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Home My WebLink About0099964-HVAC (furnace; a/c)OSHKOSH ON THE WATER .lob Address 322 W 11TH AVE Contractor HIGGINS HEATING Fuel System Gas J ~J Oil New ~ Forced Air Electric CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Radiant Hot Water Owner WILLIAM M AKAN Category 502- Residential-Both L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~ ChimneyA Heat Loss I~ As Approved BTU Rate I~ As Per Plan Chimney B ~ Existing ~ Variable Direct Vent Not Applicable Not Applicable Other Value Value No Create Date Plan L~ Solid 99964 02/26/2003 Other J Vent J Use/Nature of Work Replacing furnace and a/c. Fees: Valuation Issued By: $5,396.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $86.00 Date 02/26/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 9590 N Oakwood Ave Oshkosh WI 54901 -0 Telephone Number 920-231-4039 OSHKOSH ON THE WATER Job Address 322 W 11TH AVE Contractor HIGGINS HEATING Fuel [] Gas ] System [] New CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD L~ Forced Air [] Electric Owner WILLIAM M AKAN Category 502 - Residential-Both [~' Oil 1 [] Electric I [] Replace b-J Radiant I ~_J Steam [] HotWater 1 [] Suppl. [] Solar L~ NC [] Con. Burner Chimney Type ~ Chimney A ~.~ Chimney B ~11 Direct Vent ~ Not Applicable I Heat Loss ~ As Approved (~ Existing ~I Not Applicable J Value BTU Rate ~ As Per Plan ~ Variable O Other J Value No 99964 Create Date 02/26/2003 Plan [] Solid 1 [] Other I Vent J Use/Nature of Work IFF{/ Replacing furnace and a/c. Fees: Valuation $5,396.00 plan Approval Issued By: (~~ $0.00 Permit Fee Paid [] Permit Voided J $86.00 Date 02/26/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature ~.. ,/~/--e.~ //"~"~ Agent/Owner Address 9590 N Oakwood Ave Oshkosh WI 54901 - 0 Telephone Number 920-231-4039 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O/HKO/H ON THE WATER 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 Four account N JOB AImm ss ? g Z .5'77. OWNER .~'~/~ ~ CONTRACTOR // CIq'ECK [] ALL APPLICABLE U~S~ATEGORY [13'Single Family FlDuplex F1Multi-Family FUEL ~Gas FIElectric F1Solid FlOil [3Solar ~rorcedAir F1Radiant [3Steam ~C []Vent IS CHIMNEY BEING LINED I-1No ~es - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE HEAT LOSS BTU RATE [3 Chimney A [3As Approved •As Per Plan []Chimney B []Existing HVariable DESCRIPTION OF ALL WORK BEING DONE l"lRental SYSTEM F1Commercial []New •Other Fllndustrial ~eplace []Electric l-iHot Water •Suppl. []Con. Burner & MANUFACTURER/nPo~'2',9~ []Direct Vent [3Not Applicable []Other Value ~tOther -¢ VALUE (Including labor and all materials including light fixtures) $ ELECTRICAL CONTRACTOR [] For applicable projects, an EleCtric Installation Verification form, signed by the Electrical contractor, muSt be attached. If not attached or not applicable, a separate Electrical Permit is required. 9/02