HomeMy WebLinkAbout0102400-HVAC (furnace & a/c)(~ CITY OF OSHKOSH No 102400
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1925 VINLAND ST Owner RAYMOND KLAPA
Contractor WESLEY HEATING & COOLING INC Category 502 - Residential-Both
Fuel ~ Gas ~ ~ Oil L~ Electric ~ Solar I L~ Solid
System ~] New ~ ~] Replace ~ ~] Other
~ Forced Air I ~ Radiant L~ Steam ~ A/C I ~ Vent
~] Electric I ~] Hot Water L~ suppl. ~] Con. Burner 1
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 50m btu heat/1.5 ton CAC
Create Date 06/24/2003
Plan
Use/Nature SFR/Replace furnace and central air. *EIV form from Solar Electric.
of Work
Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $72.50
Issued By: Date 06/24/2003
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 1736 SAL STREET GREEN BAY WI 54302 -0 Telephone Number (920) 468-6951/235-6
Civy o fOsbkosh
Division
?.0. Box t t 30
Oihkosh, WI 54903-I I30
Phone (920) 236-5050
Fax (920) 236,5084
JUN g 0 7005
HVAC PE RM~'~ A~j~,~h[f~ I~I 0 F
meomptc~e applicants will not ~ ~ '" ~' ~ ~
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box t t 28,
Oshk~h WI 54903-t t28. Coau-aencing work w/thom permit(s) ~s4II result in fees being doubled or $t00.00 plus the
normal pemfit fee, ~vl~ch ever is greater.
OR
fi_you are a contract, o.r participating in the Permit fee Mccou~t $1Jstem and have adequate funds, check her~
if ¥OZf ..want..fhis ~ro_cessed through your ac.count
JOB ADDRESS.
C~rE. CK ~ ALL APPLICABLE
USE CATEGORY
l~ingle Family FIDuplex
I-IMulti-Family r'lRental I=ICommercial Fllndustrial
OOil ~So~
E
~med A~ ~Radimt ~Stcm ~C ~Vent , ~Elecffie ~Hot Water
re: Att chm, ys sh~l ~ s~ed per ~e B~ s berg Vented.
C~Y T~E ~CEi~-~A ~i~ey g ~t Vmt ~Oth~
~AT LOSS ~As Approved ~xisting ~Not Applimble
BTU ~TE ~As P~ PI~ ~Va~ble ~Other Value , ~.~ ~
D~~ON 0~ ~L WO~ ~G DO~ / '/*
VALLrE (Inelading labor and all materials including light fixtures) $ g/~'O ~- ~ ~? ~
~i~or applicable projects, an Etectrie Installation Verification form, signed by the Electrical Contractor, mu~ be
attached. Ifnot attached ornot applicable, a separate E!ectrieat Pemd{ is required.
WHC OSH
' 235-7550
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