HomeMy WebLinkAbout0076489-HVAC (a/c) 0 CITY OF OSHKOSH No 0076489
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1263 WHEATFIELD WAY Owner MICHAEL D /DAWN PRIEBE Create Date 04/14/2000
Contractor MONROE HEATING Category 501 Residential -Air Conditioning Plan
Fuel Gas I I 011 I Electric Solar I Solid
System I✓ New j Replace Other
J Forced Air .O Radiant Li Steam ✓J A/C j Vent
I 1 blectric Not Water Suppl. Con. Burner
Chimney Type Chimney A O Chimney B Direct Vent O Not Applicable
Heat Loss As Approved Existing O Not Applicable Value
BTU Rate O As Per Plan O Variable Other Value 18,000 BTU
Use /Nature INS I ALL NEW NC
of Work
Fees: Valuation $1,573.34 Plan Approval $0.00 Permit Fee Paid $21.00
Issued By: 1 Date 04/14/2000
L 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 2527 BOWEN ST OSHKOSH WI 54901 0 Telephone Number 232 -6838
FROM SECKAR ELECTRIC FAX NO. 9202313950 Apr. 24 2001 10:44AM P5
City Oshkosh
Division of Inspection Services f i n
215 Church Avenue
PO Box 1{30 I G
O r1� Oshkosh W1 5 -1130 .(s1.
PKOJ H Owe 920416 -5050 j f
o.. T.. woo Fun 920 -236-5084 I 4)
Electric Installation Verification
(I) (We) Seckar Electric Company Inc.
(Electrical Contractor Name)
5920 Courtney Plummer Road, Winneconne, Wisconsin 54986
(Address)
(City) (State) (Zip Code)
have been contracted to perform electric installation work for
Heating and Cooling
(Name of party contracted to)
at the following address: 1263 WHEAT.FIELD WAY
(Address where work will be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Gable, Meter Box, alterations to receptacles and
lighting fixtures due to siding soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances fixtures.
Other
The value of this work is 1 O. loo
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection installation will be done in compliance with manufacturer and Electric code
requirements.
Diane R. Seckar APRIL 25, 2001
EG 6-r
(Signature of C mpany Officer) (Print Name of Officer) (Date)