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Home My WebLink About087361 - HVAC (furnace) � J CITY OF OSHKOSH No 87361 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1848 MOUNT VERNON ST Owner CHRISTOPHER&L PROPP Create Date 07/09/2001 Contractor MARX MECHANICAL LLC Category 500-Residential-Heating&Ventilating Plan Fuel ✓ Gas 1 Oil Electric Solar 1 Solid System ❑ New Q Replace ❑ Other Hi Forced Air ❑ Radiant ___1 Steam _J A/C Vent 1 Electric Hot Water 1 Suppl. Con.Burner Chimney Type O Chimney A O Chimney B O Direct Vent O Not Applicable Heat Loss Q As Approved ❑ Existing n Not Applicable Value BTU Rate 0 As Per Plan U Variable • Other Value 100,000 Use/Nature DUPLEX/REPLACE FURNACE WITH G32Q3/4-100 LENNOX 100,000 BTU INPUT of Work Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $42.50 c:T � - : Issued By: —1 j r; Date 07/09/2001 ❑ Permit Voided 1 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number (920)235-6510 (;) Division of Inspection Serflo es 215 Church Avenue P.O. Box 1130 HOshkosh, WI 54903-1130 Fax k (920) 234-508.4 Phone (920) 236-5048 HVAC PERMIT APPLICATION All fields/information after bold categories must be provided.. Incomplete applications will not be processed.] /- rQ( �(� �j Lys , �,l DATE / —IY,U) JOB ADDRESS I 0 t 0 /" .T VLIZAJUN ST, OWNER C1Kts PRO Pe CONTRACTOR M filLiti. M e e t-ti (cAL ux CIRCLE ALL APPLICABLr USE CATEGORY %.___ DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL FUEL AS OIL ELECTRIC SOLAR SOLID SYSTEM NEW CREPLAC) OTHER TYPE F©RCED RADIANT STEAM A/C VENT ELECTRIC HOT WATER SUPPL. CON. BURNER IS CHIMNEY BEING LINED \1ES LINER SIZE LP X 35' MANUFACTURER tEN_-L Note: All chimneys shall be sized per the BTU's being vented. CHANTEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE BTU RATE AS PER PLAN VARIABLE OTHER VALUE NATURE OF WORX: n i\ /LA-C FUR \(!E �/i C 3D(.),1 j 4-10o La\iNax 00,0 Oa &u I IJ ell T ��/� VALUE (Including labor and materials) $ of 00 ELECTRICAL CONTRACTOR CA 0UJMd Electrical installation of new/replacement equipment shall be done by licensed contractors. Valuation Fees $1, 000 .01 to $10, 000 . 0 0....._.»._._...._._._._.»...._.».».»..»._».....».».»....»....»...»...».......».».»._..$2 0 . 00 for first $1, 000 . 00 plus $1.50 per $100 .00 valuation or part thereof $10, 000 .01 to $25, 000 .00_.....................____......_........_—___...... ,....--$155 . 00 for firs t $10, 000 . 00 plus $1. 00 per $100 .00 valuation or part thereof Over $25, 0 0 0 . 0 0..»»»»._...._...»...................._._._._._...._.»._._._...._._._._._».._._».._...._._._._.__.$305 . 0 0 0 . plus $0 .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 $100 .00 plus the normal permit fee, which ever is greater.