HomeMy WebLinkAbout0086415-HVAC (a/c) - . _ �
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� CITY OF OSHKOSH No 86415 �
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD �
ON THE WATER `s
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Job Address 3730 WESTERN CT Owner VICKI FRANK&WILLIAM L PAULSEN Create Date 05/09/2001 �
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Contractor A-1 HEATING&A/C INC Category 501 -Residential-Air Conditioning Plan s
Fuel Gas Oil Electric Solar Solid �
System �✓ New � � Replace I � Other I �
Forced Air Radiant Steam ✓ A/C Vent §
Electric Hot Water SuppL Con. Burner �
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Chimney Type Chimney A Chimney B Direct Vent Not Applicable �
Heat Loss As Approved Existing Not Applicable Value �
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BTU Rate As Per Plan Variable Other Value €
Use/Nature FR/INSTALL COMPLETE A/C �
of Work
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Fees: Valuation $1,286.00 Plan Approval $0.00 Permit Fee Paid $24.50 �
Issued By: Date 05/30/2001 �
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❑ Permit Voided I �
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In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. �
Signature Date �
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AgenUOwner {.
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Address W8078 HILLCREST COURT HORTONVILLE WI 54944 -0 Telephone Number (920)779-8838 �
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OOhkoOb, Nl 5�903-1130 ,�;�; �f , ;;�i
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n PhONP. (910) laC-9048
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A1.1 �181do/in�ortn6tion a�t�r bol.d C � �ieo muel be provided. �
1nc��sLS �ppl_icat�one �ri � bo p,�occaeed.
I I��� DATB___`�1�.`r'f ��
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Jae �nn�t�es 3_�3 v W P.S�r,� ` �7' � :��i � � s� W l
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CO21TItJ1CTORi.�,CL�a�1�/� f7` I ., „ 1 � �i!� �
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CxACLB ALL APPLICABLS '�` '?
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;� Yt18B G►TS('l3RY �FAMI DUIP�B� MiJL'rI�F'AA1.II,Y CaMM�RCIAL INDIJB2'RIAT. �
'VSL t3A9 Ots, �
EI�C�'Itic '��` � Ba�AR H0,[�xU �
9YB1'�t �CN�.f9/ RPrPLAC$ O'��t '
17D1� �'ORCSD A3R RAOIAN'1' . , ,,. �►!�� �� y�� �
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Z9 CH��Y HIt2't0 LI�ISD .LINBR BI�B � `1 MAMI�'ACZ'UJt6R� ,
Nota: J17,X r,himncaye vhall bc si.�od pes t�t;�'PIT�s� �l�f r votttCd.
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CH2ri�Y TYPS CFIZA3NIIY A ,- - ..:CNDM�+t�,�,A�:� D2RECT VENT QTI3�A
�t1J1T LOSB AS AP�+R.OYED 8XI6TT�Q ' NOT APPLICl�I,S
�TU M�f� A9 P�li P�,AN <<,,,���1tj2IAeL�� ' OT�i�R VALUS �- ,��iy
1tA'TVits Or N�01tR t '' . _ , . _ �
�/�. /n3� t� �0•«��r � - 1,i � +. , 5
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Vf1LC= t2naludiriQ iabor sna �teria]►� � ,�1..•�' , U�
SLI4CTRICAL COIiTR�C'1'OR _�✓Yl�o_;�_: ,.'►vr��/`
����tL�Cal inetallaCinn vt n�w/xeplac� equipq�r�t;�hall be done by lieenoed }
c:vntrectara. ' �'�ry r
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valuat�oz� �'��;� �h��; ,� ' � � Fee� � a� y Jr 4 �
Sa r, � r ,�:��r,i
o $1.000.0�.._.._._._.._...._..._.........,..........� � ....,,,,,.wfi..�...�..._...».,...._..$ao.v0
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31,o00.ot to $lU,000.OU....._....._..._.,... �,.w� ;���y,t
8�,Q09.00 ""'"'...'.�'.._........._....._...........$30.00 for Eirot
p]���'$1.50 �+;,g�OC.00 valuetion or p�trt theraot
31a,000.oi c� ��5�aoo.00....._......__... .,..'; _.._.._...._._
.w....�.. .,--__...w..._......._...._.....gI55.a0 �or f,i.Xet '
�10,000.0o pl��, �i.00 �,r.���on.00 value�c�on or paxt tl;ereof
o,.AT s,�s,o��.�o....._.___............._._.................. ».....�i.._ . ..
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......,.:�,..�».r............ ....._......,....._5305.00 pluq �4.5�
� � �� �e�' 8100.00 vaJ.uatioa or part thez�of
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• 9ubmit �syMenC with a�plxcatio�.;, ��yi,.�u�rQ a yey sviLhin 30 daye M,�7.1 resule in �
feee be:�ng cloubled oz 91oo.oa pi��� 'the ncr�J, perm.it feo, �thfch ever ita ;
greetex'. '' ;
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