace I
LJ Steam I LI NC
[~ Suppl. q ~' Con. Burner
~ Not Applicable
Heat Loss L} As Approved (,,} Existing
BTU Rate ~,.} As Per Plan (,.) Vadable
Not Applicable [ Value
Other I Value
No 102755
Create Date 07/09/2003
Plan
I ~T Solid I
[] Other I
LJ vent
Use/Nature ~FR/Install 3" chimney liner.
of Work
Fees: Valuation
Issued By:
$240.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$20.00
Date 07/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction,
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920) 426-1830
~ ~7/07/2003 23:88 19204261890 STEINBRU~ER HEATING: PAGE
CiD' of Oshkosh
Division of inspection Set
P.O. Box 1130
O~hkosh, WI 54903-1130
~ (920) ~36-5050
F~ (920) 23~08a
,ices
Application{s) and fL(s) can
nocma) permit fcc, w
OR
If you are a contraqto
ti you want this proce:
HVAC PERMIT APPLICATION
All infortration after bold categories must be provide
Incomplete applications will not be processed.
be brought to City Hall, Rooro 205 or mailed to Ins
Oshkosh Wl 54903-~1128. Coromenclng work without p~nit(s) will result in re.
ch cv~r is greater.
nODR SS
OWNER
co cxoR
c*Ii~CK I~l ALL APPL
~ingATEGORY
te Family UI
l-lOBs
l"]Oil
YYPE
I~Forccd Air CIRadiant
CHIMNEY BEING
Nnte: All cbi.,tmeys shall be
ection Services, PO Box 1128,
oarticioatinR in the Permit fee dccpunt ~v.tte.ov nod
iCABLE
DA
)uplcx [:]Multi-Family F1Rental r-IComm
13Ekctfi¢ ElSolid SYSTEM
I'lSolar [:]Othe
]Steam f~A/C r~vem ElElecMc mHot Water E3SuppI.E3C
,INED IqNo ElYes - LINER SIZE .~ ~' & MANUF
sized per ~e BTU's bcing vented
CI~IMNEY TYPE ]Chimney A [3Chimney B ~Direct Vent f-lC
]~AT LOSS ]As Approved I:]Existing C]Not Applicable
~'ru RATE ]As Per Plan I:]Variable FlOther Value
DESCRIPTION OF AL WORK BEING DONEe.. ~'/~-tt. [[ -.~ t,
and all material, in¢iuding light fiature~) $ c~ "/'~_Z
A~OR ~ ~ OR ~ Electric Installatiea Veri
~s be/ag doubled or $100,00 plus thc
iove adeauate funds, check here
xcial ~Industr~al
ElReplace
VALUE {Including labor
ELEC i KICAL CON'I
I~l Burner
ACTUR//R