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0104852-HVAC (steam humidifiers)
OSHKOSH ON THE WATER .lob Address 1130 N WESTFIELD ST Contractor MARX MECHANICAL Fuel System Gas J ~J Oil CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Owner EVERGREEN MANOR INC Category 500- Residential-Heating & Ventilating L~ Electric New ] ~] Replace ] Forced Air ] ~ Radiant Electric I ~J Hot Water Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I Heat Loss I~ As Approved ~ Existing O Not Applicable I Value BTU Rate I~] As Per Plan ~] Variable ~ Other I Value No Create Date Plan ~ Solid 104852 10/20/2003 Other ] Vent Use/Nature COMM/Replace 2 steam humidifiers. of Work Fees: Valuation Issued By: $9,000.00 Plan Approval $0.00 Permit Fee Paid Permit Voided $140.00 Date 10/20/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number (920) 235-6510 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Oily of Ostiosh Division of Inspection Services P.O. Bo>: ~ ~30 Osl~cosh, WJ 54903-] i30 Phone (920) 23G5050 Fax (920) 236-5084 ocTz0z00g ©/HK©jH Application(s) and fee(s) can be broughl to Cit7 Ha]], Room 205 or mai]ed to Inspection ServJees~ PO Box ] ]2g~ Os]~osh WI 54903d 128. Commench~g work wJthoul ])gl~s) w~]] resu]t h~ fees being doubled or $]00.00 plus the n0nna] permit fee~ WNCb ever is g~eater. OR are a conZrac~or parHcipaHn~ D~ zhe Permit fee dccou~Z SF,~fem and haYe adequate ~d~', chec]c here lO-Iq-oS C]giECK ~I AdLL APPLICABLE USE CATEGORY IDSingle Fatrdty ~Duplex I2]Multi-Fanfily FIRental l~Cormnercia] [PhadustfiaI FUEL ~Gas []Electric rqSolid ~OJ] E]So]ar TXrPE g-]Forced Air 13Radmnt ~Steam ~A/C ~Vent ~Elecl]Sc ]S C}_tl2M[N}CY BEING LINED IDNo ~JYes - LYNER SIZE ~'fote: All c]~h}meys shah be sized pm' tim BTU's being x enled. SYSTEM E]New [glteplace [] Otb er _ _ []Hot'Water tlSuppl. IqCon. Burner __ & M;kNrUFAC'TUi?2zt~. ....... CIF!MN-Ey TIqPE [TChinmey A ~Ch'mney B ~Direct Vent DOther ~A'r LOSS ~As Approved E]Existing [~lNot Applicable BTU IMTE QAs Per Plan ~Vm'iable []Other Value lP. LECTRICAL CONTRACTOR [] For applicable projects, an E]c,;a-Jc ]Installation Veri~catJon foraL sighted by the E)ecl} jca] CcmIractor: must be attached, l£not attached or not applicable, a separate Electrical Permit is required. 9/02