HomeMy WebLinkAbout0093656-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
Job Address 713 W 17TH AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner GERALD P/MARGAR BURGHAUS
No 93656
Create Date 04/16/2002
Contractor TENTH STREET STATION INC Category 502 -Residential-Both Plan
Fuel / Gas Oil / Electric Solar Solid
System Q/ New ~ Q 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 Applicable Value 0
BTU Rate As Per Plan Variable Other Value 75m & 1 1/2 ton
Use/Nature FR/ Replace fumace and add new central air. *EIV form from Drexler Electric for the replacement furnace.
of Work
Fees: Valuation $4,100.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ~~
Permit Voided
Date 04/16/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
$66.50
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236-8770, MOBILE 7
04/12/2002 03:25 Str,~seb150 TENTHSTREETSTATION PAGE 08
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Electric .~nstailatioo, Veri~3eation
PAGE 09
(e(we) 2~xl~R ~ZECTt2tC
' (Electrical Contractor Name)
y ~ 0 C'~-~ 2p. ~'F (-~i c.1c~TT W~'~ S4 ~ G
{Addriess) Ci
( ty) (State) (Zip Code)
have been contracted to petfortm electric installation work f M ~ cy-,q~Rp~
(Name of party contracted to) ~
at the following address: G~ LJ ~ l1 f'~ f~-rVC
(Address where work will be performed)
The naturo of the work consists of : (Check Oue or Describe the Nature of Work)
_.~._ Reconnection or new circuit for replacement F~eatirag Floret and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting Extures due to siding / soffit installation. Note: New Service Entrance
Cables will require a separate permit,
Reconnection or new circuit for other permanently wired appliances /fixtures.
_.___ Other
The value of this work is S S"a • ~~
i hereby verify this work will be performed by an employee of this company and further verify the
reconnection !installation will be done in compliance with manufacturer and Electric code
requirements.
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(Signatureo Com an O;fh ~ .l ~ ~ '~` ~2EX~~"1Q - ~~j'~2~
N y (trait Name of Officer) (bate)