HomeMy WebLinkAbout0105137-HVAC (furnace) SHKOSH
ON THE WATER
.lob Address 1845 OLIVE ST
Contractor DRUCK'S PLBG & HTG & CLG
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner FRANCINE L TILLMAN
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO 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
L~ Solid
105137
11/04/2003
Other J
Vent J
Use/Nature SFR/Replace furnace. *EIV form from Heritage Electric.
of Work
Fees: Valuation
Issued By:
$1,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$33.50
Date 11/04/2003
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 504 3RD ST P O BOX 355 MENASHA WI 54952 - 0 Telephone Number
(920) 426-2654
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.
Electric I[nstnllattou Verification
(Elccmcal Cont,acto! N~mc)
(Ad~e~ w~ work ~
Th~ ~amre or,he work c.o~/~t~ of: (Check One or Describe the Namm of Work)
~ Recon~ectlc~ or new cLrcuit for replacement HeaT P~ ~ ~'C Co~,
~t~n or n~ c~uit ~r ~l~nt ~ W~ Hca~,
U~ fi~es ~e to ~ding 1 ~t ~afcn. ~: ~ S~ice
Cabl~ will r~rc a ~atc p~t.
0~
The value ofth/s work is $ ./0o .d~
I hereby veri~
r~on / ins~la~on will be done ~ ~mpli~e ~ m~ ~d El~c c~