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HomeMy WebLinkAbout0100019-HVACOSHKOSH ON THE WATER .lob Address 2315 SHORE PRESERVE DR Contractor BREWER HEATING Fuel ~J Gas ~ ~J Oil System ~J New ~ CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Forced Air I ~J Radiant Electric I ~J Hot Water Owner MARK O FASEL CUSTOM BUILT H Category 502- Residential-Both L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~ ChimneyA ~ Chimney B Heat Loss I~ As Approved ~ Existing BTU Rate I~ As Per Plan ~ Variable Direct Vent Not Applicable Not Applicable Other Value Value No Create Date Plan L~ Solid 100019 01/14/2003 Other J Vent J Use/Nature NSFR/Install HVAC system in new home. of Work Fees: Valuation Issued By: $4,230.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $69.50 Date 02/28/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address N8804 N DOUGLAS STREET RIPON WI 54971 -0 Telephone Number (920)748-6494 Cily of Oshkosh Division of lnsp, eclion Services Oshkosh, WI 54903-1 !30 Phone (920) 236-5050 HVAC PERUI APPH N ., All information nfter !')o1(, categories lncomplcle applJcalions will not be Application(s) and fcc(s) can be brought to City Ilall, Room 205 or ma/led to In~ecfion Services, PO Box ] 128, Oshkosh WI 5490%1128. Commencing work without pem~it(s) will result in fees being doubled or $100.00 plus the nomal pe~it fee, which ever is ~eater. OR I[ you are a contractor participating in ~he Permit lee ~ccount System and have adequate [unds, check here i[ vou want 13is processed through gout account JoB ¢,m)a ss .315 SI4C I>h£SLe, Jf_, OWN m FhS'/.L U.. Om t40Ik S DATE CHECK ~ ALL AI-?LiCA53J,E USE CATEGORY lD~ingle Family F'lDuplex FqMulti-Family FlRental F1Commercial lDIndustrial FUEL i~[:s lDElectr/c FqSotid SYSTEM ~Oii ©Solar ~R(:place TYP~ .:ed Ah FqRadiani: F-]Steam l~dk/C E3Vent C3E1cctric !?Hot Ware: [2SuT?l. FiCon. Burner '~¥' "~ '" ~? ~ ' LIN*!;D~...:4o [DYes LINE}.>, Si?E Note: All chi~zmeys shall be sized per *he B FU s hep** yen,cd. & MANUF?~CTURER ....... C][IIMNCY TYPE FqChinmcy A E3Chhrmey B '-J~Eirect Vent }~.'ii;..kT 'COSS ~As Approved FlExi;ting ~,Xiot Applicable RATE DAs Per Plan FlVariable DOther Value I)ESCRIPTION OF ALL WOPd{ BEING DON~.,__:'L~/ v'~ t._ BOther VALUE (lnclu,ling labor and all materials including light fixtures) ._ *" . LECTF i. CAL CONTRACTOR OR [] ElecB'ic ?;~'tMl:~f,m Ve;'ifica-:[on ;~rm attached(i£P.'7:]ace:.~cnt) £lect,'ical it~,'mllat, im~ Of ¢~e:v/replacPmen: :quipm,'nt s]mll be done by .':~,rm-.l cc.'~A. ~c~orx. 3/02