HomeMy WebLinkAbout0101777-HVACOSHKOSH
ON THE WATER
.lob Address 223 ALLEN AVE
Contractor BREWER HEATING
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner SHOWCASE HOMES
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101777
05/28/2003
Other J
Vent J
Use/Nature NSFR/Install HVAC system in new home.
of Work
Fees: Valuation
Issued By:
$3,400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$56.00
Date 05/28/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address N8804 N DOUGLAS STREET RIPON WI 54971 -0
Telephone Number
(920)748-6494
L)J'.Ssk,-~ o:~ Jnsp.}clJon Services
P.(). P,<,x ] J30.
()slJ~os)h W~ 54903- ] ] 30
Phone (920) 236-505()
J:a>: (920) 236-5088
HVAC PERMIT APPLICATION
()N 1115
bold cal(.:?/vie:
ApplNat/on(s) arm fcc(s) can loc brought lo C/ly ]lull, Room 205 or mailed lo ]nspecdon Services, PO Box ] ] 2%
Oshkosh WI 54903-1 ] 28. Commencing work w/thoul permit(s) w/Il result in fees being doubled or 2100.00 plus
no~a] peril fee, which ever is g~ealer.
OR
~ vou are a conD'aclor pnriicipating it7 the Permil fee Accou~i Sl,stem a,ld have adequa~e funds check here
/f you wahl HHs proce.5. Sed lhrough your account ~
ALL A~ alL; CA s3 ~ ,E
USE; CATE;GORY
'~Single F::mi]y E]Duplex
CiMulfi-Fax~ily
EJRentat t2Con2anercial ~hldustfiat
t7i Oil 1_-t So.' 1 a~ ~ Olhcr
[2Rep}ace
~orced Air L., :adiunt ~-'' .... ,~", ~ ': , , -.
,JS~,.:.m E~,A./C O¥'c;~t ~., ec.,..,~ [Zt.i ,:t W:::cr E3Suppl.fLiCon. Burner
Now: AN chinmey:~ sN~i, :~e si?cd per thc B'rU's
Cf} tim :' .'EX TS' E
t3 ,\~,' LO,,S
BTU tL~TE
[3As Approved
IDAs Per Plan
LlChimney B
Fll~xisting
IDVariabte
_ (; ~ [ } EIc' 5c t:...lnll:,don ,'erJ;'b' rio. form ',ll:~,'hct;(;fRcFhncn.~m)
]:~ectri, ',;~ h~sg,.1/olio:, of );(",;,,5'e']:?c. 'c:me::.'. equip, ,'tit .d. oll 1., · :io;~a !y lic -':','d ,-'-
3/02