HomeMy WebLinkAbout0100151 HOSHKOSH
ON THE WATER
.lob Address 641 OTTER AVE
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner HEDY R SCHWEDT REV LIVING T
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO 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
100151
03/11/2003
Other
Vent J
Use/Nature DUPLEX / furnace replacement, A/C, Job #1363. *EIV from MR Teas attached
of Work
Fees: Valuation
Issued By:
$3,523.92 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$59.00
Date 03/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W8078 HILLCREST COURT HORTONVILLE WI 54944 -0
Telephone Number
(920) 779-8838
OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
641 OTTER AVE
A-1 HEATING & NC INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
L~ Gas I
Forced Air I
Electric
Chimney TYpe ~ ChimneyA
Heat Loss ~ As Approved
BTU Rate ~.~ As Per Plan
I'
~J Radiant
[~ Hot Water
(.~ Chimney B
~ Existing
~ Variable
Owner HEDY R SCHWEDT REV LIVING T
Category 502- Residential-Both
bJ Electric I [] Solar
[] R e p_l ~ _c_e ............... ]
~J Steam J h~J AJc
LJ Suppl. I [] Con. Burner
Direct Vent ~t Not Applicable I
~.~ Not Applicable I Value
i~I Other I Value
No
100151
Create Date 03/11/2003
Plan
~ Solid ]
[] Other j
bJ Vent I
Use/Nature DUPLEX / furnace replacement, A/C, Job #1363. *EIV from MR Teas attached
of Work
Fees: Valuation
Issued By: /
$3,523.92 Plan Approval $0.00 Permit Fee Paid
$59.00
Date 03/11/2003
[] Permit Voided j
In the performan%f this_~ork,~to perform all work pursuant to rules governing the described construction.
Signature ~V//' '~ '
Date
Agent/Owner
Address W8078 HILLCREST COURT HORTONVILLE WI 54944 - 0 Telephone Number
(920) 779-8838
~.Ma~:lO-03 O~:B~P P.03
Electric Inslnllnflon VerjflcJtlon
(~lcutical Cenu'~m~ Name) ~ '
(Addte..) (City} (State) (~ C~)
~ame ot~ cone~ ~0)
(Ad~ whom work will N
T~ ~ut~c ofth~ work ~n~ists of: (Check ~m or'Dcscri~ ~e Nmum o~ Work)
/
,~ Reconn~tmn ~ new mtcuit f~ r~hcemc~l fl~fi~
_.. R~ect~ or n~ Orcw( for r~be~e.t Elec~c Wa~
~. Rc~tion of t~ Service Eflwmee Cable, M~ ~x,
~d lish~g fixtures ~,e to sidin~ / ~t im~allmJon,
.... R~on~cc~ or new cimuJt fotthc t~l~t o[oth~ p~)aeently wi~d
sppti~ f
...... Ne~ cilcuil Ibr the addition or ~'C to a~ ~a~iv~gant d~lia~ aait ~use ~ the
individu~ s~cms m n duplex or ~dom~sitm~),
cl~trical outlets.
Other
The vflh,~e of this work is $ .....
this work will be performed by an employee of tbim compmy ~ ~flhez v~fy
rcqutmm~t~ts.~/ M.R. ~ INO,
(Dal~)