HomeMy WebLinkAbout0101437-HVACOSHKOSH
ON THE WATER
.lob Address 3151 REBECCA RUN
Contractor MCM AIR INC
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner THOMAS N RUSCH
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101437
04/14/2003
Other J
Vent J
Use/Nature NSFR/ Install 60m btu furnace, ductwork, and 2.5 ton 30m btu A/C.
of Work
Fees: Valuation
Issued By:
$6,300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$99.50
Date 05/13/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
City of Oshko~ : ~?~C ' ......
P.O. Box 1130
HVAC PERMIT "
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no~ ~iMt f~, wMeh ~ is ~. ·
OR
lf vou are a contractor vartielvatlnr tn the'~ermi{ fee ~ceount Swtem and have ade~ate fund$, check
tf ~ou ~ant this vroce$$ed throuefi Pour aeeounf ~
CON'I~CTOR MCM AIR, INC
CIr~CK ~ ALL APPLICABLE
USE CATEGORY
[~Singl¢ Family E]Dupl~x
6122 COUNTY RD' M WINNECONNE, WI 54986
582-4402 FAX 582-0136
l-IMulti-Family I-IRcntal
l-IComm~-'ial .El. Industrial
FUEL l~C-as i-lElcctric r'lSolid SYSTEM [SINew I~Rep~
BOil EISolar ~lOthcr
TYPE
]~Forccd Air . r'lRadiant EIStcam EIA/C 'ElV~t ElElextric Elliot Wata' ElSuppl. EICon. Burner
IS CHIMNEy BEING LIA'ED IEINo [-IY~s - LINER SIZR & MANUFACTURER.
Note: All chlrrmcyS Skall b¢ sized per the BTU's being wnted.
CHIMNEY TYPE 0 inmcy A OChirnn.~t B ODirect V~t
HEAT LOSS ~As Approved OExisting ' 12Not Applicable
BTU RATE ~As Per Plan ~Variabl¢ E]Other Value
DESC mo o ^u WO S CDO Il
VALUE Oncludinz labor and all materials including light fixtures) ,~ ~ ~ ~ 0
a~i~CanOolt~l~acJ~Ce~~ El¢ctr~,¢ I~..tallation Verification form, signed by the Ele~ical'Con~, must
riot applicable, I separate Electrical P~mit is ~ '
9/02