HomeMy WebLinkAbout0102475-HVACOSHKOSH
ON THE WATER
.lob Address 3011 MOCKINGBIRD WAY
Contractor BREWER HEATING
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner MARKW/KELLIE S SHOWERS
Category 502- Residential-Both
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
102475
04/24/2003
Other J
Vent J
Use/Nature NSFR/ Install HVAC system for new home.
of Work
Fees: Valuation
Issued By:
$5,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$83.00
Date 06/27/2003
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
,CJb, of' O:;hkosh
]SJvJsion%:f Jnsp..r:clJon Services
P.¢). Buy, ] j30.
():;]~}<osh, WI 54903-]] 30
Phone (920) 236-5050
]:a>: (920) 236-5084
HVAC PERMIT APPLICAYIO ,I .':4h%.,,. '
App]ScatJon(s) and fi:c(s) can be brought Io City ]]a]], Room 205 ()~ mailed lo Inspection ScrvSccs, PO Box ]
Oshkosh WJ 54903-1 ] 28. Commencfl~g work wflhout permit(s) w/II resu]l in fees being doubled or $100.00 plus the
no. at pemait fee, which ever is ~eater.
OR
~you are a conzractor participati,ff M Ihe Permil {ee Accou~i SVslem a~d haYe ~dequaze [u~ds. check here
you wr~x xhis Rrocessed /brough your account ~
DATE
%%300
-.Af bC:K Lvj AI.,]b Ai'i3LiCA]BI,E
USE CATEGORY
~ingle Fmnily tZ]Duplex
E]Multi-Famity
F-JRema] E]Cormnercial Uttndustiial
_i ,;)t]'llJ.'le ' ,/'~
[-]As Approved
t-iChimney B
U1Exisfing
i-iVariabie
DESCRIPTION OF. ALL WORK BEING DONE
E]J5 u'ect Vent
IF]Not .&pp]jc: b]c
UJOther Value
~Other
:':13?': ':TI~..' CA L ,. )N. ;L4., .TC. '~
]:~ectr;', ',;! it,.*'?'Pmio,' qf w'w,5'e]:!.~' 'cme..:~ equ6m..rtg ,al. oil l,, :?o!~, !7 ]icc':: ed
s/02