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0143703-HVAC (furnace)
C") CITY OF OSHKOSH No 143703 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 745 WISCONSIN ST Owner GOLD STAR INVESTMENTS LLC Create Date 10/19/2010 Contractor BETTER HOME HEATING & AIR CONDII Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas J Oil Li Electric Li Solar ❑ Solid System n New 0 Replace n Other u Forced Air U Radiant J Steam J NC ❑ Vent Li Electric J Hot Water U Suppl. u Con. Burner Chimney Type 0 Chimney A 0 Chimney B O Direct Vent • Not Applicable Heat Loss [J As Approved U Existing • Not Applicable Value BTU Rate As Per Plan ❑ Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by JP Electric. of Work Fees: Valuation $2,282.00 Plan Approval $0.00 Permit Fee Paid $44.50 Issued By: Date 10/19/2010 ❑ Permit Voided Parcel Id # 0500380000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 1054 AMERICAN DR NEENAH WI 54956 - 1305 Telephone Number 920 - 733 -2161 To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Auz. 5. 2009 E 57AM No.8275 P. O C k7 s t �i r��7 Q a�"p � '�� 02 t1 (7 e., n v0bar� 9 `�..' I �! h] D 4 [7 r O q n q ? p6 R `a' ,,n ^ c 1-, , x O 9 ,3 cm S P• n ` ❑ C10 w C n v � g w � - oQ r, E7 rJ . 0 0 • h *I a no yr - ,i- i g ? _ ; .. El ' i t K if rn W t P y! e a. ' =v C� v 0 IN . (il i \ ■ d o m � I/1 • N, , • C p a a 7 ► o gyp- . �a x °C� '11 \ 0 � 0 . ort C• 4 O' � w il • Ft i a. P �f n ©.1 w r 'a w: • al V A y R ■ l , ti � 3 3 Q /��! zz�� rn r„ Z Q r vZ o ■•• m r 2 -1 C:7 City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903 -1130 N THE HE WATER Office 920 - 236 -5050 Fax 920- 236 -5084 Electric Installation Verification I (We) \ 10e-e r 1 C L� L (Electrical Contractor Name or Homeowner's Name) 7? `f erw & tv (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 75/5 kV/.s r ir✓ (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 or power vented water heater. Reconnection 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. Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi -use building would require a licensed Electrical Contractor. Other The value of this work is $ /Or> . I hereby verify this work will be performed in compliance with the License requirements of Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. CJ1 0 /i)//74.5/0 gnature of Company Officer or Homeowner) (Print Name) (Date) 07/07