HomeMy WebLinkAbout0128182-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 210 HURON AVE
CITY OF OSHKOSH
No
128182
HVAC PERMIT -APPLICATION AND RECORD
Owner CHAD M LEMIEUX
Create Date 12/17/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel .~ Gas UOH
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type () Chimney A . Chimney B
Heat Loss D As Approved . Existing
BTU Rate ,e) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Direct Vent () Not Applicable
() Not Applicable
. Other
Value
Value
45,000
Use/Nature Duplex (#210) / Replace furnace. EIV provided by Seckar Electric. **DEBIT ACCT**.
of Work
Fees: Valuation $2,000.00
Issued By: ~/;J
Plan Approval
$0.00
Permit Fee Paid
$40.00
Date 12/17/2007
D Permit Voided I
Parcelld # 1504370000
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.
12/17/2007 11:45 19204251890
STEINBRUN~R HEATING:
PAGE 01
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WAC PERIIIT APPUCATION
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~ 12/17/2007 12:38
19204251890
STEINBRUNER HEATING:
PAGE 01
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PO Boll. 1130
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Fall. 920.23'-'*
Electric Installation Veriflcation
I (We) 't-'ELt.At:.
'Le{..~1 c: COJt..f>tctJY I tVC-.
(Electrical Contractor Name)
S~ZO CO()~eV' (>r...u,,~ ~t>~ ()JJ1J~e{)),.hJe- W)
(Address) (City) (State)
SLt1 Bf.:>
(Zip Code)
have been contracted to perfonn electric instan!~9!l work for Ji[fi AJI>e UN-eJe..
. - . ,f party contracted to)
r'
at the following address:
}. /0 ;/t<.AA7Y!
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature ofWorlc)
/ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water beater.
Rcconnection of the Service Entrance Cable. Meter Box. alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of NC to an individual dwelling unil (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
-1
The value of this work is $
i
I
I hereby verity this work will be performed by an employee of this company and further verify
the reconnecllon / installation will be done in compliance with manufacturer and Electric code
requirements:
9rd-~~'
(Signa re of Company Officer)
l?vt~ · SEuA~.
(Print Name of Officer)
,1jI'lh 7
(Date)
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