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HomeMy WebLinkAbout0096408-HVACOSHKOSH ON THE WATER Job Address 2313 JEFFERSON ST CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner VICKIE J VENUS No 96408 Create Date 06/25/2002 Contractor MCM AIR INC Category 502 -Residential-Both Plan Fuel / Gas Oil Electric Solar Solid System ~/ New ~ ~ Replace ~ ~ Other / Forced Air Radiant Steam A/C Vent Electric Hot Water Suppl. Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value 0 BTU Rate As Per Plan Variable Other Value Use/Nature of Work btu Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid Issued By: [~~ Permit Voided Date 08/05/2002 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date $72.50 Agent/Owner Address 6122 COUNTY ROAD M WINNECONNE WI 54986 - 9780 Telephone Number (920) 582-4402 City of Oslilcosh Division otlnspoctloa Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-SOSO Fax (920) 236-5084 . HVAC PERMIT APPLICATION Au information after bold categazies must be pz+ovided. Incomplete applications wiU not be processed. /~'~ • Application(s) and fee(s) can be brou¢ht to City Hall, Room 20S or mailed to Inspection •Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) wil~,tx3ult in,.~'ees beiag doubled or 5100.00 plus the normal permit fee, which ever is greater. OR • . .. h _ DATE ~- 3 / - Q 2 ~ JOB ADDRESS 1 J ~ ~- ~ ~-1 ~i ' ~O ~! S T' OWNER Z~ ~ ~ J E~~~1? ~~ 6t22 t- 1~! CHECK ®ALL APPLICABLE Winneconne, W164986 E CATEGORY Single Family Duplex Multi-Family ORental OCommercial OIndustrial FUEL ~ OElectric ~ Solid SyS~M ~jy p~p~ soil OSolar • p E Forced Air ORadiant OSteam OA/C Vent OElectric Hot Water OSuppl.OCon. Burner IS CHIIVINEY BEING LINED ~No OYes - LINER SIZE, & MANUFAC'IVRER Nou: All chimneys shall be sized per•the BTU's bein,a vented CHIMNEY TYPE ~Chinmey A OChinmey B ODiroct VestOther ~ V G HEAT LOSS BAs Approved OExisting Not Applicable BTU RATE OAs Per Plan OVariable OOther Value DESCRIPTION OF ALL WORK BEING DONE_ 58 f`~ ~ 1~ 0 (o Q O , ~pO J3Tt~ FL1,~ /USG E 9` _~tJ cT-VV ©~. K _ • ~~G 1G©18 ~ SG d g i U /~G VALUE (Includln8 labor and all materiab includin8 U~ht ilstura) S '~ ~O o a ELECTRICAL CONTRACTOR ~U~ LIBELS ~ 0 Elxtrk la:tauatbs Verlileatloe torm attaehas(It i ~L~Ti~) Gl Kl Ill Eiaro.~ (~u~.uorloa of+~~.p~p~a~rTau bs sows by ~~Z 5~ 3/02