HomeMy WebLinkAbout0096402-HVAC (a/c) y
� CITY JF OSHKOSH "� 9�02
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1915 NEBRASKA ST Owner GLADYS D ANDRASKO Create Date 07/31/2002
Contractor CONDON TOTAL COMFORT Category 502-Residentiai-Both Plan
Fuel Gas Oil ✓ Electric� Solar �Solid
System �✓ New � � Replace � � Other �;
Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. � Q Con.Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value
Use/Nature FR/Install one 1.5 ton a/c system and one 1.5 ton electric air only blower.
of Work
Fees: Valuation $3,682.00 Plan Approval $0.00 Permit Fee Paid $60.50
Issued By: ��(Y1 Date O8/05/2002
� Permit Voided I
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 11 BLACKBURN ST RIPON WI 54971 -184 Telephone Number (920)748-5050
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Pl�e(920)236-SOSO::� .
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'.'�' , ' . . . • .. N H A ER
HVAC PERMIT APPLICATION
All information after bold categories muat be pmvided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspecdon Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or 5100.00 plus the
normal permit fee,which ever is greater. �
. OR � :
If vou are a contractor aarticinatinQ in�the Permit (ee Account System and have adequate funds check here
if vou want this processed through vour account I�
��iT� � 02
JOB ADDRESS �qlJ /(�?��.e�� � .
OWNER
CONTRACTOR
CHECK�ALL APPLICABLE
CATEGORY
�i�Smgle Family ❑Duplex ❑Multi-Family ORental OCommercial ❑Indu '
stnal
FUEL ❑Gas ❑Electric ❑Solid SYSTEM J�Tew ❑Replace
❑Oil ❑Solar ❑pth�
TYPE '
❑Forced Air❑Radiant �Steam�A/C ❑Vent OElectric ❑Hot Water OSuppl.00on.Burner
IS CHIlVVINEY BEING LINED�No ❑Yes -LINER SIZE &MANUFACTi1RER
Note:All chimneys shall be sized per the BTU's being vented.
---EHIIVIlVEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent L�rJthPr
��HEAT LOSS OAs Approved OExisting �Not Applicable
��'I'U RATE �As Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WO {BEING DONE �' /-.5—�,�1�, C :
�� .� �
VALUE(Including labor and all materials including light tiztures)� �6�a� —
ELECTRICAL CONTRACTO OR ❑ ElecMe Installation Veriticatlon form attached(If Replacemrni)
E/ecrrica!instnl/ntion ojntw/nplacement equipment shn/!bt Aone by/icenstr!conlrocfors.
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