HomeMy WebLinkAbout0102046-HVAC (furnace & a/c)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 427 W NEVADA AVE Owner CHRISTINE A SKEBBA
Contractor WESLEY HEATING & COOLING INC Category 502 - Residential-Both
Fuel ~J Gas J ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 50m btu
No
Create Date
Plan
~J Solid
Vent
102046
06/09/2003
Use/Nature SFR/Install furnace and 2 ton central a/c. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$5,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$92.00
Date 06/09/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 -0
Telephone Number
(920) 468-6951/235-6
~un 03 03 11~1a ~HC OSH 235-7550
C~ty o£ Oshkosh
Division o£Inspecffon
P.O. Box 1130
Oshkosh, Wt 54903-!
Phon~ (920) ~&5050
Fax (920) 236-5084
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128,
Oshkord~ WI 54903-t t28. Conm~en¢ing work wiffmut permit(g) will result m fees being doubled or $ 100.00 plus the
normal perm~ fee, which ever is greater.
OR
If ymu are a.contractor narticipating iq. the Permit fee dcconnt $¥s.t.e.m and have adequate.funds, check here
if you. Want this proce~.xed through Your
CONTRACTOR
CHECK l~I ALI, APPI.,ICABI.~
USE CATEGORY
J~Single Family ODuplex
[21Mulfi-Family F-IRental [EICommemial nlndustdal
FUEL t~Gas ElEl¢ctric ElSolid SYSTEM ONew -l~Replace
E]Oil ~Solar EIOther
E
,~oorced Air ElRadiant [~Steam ~dC I-1V~nt E]Eleetric EIHot Water r'!Suppl.
Note: Ag c~e~ ~ ~ ~fl per ~e ~ s ~g ~.
EICon. Burner
CHL~INEY TYPE
HEAT LOSS
BTU RATE
[3Chimney A l~lChimney B [~(.Dir~et Vent ElOther
~As Approved ~Existing nNot Applicable
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including Labor and all materials including light fixtures) $
e. ecwvac a coma AerOR _EC¢
~For appl/eable projects, an Electri~ Installation Verification form, signed by the Ele~trioal Contractor, muzt be
attached. If not aP. ached or not applicable, a separate Electrical Permit is required.
Jun
D3 f~3 !1:41a WHC OSH
06/03/03 07:2i FAX 920 236 ??25
235 -?550
Solar ElaStic
p.2
Electric Installation Verification
Theval~eofthisworkis$ , '~ 00.00,,.
~ re~onn~on / ~llation ~ be done
requ~r~ner~.