HomeMy WebLinkAbout2003-HVAC (A/C)OSHKOSH
ON THE WATER
.lob Address 3826 PURPLE CREST DR
Contractor MCM AIR INC
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 DEWAYNE K/SANDR JEWSON
Category 501 - Residential-Air Conditioning
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
102526
06/30/2003
Other J
Vent J
Use/Nature SFR/Install 2 ton 24m btu A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 06/30/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
Ci~of Oshkosh
HVAC PERMIT ~PLIC~~ ~Jp ~ ~~
Application(s) ~d fee(s) ~ be ~ou~t to Ci~ Hall, R~m 205 or ~l~ m ~~ ' . , PO Box 1128
Os~osh ~ 54903-1128~ Co~c~g work ~out ~s) ~ll ~t ~ f~s ~g d~ $1~ ~ l'
noel ~t f~, w~ch ev~ is ~t~. ' . ~ ' P ~ ~e
OR
ou r r r ..... ·r
CON~CTOR MCM AIR,
CH]~CK ~ ALL APPLICABLE
INC. '612.2
COUNTY 'RD M, WINNECONNE, WI 5498.6
" 582--4402.~ FAX 582-013.6'
sSE CATEGORY
ingle Family [2]Duplex
[2]Multi-Family
~Rental glCommercial [21Industrial
FUEL )~Gas [Electric [Solid
[Oil ElSolar
TYPE
[Forced Air [3Radiant [Steam /~A/C EVent
IS CHIMNEy BEING LINED [No EYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE I']Chimney A [2Chinmey B
HEAT LOSS I-lAs Approved [3Existing ·
BTU RATE [3As Per Plan [Variable
SYSTEM
[3Electric CIHot Water CISuppl.
& MANUFA~
[Other
C]D/rect Vent
F~Not Applicable
[2Other Value
[3Con. Burner
DESCmPT~ON OF ALL WORK BEING DONE
'To t~.~ 2_qO0o ~7 ~
i,
VALUE (Including labor and all materials including light fixtures) .$ ~ 'ZGOO oo
ELE xC~ CAL CONTRA~OR ~ ~C~A ~-- ' ~3 3G
~For applicable ~ojee~, ~ Elec~e ~smllafion V~fieafion fo~ si~ by ~ El~efl Con~tor, m~t ~
' a~ehed. If not amehed or not applicable, a s~m Elec~cal P~t is ~d. '
9/02
Oshkosh
Electric Installation Verification
(Electrical Contractor
~e ofp~ ~n~d
(A~sS w~ work ~ be p~~) -'
~ ~e of~e wo~ c~s~ off (~k One or D~ ~e N~ of~rk)
. ~~on or ~ c~t for ~l~t ~c Wa~er H~ or ~w~ v~t~
~d H~ ~ duc to si~ / ~t i~on. Note: N~
, E~~onorn~c~tfor~~toFo~p~~2~q~ ~p~c~ / ~.
eleo~ o~e~, '
The value oftRis work is $~
I hc~by verify fi,i_* work will be performed by an e~nployee of this company and fur~er verity
the recon:~oction / installa~ion will be done in compliance with manu~cturer and Electric code
r~u.~.
(Sigt~arelof Company Officer)
(Print Nan~