HomeMy WebLinkAbout0128115-HVAC (furnace; chimney liner)
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OSHKOSH
ON THE WATER
Job Address 1895 ARLINGTON DR
CITY OF OSHKOSH
No
128115
HVAC PERMIT - APPLICATION AND RECORD
Owner MARY JANE SCHOBLASKE
Create Date 12/10/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel l!:J Gas UOil
System D New
l.!"'J Forced Air U Radiant
U Electric I J Hot Water
Chimney Type () Chimney A . Chimney B
Heat Loss [) As Approved . Existing
BTU Rate U As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
I J Solar I J Solid
D Other
U AlC U Vent
U Con. Burner
U Electric
~ Replace
U Steam
U Suppl.
o Direct Vent 0 Not Applicable
o Not Applicable
. Other
Value
Value
70,000
Use/Nature SFR / Replace furnace, install 3" chimney liner. EIV provided by Seckar Electric. ""DEBIT ACCT**.
of Work
Fees:' Valuation
$2,500.00
~
Plan Approval
$0.00
Permit Fee Paid
$47.50
Issued By:
Date 12/10/2007
D Permit Voided I
Parcel Id # 1315380000
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
600 OREGON ST
OSHKOSH
WI 54902 - 0
Telephone Number (920) 426-1830
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.
12/10/2007 11:10 19204261890
STEINBRUNER HEATING:
PAGE 03
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12/10/2007 11:10
19204261890
STEINBRUNER HEATING:
PAGE 04
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Electric Installation VerlfleatioD
{(We) ~~ E:,Lec..1/Ii-Cc" .CO/AffJtJY IN~.
(Electrical contractor Name) .
5tt~ COO~. {>'-V,,~ ~r>~ /)JIAJ~ec.J),JpfI M ~4.'tB~
(Ad~) (City) (State) (Zip Code)
have been contraDtcd to perform electric installation work for ~f:.J!. ClNe7e..
~ame of party contracted to)
at the followins address: / :if ~ ~ ~
(Address where work Will bo pcdonned)
.
The nature of~e work consists of: (Check One or Deteribe the Nature of Work)
...t- Rec~on or new circuit {or replal;cmcnt Heating Plant and/or Ale Condenser.
_ ~OD or new circuit for replacement Electric Water Heater or power vClllted
. , water heater.
Rcconncction oftbc Service EntnlDCe Cable" Meter Box, altaations to recepuwles
and lighting fixtureS due to siding I soffit installation. Note: New Service
Entrance Cables will nqujJO a separate pennit.
Reconnccrion or new circuit for the replacement of other permanendy wired
. appliamces I fixtureS.
New circuit for the addition of Ale to an i1u/Ivttb.tal dwfJlling unJl (house or the '
individual systemS in a duplex or condomiDimn), including required service
eleCtrical outlets.
Other-
The value "fthi5 work i$ $
7,
..
I hereby verify this work will be perfonned by an employee of this company and further verify
lhe ~nnection I installation wiIl be done in eompHlIIlce with manufacturer and Electric code
reqUIrements.
U~om-)
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(Print Name ofOflicer)
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(Dare)
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