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0132157-HVAC (furnace & a/c)
CITY OF OSHKOSH No 132157 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1530 JEFFERSON ST Owner CAROL S JOUBERT Create Date 08/11/2008 Contractor GARTMAN MECHANICAL SERVICES 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 N'ot Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature of Work .FR /Replace furnace & a/c. Install 3" chimney liner. EIV signed by Slim's' Electric. "debit acct Fees: Valuation Issued By: Plan Approval $0.00 Permit Fee Paid $91.00 Date 08/11/2008 ^ Permit Voided Parcel Id # 1505600000 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 PO BOX 2264 OSHKOSH WI 54903 _2264 Telephone Number (920) 231-5530 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. G-08-2008 0252 PM P. O1/11 (; itv of Oshkosh 1]~~•i ;ray t;.;~:es~e.c:fian , 4,..~,;..-. ' ~~ I ~-- `~. / _ 1'hc~nc fl2U) 2 ~G-SUSU J~~_/.^ }-'ax (~20) 2s6-50$4 C~~~'•_If\~~.~I• ~jr:•T~:F ~J:.~rR HVAC p~t~MIT A~PI_IC;A1'IC71~ All inforrnEtion afar hold categories irl,st be pre~~ided ]ncor,~plete al~plicatians will r,oc he processed, • Application(s) and fiefs) c;ah be L~ruuaht to Cit~-':llall; k.Uc)iit ^0:~ ~:• utaileu ;~, l7~shec'lipr; S4rviccS, NO F3ox 1128, C7shkosh ~'1 54903-1128, Commencing ~~r~ri. H-i~h~>>.~t rerntit(s) ~~~ill result in fees u~in; doubled or S]OU•UO rlus the normal permit fee, which ever is g~ESter. /f~ni.r ore. a eu•Uxacly~cr!-17~'iDarfl7~_,~,r?_Ihe Aej.n~.i•r, re_ACCVi!r?1_~i,_s-en~ Unfl i?4~'e t?c?~.t~a~•^•te~j~ncls. ch-g.c•k herE, i vOZr titi'anr this processed rlor u h oerr• accoa~»r, "'" Advisorti- -nor apiplirable project's, an Electrical installatic~t~ Vcrflit'atinu (1-;1V) form, sinned U}' the Electrical Contractor or homeowner (fur installatiuns allo~~ed to be pcr.!'a~'»aed l)}• the l)ugteo~-,~er) must be suUmitGed with the permit application. Applications suUmitted without an k 1V ti~~heti stick is rcquir.cd, will trot be processed for Perniit Issuance and v~rill be returned fur comltlet:ioxt. JOB ADDRESS_.- ~ `~ ~ O ~~' ~-~•~-~ ,~~ r; ~,,,.'.,_ 0 -. c. 1 ~ ~ ~ E,.~ CONTRACTOR G f ~k-,~ f ~n C ~ ~ ___w,,..~ CHECK E~ ALL APPLICABLE t15E CATEGORY Qif3'!'ngle Family ^Uuplex ^Multi-Family FUEL as ^Elactric ^Solid ©oit Solar ^Rental ^Comnzercial SYSTEl1'1 p1~Tew ^ Other CJlndustrial C~Rgp'lace TY orc~d Air QRadiant ^Steam ~ ^Vent ^Electric ^Hat ~~'ater ^Suppl. ^Can. Burner IS CHIMNEX BEING I,I]~IrD ^)\'o [A'i es - T..1NER SIZE .~ ~/ & MA?~11F~1CTURER~ ~~ fC~,lr~/' Note; AlJ chimne~~s shall be sized per the BTU's being vented, ~ CHIIYGNEY TYPE ^Chimney A ^Chitnney B l~ect Vent ^Uther H)/AT LOSS ^.As Approved ~xistinry ^Not Applica~,le BTU RAT1=~ CJAs Per Ylan ^Variable ~er Value ~„•~.~ GGO_~_ -' 77! -"/ DESCRIPTTO?~ /SCOPE OF ALL'~~?ORK BEING DONE ~r!~,/a r..~, ~~.,,~,.~-~`ry~-;~+a cr ~'_.~ ~ C VALUE (Including labor and materials) ,~, .~ ~'~ D • ~ ~~ • I ' ELECTRICAL CO;\'TRAC;TOR (for protects nut requiring an EIV Forn-,1 ~.~if.-~ ~' LG ~~' [.,.~r~•'~~;..~~..._ p~/~i AUG-08-2008 02 52 PM u~o Electric In~taliation c ~ 1~:a..ohA~.... Po aoK nw o~ wi s~sa3. anb. rmueao~o Fn V10.~4SON Verification i(We) SLIM'S ELECTRIC INC. (]?lactrical Contractor Name) P. 02/11 d Circle Oshkosh WI 54904 () (Zip Code) have bewt contracted to perf'ozm electric installation work for ~~~ ~~ ~,~'~ (Name of party contracted to) at the following address: ~53 ~ Ste. ~•~ t~,•~ (Address where work will be pedormod) The nature of the work conaista og (Check One or Aesctibe the Nature of Work) _~,,, Raooroteccioa or new circuit !or replacement Hosting Plant and/or A/C Condenser. Raconneotion or ae~av circuit fbr repl$oement Fslactric Water Heater or power vented water heater. Reconnection of the Service ~~ranee Cable, Meror ]3ox~ alta~stioas to receptacles and lighting fixtures duo to ceding / wfflt installation. Note: New 3ervioe Entrance Cables will require a separate permit. ,__,_ ]teoonnection ar saw circuit for the repiacem~mtt of other part:tanesttly wired app}iances I ;thtturo~t. New circuit Ru ttu addition of A/C to em lnGttrldaal ahvelling unit (house or rbe individual systems to a duplecc or condoeainioun), iuclttding t~oquir'ed eaarvioe electrical outlets. Other 'The vshie of this wotic is $ I hareby verify this wank wi31 be performed by an etnployx of this oompatty and further verify thereconnection / inatsllatian will be done in compliance with manufactarer and Electric code roquiramauta. (Signature of Comp cea) j~~/~/9 va ir~/l 0 ~ t70 (Print Name of Ofl`i sros