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HomeMy WebLinkAbout2003-HVACOSHKOSH ON THE WATER .lob Address 425 N WASHBURN ST Contractor CONDON TOTAL COMFORT 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 SHORELAND DEVELOPMENT CORPORA'f Category 512- Ind. & Comm-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 100252 03/17/2003 Other Vent J 40m Use/Nature COMM/Install furnace, 2T A/C system and spiral duct system. of Work Fees: Valuation Issued By: $7,800.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $122.00 Date 03/17/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 11 BLACKBURN ST RIPON WI 54971 - 184 Telephone Number (920) 748-5050 Fax.'¢(~20).236~5084 ,.-, ,' ..... , ...... HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. © O/H ON THE WATER CI~CK [] ALL APPLICABLE USE CATEGORY FISingle Family FUEL ~Oas il · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128, Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being dbubled or $100.00 plus the normal permit fee, which ever is greater. OR If you ar'e a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account ~'~ ~OB~SS V'~- ~ ', MAR 1 4. 200,~ DEPARTMENT OF rlDu¢¢× rlN~ulti-Fm=ily n~Z~ntal /l~ Commerce(j) : FIElectric [3Solid sySTEM ew FIReplace DSolar FIOther rced Air F1Radiant [3Steam C F1Vent [3Electric [3Hot Water F1Suppl. UlCon. Burner IS CHIMNEY BEING LINED)~No [3Yes - LINER SIZE & MANUFACTURER .Note: All ch/mneys shall be sized p~r the BTU's being vented. CHIMNEY TYPE [-IChimney A FIChimney B [3Direct Vent ROther HEAT LOSS F1As Approved F1Existlng FlNot Applicable BTU RATE I-lAs Per Plan FlVariable F1Other Value 6/0, ~ I)ESCRIPTIO)N.~OF AL.L WOw BEING DONE (Including labor,nd all materials inch, dingligh[ fixtures) $ /~, -- EI.E(TTRI(,AL CON'I'RACTOR ............. ()~ { ) Electric InstallatiOn Verification form attachcdtlf Flrctt~(-a[ tnlttllltlttoa of new/rephwemenl eqmpment .~hdl tw done