HomeMy WebLinkAbout0083310-HVAC (a/c) (9 CITY OF OSHKOSH N 83310
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1243 WHEATFIELD WAY Owner MICHAEUBARBARA WUSSOW Create Date 11/02/2000
Contractor RASMUSSEN'S HEATING A/C INC Category 501 Residential -Air Conditioning Plan
Fuel Gas 011 Electric Solar Solid
System New I I Replace Other
Forced Air I Radiant Steam I NC Vent
Electric Hot Water I 1 Suppl• Con. Burner
Chimney Type Chimney A O Chimney B O Direct Vent Not Applicable
Heat Loss As Approved 0 Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use /Nature SFR INSTALL NEW 2 TON A/C
of Work (No electric permit required received installation verification signed by Hoehne Electric)
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $32.00
Issued By: Nm S Date 12/08/2000
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 1915 KNAPP STREET OSHKOSH WI 54902 6612 Telephone Number (920) 235 -6569
4 -10 -1996 9:31PM FROM RASMUSSEN'S HVAC IN 920 235 3642 P.3
MAW 02 00 07:41a Code Enforcement 920- 236 -50E4 p -6
4 -09 -1996 10:23PM FROM RASMUSSEN S HVAC IN 920 236 3642 P.S
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Phone H2O) 236 SPee
RVA£ PERDirT APPLICATION_
All fielder /information after bold categorise must be provides!.
Incomplete applications will not- be ptocessetl..
ff 11 DATE is _cfru
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CONTRACTOR P+s w. us e 4 ti.,E} tJ-p►C •4,—
CIRCLE ALL APPLICABLE 8 1.
us' CATEGORY SI a E FAMILY DUPLEX MULTI F.AMXI.Y COMMERCIAL INDUSTRIA
FUEL GAS O1L- ELECTRIC SOLAR SOL,Ip-
SY8?8M- REPLACE OTHER
TYPE FORCt;D AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. SUMER.
IS CRIl M BEING: LUND A LIME SIZE- MANUFACTURER
Note: All chimneys abe11 b s ized per the STD's being vented.
CHIMNEY' TYPE CHIMNEY B" CHIMNEY DIRECT OTHER
7(RA? LOSS AS APPROVED. EXISTS NOT APPLICABLE
STU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK: s-'ria `L '1>17Tri wi !h, C__,
VALUE (Including labor and materials) f E-tJD- dli
tiNC1 ZCAL CONTRACTOR 1 4 4.14 N E
Electrical instellacior► of new /replacement equipment shall be done by licensed
contractors.
valuation Fees
SO to $1,000 .00_...._.. $20.00
$1,000.01 t0 $10 000. 00 520.00 for first
51 606 00 plus- $1.50 per 5 valuation thereto
$10.000.01 tO $25.000.- 00._..... 51S5-.00 for first
S10.000.00 plus 51.00 per S100.00 valuation nr. part Thereof.
Over S25, 000 .00 ___....M_...-.....--...._.$3fl -,00 plus 50.50
per S100.00 valuation or part eherecf
Submit payment with application. Failure to pay within 30 days.w;i-ll result in
fees being doubled' or $100.00 plus the normal permit fee, which e••rer is
9 vfter.
4 -09 -1996 10: 23PM FROM RASMUSSEN'S HVAC IN 920 235 3642 P. 6
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Electric Installation Verification
m(We) g- to >N E
C.entractor Name)
c� a t t° a lrti C 43
(Address) (City) (Stacy Zip Corte)
have been contracted to perfon1relectric-installation- wait for C2ASI C.., -S ti 4
(Name ofptny contracted to)
at the foams 2tC 3 L3 tA fi;.�. Vie'.(• �2
(Addresewhe wank wiabepes£ostned)
..11 23 t y5 cry
The nature of the wol t consists or: (Cheat One or t Naume of Woslc)
w .t a t2 t p V-).12/4t., V-).12/4t., econne� tion new-circuit and/or A/C Condenser.
Reconnection ar new circuit for replacement Electric Water Rata.
Reconnection oft'e l date rBtm; brew etas to receptacles and
lighting fixtures due to siding soffit installation. Note: New Service Entrance
Cables wilt require aseparate penult
Reconnoction Or new circuit for other pauraowt1y wired appliances t factures.
Other
The value *Edna work is S .8. 6.0
i hereby verify this work will be performed by an employee of this company and blither verify the
reconnection installation ',lithe dome in.compliancewith _manu6ctunw and Electric code
tequirennentm
(Signature of Company Of 'rcer) (Print Name of Officer) (Date)
t d La'9E 9EZ &6 N i Z VAH S .1EIS5i1 SVti POW WYSV I 1 9661-13-1,