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HomeMy WebLinkAbout0102239-HVAC (furnace & a/c)(~ CITY OF OSHKOSH No OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1311 W BENT AVE Owner PATRICIA A MISTEREK Contractor STEINBRUNER HEATING & COOLING Category 502- Residential-Both Fuel ~J Gas ~ ~J Oil L~J 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 0 BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 60 m btu & 2 ton 102239 Create Date 06/17/2003 Plan ~J Solid Vent Use/Nature SFR/Replace furnace and install A/C. *EIV form from Seckar Electric. of Work Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $50.00 Issued By: Date 06/17/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920) 426-1830 . 06f16/2003 22:15 i9204261890 STEINBRUNER HEATING: PAGE 01 Division of Inspection PO. Box ! ~h, wi S4903-1130 P~ (920) 23~5050 Fax (920) 236-50S4 · Application(s) and f; Oshkosh WI 54903- normal permit fee, w OR l[ YOU are a contracto~ .IOB ADDRESS_. ! R CONTRACTOR., CI~IECK [] ALL API~LI iCAT~GORY · ~gic Family C]I Pt~L IElOii ~or~ced Air ORadiant C CHIMNEY BEING Nnte: All chimneys shall be CI~MNEY TYPE I~AT LOSS 1BTU RATE DESCRIPTION OF ALl ices HVAC PERMIT APPLICATION All information after bold categories must be provido Incomplete applications will not be processed, :(s) can be brought to City Hall, Room 205 or mailed to Insi 128. Commencing work without permiffs) will result in fei ~ich ever is greater. sed throup, h rout (l¢coutlI ~- - - ~e~Wl btu r~-- DA CABLE )uplex E]Multi-Family r'lRental C;Comm, I~]ect~c f-l$olid SYSTEM ITlNew C]Solar C]Other ISteam E~C ClVent OElectric IDHo! Water nSuppl. I-]Co ;ized per the BTU's being vented. IChimney A EIC. hirrmey B IEl~irect Veto C30' las Approved '"'~ "~x/sting ~NoI A~licable las Per Hah ~Va~able ~O~her Value ~ ~: WO~ BEING DONE ~{~ ~ ~ ~ ~ / VALI~ (Including labor ~md all materials in¢ludin~ li~ht EI.EC~CAL CONT~CTOR~~ OR ~ Electrk InstaBatJoa veril [ ~'h,ctricnl inst~tla~ton of~B'/replacrm~ O_fHKO/t-:i ON T~F WATFR ~,ction Services, PO Box 1128. .s being doubled or $100.00 plus the ~ave adequate funds' cheek here T¢ial C]Industrial ~eplacc L Burner kC'lURER ration form attachedflf Replacement) ~t equipmenl shall be done by lieen~d rootrattor$, 3/02 .0~/16/2003 22:15 19204261890 STEINBRUNER HEATING: PAGE l (we)., (AdC have been co~ at the foilowi~ Thc nature of × Electric Installation Verlficatio (Electrical Contractor Name) ross) (City) n-acted to perform electric installation work for. (Ham! address: _15 IthO. ~- (Address where work will be p~ the work consists of: (Check One or Describe thc Natui ',econncction or new circuit for replacement Heating PIE :econncction or new circuit for replacement Electric W~ watez heater. ',ccormection of thc Service Entrance Cable, Meter Box. ~ and lighting fixtures duc to siding / soffit installation Entrance Cables will require a separate permit. leconnection circuit for the ofothe] or new replacement appliances / fixtures, ew circuit for the addition of A/C to an individual dwe, ' individual systems in a duplex or condominium), inc [ eleCtrical outlets, )ther his work is $ ~a4' ~_t,.~e._ t0,0 ~ this work will be performed by an employee of this c© on / installation will be done in compliance with manuf The value of l I hereby verif the reconnecti requircments, (State) (Zip Code) of patty contracted to) formed) 'e of Work) lit and/or A/C Condenser. tier Heater or power vented alterations to receptacles Note: New Service pcrmanemly wired 7trig unit (house or the luding required se, vice mpany and further verify ~cturer and gIectric code fPrint Name of Officer) (Date) 02