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HomeMy WebLinkAbout0132670- HVAC (furnace)0 CITY OF OSHKOSH No 132670 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 926 N LARK ST Owner MARLENE M DREW Create Date 09/05/2008 Contractor STEINBRUNER HEATING & COOLING Category 500 - Residential -Heating & Ventilating Plan Fuel Gas - =0il - ElectricSolar ❑ Solid SystemNew - - - ✓[� Replace j Other ❑ - - - �]✓ Forced Air Radiant J [] Steam ] A/C Vent Electric Hot Water J Supp/. [] Con. Burner Chimney Type Chimney A- Chimney B Direct Vent - 0 Not Applicable Heat Loss 0 As Approved - W Existing 0 Not Applicable Value - - BTU Rate 0 As Per Plan Variable - Other ] Value 70,000 Use/Nature SFR /REPLACE FURNACE, EIV SIGNED BY SECKAR - -- -, ELECTRIC "debt acct of Work Fees: Valuation $2,000.00_ Plan Approval $0.00 Permit Fee Paid $40.00 Issued By: -_� J ( '- Date 09/05/2008 Permit Voided Parcel Id # 1603150000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address 600 OREGON ST AgenUOwner OSHKOSH WI 54902 -0 Telephone Number (920) 426-1830 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. x 09/04/2008 10:32 19204261890 STEINBRUNER HEATING: PAGE 01 my(foldobsofillpecobasomim a PAL UK I Lim OdiNk v1 -11 0 !lNrr �Z1i�0 RK 00 2*Mft n�. HVAC MUM APPLICATION All wAerboid are0oaae>a.�t b�pev.iisA. beae�ieM ,dr.octr.p■ooreed. • Applimsion(s) wd �(s) cea� be bevug� m CS1j► X11. >6t�oom 205 er mailed b �ecmn 8etvl�a�. PO Bao 111.E odm mah Wei 54903-1 28. �rarh �wlt wA pftud *) wjM eesutt ises dbeing doted cr 1100.00 plot the =MW pm�dt ft aner fw onI _ - - .- -- A AL. .-J- -L--L L DA=—J-:--q- �-12 � CMM f d Aid., "MJL "J TMOItY i to Family p lex QMnhi-Family ❑Renta] OCovanazciel CJludusM l lD t. �6esOBlactric Mlid SYSTEM QNew &pLoe QQ<7 soler C]Otba L3Rmdisat tam CWC Mant QBlwtric DEW WNW DSt3ppl.ClC=- Burner is C y ESDIG D CINo kiv$s - L NM srla . & MANUFA I+►M Ml chwm P dwl be per the BTU's bele f veered. GAY 1YlY A B CE )km vewt OOdar MWLOM C As 11pMero*W �� �� � D. UZ�.� � �o �RAIM Pa MON OF WORK MXV40GDom � vAL= (Awkiffift trw �w my e:,rh.ues ftm ampru)3 ZO o- n D rtEC WCAL CONTRACTOB_ „.X+cL�_ )(Mod"C tees aw" veruleadoo tbrm • Rwwm�) jW�cffj hwa&ljon olwwhVhrpm"i rgmomnr skorr er dmfs by rleaves eamm mm 09/04/2008 10:32 19204261890 STEINBRUNER HEATING: PAGE 02 City of a Cerhae etion Servim 215 hus` Avsyt FOB" 1130 0040a► WI 54908-1130 Office 9262365050 n Ra 92Q-23aLfON Electric Installation 'Verification '(we) - �- �- G &GjK Y (Electrical Contractor Name) SlCaU - �v Jib (Ad ess) (City) (State) (Zip Code) have been contracted to perform electric installation work for _S7/Al/S�uA/ext , 1f party contracted to) at the following address. (Address where work will be performed) The nature o the work consists of: (Check One or Describe the Nature of Work) econnection or new circuit for replacement Heating Plant and/or A/C Condenser. eeonnection or new circuit for replacement Electric Water Heater or power vented water heater, Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. ecorinection or new circuit for the replacement of other permanently wired appliances 1 fixtures, ew circuit for the addition of A/C to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets, ther i The value of his work is $_�� 1 hereby venthis work will be performed by an employee of this company and further verify the reconnect on / installation will be done in compliance with manufacturer and Electric code requirements. (Signa re df Company Officer) (Print Name of Officer) (Date)