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Home My WebLink About2002-HVAC (furnace)OSHKOSH ON THE WATER CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD $0.00 Job Address 1060 MARICOPA DR Owner DAVID/CLARICE AMACHER Create Date 10/22/2002 Contractor G L R COMPANY Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas ~ Oil Electric Solar Solid System ^ New ~ ^/ 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 Use/Nature FR/ Replace furnace. of Work Fees: Valuation $1,850.00 Plan Approval Issued By: No 98136 Permit Fee Paid $33.50 Date 10/22/2002 ^ Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 4860 COUNTY ROAD K OSHKOSH WI 54904 -0 Telephone Number (920) 233-0784 t°~~ ' r,.; Division of Inspection Services •~. 215 Church Avenue `~ P.Q. Box 1130 Oshkosh, WI 54903-1130 . n r Fax # (920) 236-5084 Ov l ~ V/ ~ Phone (920) 236-5048 1 _ ~r HVAC PERMIT APPLICATI4N~~ ®~~qR~-~,j~N7" AlI fields/information after bold categories must be pl`~~Cta o~ Incomplete applications will not be processed. ~~~~~®~M~~r JOB ADDRESS j 0~ O ~ Q ~ ,~ C p ' ~ OWNER Q a G ~'l 2 I/"' CONTRACTOR ~' /- R C !~ CIRCLE ALL APPLICABL$ USE CATEGORY SINGLE FAMIL FUEL GAS OIL SYSTBM NEW TYPE •ORCED AIR DUPLEX ELECTRIC REPLACE RADIANT MULTI-FAMILY SOLAR OTHER STEAM DATE ~ j,' z ~ " ~ Z. GAR Company 4860 Cty. Rd. K Qshkosh, WI 54904 COMMERCIAL INDUSTRIAL SOLID ~1/C VENT ELECTRIC HOT WATER SUP7PL. CON. BURNER IS CHII~JEY BEING LZNBD LINER SIZE J ~~__ MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE CHIMNEY A CHIMNEY B bIRECT VENT OTHER HEAT L03S AS APPROVED EXISTING NOT APPLICABLE BTU RATE AS PER PLAN VARIABLE OTHER VALUE NATURE OF WORK: VALUE (Including labor and materials) $ ~ a SU ELECTRICAL CONTRACTOR E lc ~ ~ r ~' c b y }~ ~, ,~ ©~,~, ~..,e. ,,-. Electrical. installation of new/replacement a uipment stall be done by licensed contractors. Valuation Fees $0 to $1, 000 . 00 .......................................................................................................................................$20.00 9 ~ v v t• i3.5 v yD ~ ~~ al, uuu . U1 to $10, 000 .00 ...................................................... .........................................................$20.00 for first $1,000.00 plus $1.50 per $100.00 valuation or part thereof $10, 000 .Ol to $25, 000 . 00........_ .............................................._..................................................$155 . 00 for first $10,000.00 plus $1.00 per $100.00 valuation or part thereof Over $25, 000 .00 .................................... ..............................................................~--...................__............$305.00 plus $0.50 per $100.00 valuation or part thereof • Submit payment with application. Failure to pay within 30 days will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater.