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� CITY OF OSHKOSH No 156133
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1218 WINNEBAGO AVE Owner HABITAT FOR HUMANITY OF OSHKOSH I Create Date 06/11/2013
Contractor GRANT SCHULTZ HEATING&COOLING Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar � Solid �
System �✓ New I � Replace j � Other I
✓ Forced Air Radiant Steam � ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner '
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved 0 Existing � Not Applicable � Value
BTU Rate As Per Plan � Variable � Other � Value
Use/Nature SFR/Furnace and a/c for a new house.
of Work
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Fees: Valuation $4,200.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: � Date O6/12/2013
❑ Permit Voided I Parcel Id#0203570000
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
AgenUOwner
Address 55 CRIMSON LN OSHKOSH WI 54902 -7298 Telephone Number (920)216-1616
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.
Krahn, Nicole R.
From: HVAC PERMIT APPLICATION [Permit_App_HVAC@ci.oshkosh.wi.us]
Sent: Tuesday, June 11, 2013 8:01 AM
To: Inspections, Inspections
Subject: HVAC Permit Application
HVAC PERMIT APPLICATION
Date:6/11/2013 8:01:28 AM
Permit Fee Account System: YES
Job Address: 1218 �btas�mrgibfi ��'�'���'"�
Owner: Habitat for Humanity
Contractor: Grant Schultz HVAC
Use Category: Single Family
Fuel: Gas
System: New
Type: Forced Air
Is Chimney Being Lined? No
Liner Size:
Manufacturer:
Chimney Type: Direct Vent
Heat Loss: As Approved
BTU Rate As Per Plan Other:
Description of all New construction
work being done:
Value(Including labor and 4200.00
all materials including light
fixtures):
Master Elelctrician:
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