HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 800 802 PORTSIDE CT
Contractor ALL SEASONS QUALITY HTG & CLG
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DUWAYNE DAILEY
Category 500- Residential-Heating & Ventilating
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
100294
03/19/2003
Other J
Vent J
Use/Nature DUPLEX/#800/Install a 50m btu furnace.
of Work
Fees: Valuation
Issued By:
$1,950.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$34.25
Date 03/19/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1661 IOWA ST OSHKOSH WI 54902 -0
Telephone Number
(920) 426-8090
Address ~x:~
Building Use I~ , ,,. .
Type of Fuel
For~ ond.'(No.)
Ste~~~Hot Water (No
Unit Heater (No. ~Other (No.)~
New ~
Valuation
Electrical
Heating
Address
,-03/19/2003 13:88 9282337398 CHI~DRENS DENTAL PAGE .,~1
Electric Installation Verification
.. (Addms§)
(Electrical Contractor Name)
(City) (State) (Zip Code)
have been contracted to perform electric installation work for ~L ~e~-~.~,d$ ~-~
(Name of party contracted to)
at the follow/rig address: ~ ~__~t,~.~~- s, ~ ~: ~_..-~-
(Address where work will be performed)
The nature of the work consists of.' (Check One or Describe the Nature of Work)
~ Reconnection of new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
___ Recormection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Rec, onnecfion or new cimuit for thc replacement of other permanently wired
appliances / fixtures.
._ New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
~.~ Other.
The value of this work is $ ,_~D. _
I hereby verify tiffs 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.
~ompany Officer)
(Print Name of Officer) (Date)
5/02