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Home My WebLink About0083441-HVAC (furnace) /0 CITY OF OSHKOSH N 83441 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1217 1219 MORELAND ST Owner GREGORY R HULLAR Create Date 10/04/2000 Contractor STEINBRUNER HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan Fuel ✓ Gas I 011 I Electric Solar Solid System New ✓ Replace Other ✓ Forced Air I Radiant ,___ Steam A/C __I Vent Electric Hot Water Suppl. Con. Burner Chimney Type ` ) Chimney A O Chimney B O Direct Vent ( ) Not Applicable Heat Loss ` ) As Approved • Existing () Not Applicable Value BTU Rate ;) As Per Plan () Variable , Other Value 75,000 Use /Nature SI-R / Replace cracked furnace of Work (No electric permit required - received installation verification signed by Seckar Electric) Fees: Valuai /� $1,500.00 Plan Approval $0.00 Permit Fee Paid $27.50 Issued By: - �( ,S Date 12/19/2000 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 600 OREGON STREET OSHKOSH WI 54902 - 0 Telephone Number (920) 426 -1830 . 10/03/2000 08:04 14144261890 STEINBRUNER HEATING: PAGE 01 E Division of Inlpe:tion Services 21S Church Avenue P.D. Box 1130 imam Oshkosh. WI 549031,130 .i f ax N 920) 236 508a Y •, y Phone . 920) 236SO48 HVAC PERMIT APPLICATION All fields /information after bold categories must be provided. Incomplete appl_ications•wi.11 not be processed. ��jj PATE © Zama JOB ADDRESS g / - 12A14/ y OWNER All /4' CONTRACTOR CIRCLE ALL APPLICABLE USE CATEGORY SINGLE FAMIL • DUPLEX MULTT- FAMLY• COMMERCIAL 1NDUSTRTAL FUEL o!Y OIL.. ELECTRIC SOLAR SOLID. SYSTEM NEW REPLA OTHER TYPE C 6I CED MI RADIANT STEAM A/C VENT ELECTRIC HOT WATER SUPPL. CON. BURNER IS CHIMNEY sumo LINED N e LINER SIZE MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CRINSIBY TYPE CHIMNEY 'A CH,M1vi.y E DIRECT VENT OTHER BEAT LOSS AS APPRtlWZD.. ETIN NOT APPLICABLE BTU RATE AS PER PLAN VARIABLE OTHER VALUE '1 Ora MATURE OF NOM i l e , t 0; 6 4 # -, Cee"), VALUE (Including labor and materials) $ /5'j ELECTRICAL CONTRACTOR , __ .__ Electrical installation of new /replacement equipment shall be done by licensed contractors. Valuation Fees $0 to $1,000.00 $ $1,000.01 to $10,000.00. $20.00 for first $1, 000°: 00' Islam $'1; - SO per - $11M 00° valuation or part thereof 510,000.01 to $25,000 00 $'155.00 for first. $10,000.00 plus $1.00 per $100.00 valuation or part thereof Over $25,000.00 ... $305.00 plus S0.50 per $100.00 valuation or part thereof • Submit payment with application. Failure to pay within 30 days will result in fees being doubled or 5100. p]us the permit fee, which ever is greater. FROM : SECKAR ELECTRIC FAX NO. : 9202313950 Oct. 04 2000 08:44PM P1 of Oshkosh Ditisioa of bupestion Soviets 215CAmcbmemo PO Bon 1130 " COIF - 1 H oo Oshkosh G-2 rso.)o + ;, o•.�e . Pss 920 33650N f 4 Electric Installation Verification (n (We) Seeker Electric Company Inc. (Electrical Contractor Name) 5920 Courtney Plummer Road, Wiirmeconne, Wisconsin 549g6 (Address) (City) (State) (Zip Code) Steinbrun Fteatinglet&Coelia C have been contracted to perform electric installation work for (Name of party contracted to) at the following address: 1217 MORELAND STREET - (Address where work will beperfor d). • The nature of the work consists of : (Check One or Describe the Nature of Work) Reconnection ornew circuitforreptacement 'HeatingFrant and/or A/C Condenser Reconnection or new circuit for replacement Electric Water Heater. Reconnection ofthe Meter&3x; dltcLdtimis to ic,..cptadeb and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will- require eseparate.permit Reconnection or new circuit for other peirmanently wired appliances / fixtures. Other The value of this work is $ 'Zg ° I hereby verify this work will be performed by an employee of this company and flarther verify the reconnection / installation will be done in compliance_with manufacturer and Electric code requirements. Mork; Serer 4; (Signature Company Officer) (Print Name of Officer) (Date) • Fo (.1 • DiatreR Seeker -- October4; Si ature o ore an Officer). (Print Name of Officer) (Signature ompany � (Pt ) (Daft)