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0134245-HVAC (furnace)
OSHKOSH ON THE WATER Job Address 139 W 25TH AVE CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner KATHLEEN A GOODACRE No 134245 Create Date 12/03/2008 Contractor MCM AIR INC Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas ~ Oil ~ ^ Electric _ j ^ Solar '. System ^ New Replace __ _ _ _I ^ Other Forced Air Radiant Steam ~ ^_A/C _ __ -I Electric Hot Water Suppl. Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Ap roved Existin Not Applicable Value BTU Rate As Per Plan Variable Other , Value UselNature of Work Fees: Val Issued By: ^ Solid ^ Vent FR /REPLACE EMPIRE WALL FURNACE, EIV SIGNED BY SECKAR ELECTRIC '*check #20590 I , ~' I 1,700.00 Plan Approval $0.00 ^ Permit Voided Parcelld # 1411730000 In the performance of this work, I agree to pertomt 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 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number 920-582-4402 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. Permit Fee Paid $35.50 Date 12/03/2008 wryofosbrosG Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phooe (920) 236-5050 Fax (920) 236-SO&t RECE DEC 0 3 DEPARTMENT N~CpOMMUNITY DEVEI HVAC PERMIT APPLICIATION N SERVICE All infosmation after bold eateaosies trust be provided. Incomplete appliCatlon~f Will llOt be processed. a Application(s) and fee(s) can be brought to City Hall. RAOm 205 Or mailed to Inspection Saviccs, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without peraut(s) will t+csult in fees being doubled or 5100.00 plu: normal permit fcc, which eva is greater. • OR p DATE ~ ~`- ~ ° c~- ~' JOB ADDR~~E//SS I ~ ~ (~~~1 ~ ~~ ~1 ,~ ~ OWNER t~, ~ Gl ~/ ~©~ ~ Q;~a('' C'~ CONTRACTOR irK~i AIR, INC. 6122 COiIIJI'Y ROAD M, WINNDCONNE, WI 54986 -4402 FAX 582-0136 CHECK B! ALL APPLICABLE USE CATEGORY ~Singlc Family ODuplcx OMulti-Family I~Rental OCommercial DIndustzial F(TEL ~ias DElectric DSolid SYSTEM DNew ~Replacc DOiI ^Solar pO~Q TYPE .('' t~-~r1'~' e r F ~ ca w ~~ c31 ~ ~ ~~v' n 4, c 2 ^Forced Aii Dltadiant !]Steam DA/C DVent QElectric DHot Water DSuppl.DCon. Burns IS CH'DVIIVEY BEING LINED t" to OYcs - L~IER SIZE & M.ANUFACI'tJRER Note: All chimneys shall be sized per•the BTU's btia~ veatod. CHIIrINEY TYPE DChimney A ®Chirratry B DDiroct Vrnt OOthcr HEAT LOSS DAs Approved (existing DNot Applicable BTU R~-TE DAs Per Plan DVuiabige OOther Value DESCRIPTION OF ALL WORK BEING DONE _ 1 n 5~~.1 ~ C .~ 4p a ~ ~ (~~, E.z:'v" 9I~ QG ~@ VALUE (Including labor and all materlals'lntludla8 UBht tlztwes) S ~ 7 ~ ~ __._ ELECTRICAL CONTRACTORc~~C.~C3_.Y^ ~ctric Is:taWnos verUlntloo roan attaceed(UR~.crm E 6u~aUorlo~ of KY,wd,f op4iy.Kw+ aA,or/ br ~ br fk.eu.o 1 ' ~~" 'E18rb'10I3~i Vadl~stiaa Z~~ ' ~ ~~~ Zhs nsr~s otth~ vac oL (C~rcjc0a~ orDasa~ mss adVrocY~ ..~,. ~taooo~asatioaa~a~ar~Odslbtt~maai~ai?Smt~adlocJUC.~+~u. ~.. 7t~ooaaaoesoa~~arv ~~x~s~os~~~ia:s~ os pow.r vsat,d ___, 7taooaa~atsoaoddsa~i~NC~bT~i~4tK&ac.a~rxtSooss~ .o~ ~do+vd~3~tjlla!lSti~ioa, ~ 2~+a~a. ~ ia~aac~ Cabirttid3l s~~t, , ._. +o~iooaiwd~t+pl:a~~m.atoto~r~ _._.. IZ~w~~u~tl~t~ wad~C~DSa~dtJ ~ ~xtt ~St arth~ iadiv~l ty:tims_ ~s 1~~x ~ ~ ~~ ~~ aLo~3a~l oatuti _.:.. Odes ~~ct~u~cb A• 1~ubyt~a~~v+odc~llb~~7~~oy~oL~Isoo~g~oy iadt~r~cs ~~ ~~ubs6oa~fscgv~~~o~oCs ~~ 1 ~ ~. O g . ~ a~ ~