HomeMy WebLinkAbout0091472-HVACOSHKOSH
ON THE WATER
Job Address 1300 JUDY LEE CT
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner
No 91472
Create Date 07/25/2001
Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ~/ New ~ ~ Replace ~ ~ Other
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Appligble Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
system
Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $172.50
Issued By: ~. Wl Date 11/23/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 - 2264
Telephone Number (920) 231-5530
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Aivieion of Inepeotion 6erN~p00 t`, f{,rl> ' . ,~ ;
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_ P.O, box 1130 ~ ` ~.. ~I' . ,
oehkoeh, WI s4903-1130 ~$,( '~~` ~~
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S-e ~ r ~ Pax M (9Z0) Z36-8064 , .A:.` , ~bd r, ;!, ~
Phone (9Z0) 936-5046 ,`"•~''
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CONTRACTOR ~:
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CIRCLE ALL APPLICAHL
USB CATEQORX STNC3LE FAMIh pUPhBX M11h'~'}'~~I~X, CQq~ ~ f ;, }~,1~R~11i~ .,
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SYBTEM NEW ~ RBPLACB O~'HRR ,,~
TYPE FORCED AIR ,RAUTAI~DT $TSAM,, A/C ~ .. w
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Er.ECTRIC ~;oT WA,TRR BURPt~, CONr AURt~RR y.,
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I9 CfiIMNEY HBINC~ LINBD hI~RR SIZg
Note: All chimneys shall be sized pet' khp ATIJ~q pAiR~ yelped.' „~
CHIMNEY TYPE CHIMNEY A ~ CHIMNl3Y a .~
PIR54"r , Yl~ ~ ~TH~R
HEAT L088 AS APPROVED N7fIBT~~-O X01+ A-R~'~r~C~hR~`
HTU RATE A3 PER PLAN VAR~1~ii,S ~~$~ Y~R , ~ ~`
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NATURE OF WORK:
oQ~~~-~--Q 1~~,~1 c.~ 0~ r~..v~-'.'
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VALUE (Including labor and maCerililq) ~~ '
ELECTRICAT. CONTRACTOR •
k~lectrical insr:.allation of new/repilloep~tarlt Oqu~pmenK pbpll bA done }ly }#ppp~pd
contractor~a. ,
Valua~_ion•
Feea
$ l, o o n. o ~. t o $ l o, 0 0 0. o o .............:..«...................».;.«..:.....»...«.....»..~..,....«»..,.»._.~..._,.„»,..;.$,~ Q; 0 p f Qr ~~ i ra t
• $l, oao , 06 .plus $1.50 par $~.qo , oq, val~}6}~i~~ pr ,pOr~ • ~fiareoE ,,
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~. o, o o t~ . o ~. t o $ 2 5, 0 0 0. o o ....................„.»....»....».............«.»....».».,..».»....«.»..........«............,,$ i 5 q~ O Q ~px; '~ i rH ~
$lo, 000.00 plus $1.00 par $100.Oq ygiq~(Ci.pn ,pF: ~$F~~,Cherppt
over ~2s, 000.00 ..................................................»....«...«.. »...»..».».«.......~„„»»....».~.»««....~~0~;00 P~!~0 ~~Q,50 ;~
per q~qo . oo va~1N~1~~.Ap A~ p+~r0 therep;Q ~
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• Submit payment with appli4atipq. Failure t:o Fpy Withiq 30, d#1yA W~}} reagll:.,l.q ~.;
f.ee:~ being doubled or $100..00 p~.}1A the. porplml Qexmi~ ape, whioh eyOS: ;~11