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HomeMy WebLinkAbout0092147-HVAC (furnace) 10 CITY OF OSHKOSH No 92147 OSHKOSH HVAC PERMIT APPLICATION AND RECORD ON THE WATER Job Address 1712 WILSON AVE Owner RICHARD VANDENSEN Create Date 01/09/2002 Contractor STEINBRUNER HEATING COOLING Category 500 Residential- Heating Ventilating Plan Fuel ✓i Gas Oil Electric Solar 1 Solid System New 0 Replace Other J Forced Air HI Radiant O Steam O NC Vent Electric 1 Hot Water Suppl. Con. Burner Chimney Type J Chimney A Chimney B 0 Direct Vent O Not Applicable Heat Loss U As Approved Existing 0 Not Applicable Value BTU Rate O As Per Plan O Variable 0 Other Value 60m BTU Use /Nature SFR/ Replace fumace. *EIV form from Seckar Electric attached. of Work Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $32.00 Issued By: Km Date 01/09/2002 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 600 OREGON STREET OSHKOSH WI 54902 0 Telephone Number (920) 426 -1830 07/90/1995 01.94 14144261890 ST €INBRUN€R HEAT 1N5; PAGE !i2 Di :se �iei'ieea 40111 p I 915 Ch r tf h A repct ,n ve P.O. 0 x 1130 eSTTw7R tem 6 0) 54903-1130 Qa 9`10 276 S084 Phone 920) 236 5046 HVAC PERMIT APPLICATION All fields /.information after bold categories mu t be provided. Incc.mplete applications- w LL mat be pro eased. o TE I i 8102-- JOB ADDRESS 12- c ko n Alit AIRIER i l C.Du CONTRACTOR t h I/ r Q 14 f CERCLE ALL Ant Chttlt USE CATEGORY NoLE= FAItI a DUPLEX MULTI FAMILY COMMERCIAL INDUSTRIAL MEL GAS OIL, ELECTRIC SOLAR SOLID SYSTEM NSW REPLACE OTTER TYPE ORC; D _.-IJ. RADIANT STEAM A C VENT ELECTRIC HOT WATER SUPPL. CON. BURNER IS CHIMNEY SPIN LINED LINER SIZE MANUFACTURER Note; All chimne a shall he sized per the BTU's being vented. CHIVY TYPE CHIMNEY A IMNEY 8 D RECT VENT OTHER MAT LOSS AS APPROVED a N4T APPLICABLE STU RATE !AS PER PLAN VARTARLE ER VALUE 670,6C) A5ili NATURE Cr NOM e pi a cc_ ,c C 4 VALUE (Includin labor and materials) e ©el Q-- 1 ELECTRICAL CoNT CToR -ft dY' Electrical insta Litton of newtreplacement equipment shalt. be done by licensed contractors. Valuation Fees $0 to $1,000.00 $20.00 $1,000.01 to $1 0-40. 00...._ ...w $20.00 for first 51,000.00 plus $1.50 per $100.00 valuation or part thereof $10,000.01 to $125,000.00 S1.SS.00 for first Sla,.0.Q0..00 plus $1..00 per 5100.00 valuation or part thereof Over $25,000.00 $305.00 plus $0.50 per $1x0.00 valuation or part thereof Submit payme t with application. Failure to pay witt -in 30 day,; will result in fees b d'ubled or S100.00 plus the normal permit fee, which ever is greater_ 0 STEINBRUNER HEATING: PAGE 01 7/30/1995 01:34 14144261890 1 aterchhumb e9 11e. °rtM�onrn Sm xe� at(f Choler, �rcn tb f GIZES eMwt tND ?.qua ((I a,. r10.134SOS0 I f nP13a sap Electr1c installation Verification (1) (We) C„. 1 (Electrical C actor Nam fr 1 0 -I ftlii• (Address (City) 0A./0 Sta I (Zip Code) have been contracted to perform electric installation work for gir (Name or. f contracted to) at the following address: _J az z I,I (Address where work will be performed) The nature of the work consists of (Check One or Describe the Nature of Wo k) Retottneetion Or new circuit for replacement 1 lcating PI t d/or AIC Condenser. Reconnection of ri ew circuit-for replacement Electric Wa r. eater. Recontns etion Of the Service Entrance Cable, Meter Box, It ations to receptacles and f,�t 8 lighting ures-dtte to siding soft installation. No w Service Entrance Cables will require a separate permit. R t onnectivrr'ot ne *circuit for other permanently wired pp iances fixtures. otter The value of this work is S 1 hereby verify this work will be performed by an emplo of this comp yland further verify the reconnection installation will be done in- cinnrkt ante with rn.I, u tur Electric code requirements. (Signature C Officer), 1 N a t fti� 4 e) I 1 1