HomeMy WebLinkAbout0128095-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1951 BOWEN ST
CITY OF OSHKOSH
No
128095
HVAC PERMIT - APPLICATION AND RECORD
Owner RICHARD/PAMELA AMES
Create Date 12/07/2007
Contractor ~~~r>.iI~B_I3IL~tig___________ Category ~'LQ_-}n.9:_~_Qol11_n:!.-Heiltil1g__/l._\/entil~tin_g Plan u _~________ _
Fuel ~i~:==J D=9If~::===] O}}~g~j~-====J D-s~~!::_===== DI~d -===]
System Q_t-I~,,^,-_________J [~L'3.e!Jl.<Jc~___________ __J O_()_ther
~ForcedAii~ U~~==] ~~==J 0 A/C -=-__ J O-Vent -=~==j
[l~~~ o:B~~~_J U~~PJ:_ _ _ _ J [TIon-,-~~r_n~rJ
Chimney Type IT Chimney A --,---ch-imney B _______Ct!?ire_c!-""ent__ _=:=O}io~)\peli~~~~__=
Heat Loss (LAs Approved . Existing--=~~iPJi~~===J Value ______________
BTU Rate 0 As Per Plan ()j/ariable _________Other__________J Value
Use/Nature COMM / REPLACE FURNACE, EIV SIGNED BY WITZKE ELECTRIC **check-#23886
of Work
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Fees: Valuation $2,500.00
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Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$47.50
Date 12/07/2007
o Permit Voided!
-.--- ,-------~-_.__.---_---.-I
Parcelld # 1519370200
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
1018 W SOUTH PARK AVE
OSHKOSH
WI 54902 - 0
Telephone Number
~9_20L2~?~600__
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.
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City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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OJHKOJH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account n
Job Address
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Value (Including labor and materials)
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15'0.0.-
Date It /2- 5/0 ;
Owner TOVV}
~Single Family
1.-12 I/?;
DDuplex
Contractor ~. c..." M LSCL<:(l,l (;L.,
DMulti-Family DRental DCommercial
Dlndustrial
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump 2L.
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater Local Waste
o Gas 0 Elect 0 PwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Brealcrm Sink
Sterilizer
Electric Contractor
Dent. Oper. Shamp Sink
Dip Well FlrlWst Sink
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Dmin
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.p.z. Valve Eye Wash Stn
OR DElectric Installation Verification form attached
(If Replacement)
Use I Nature of Work
1> U M P I) l '?(.. ~AfI'L &, IL
("PtL
C'/V'\.-1
Conn. Type
Size
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
7/03
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