HomeMy WebLinkAbout0105665-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1206 EVANS ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GRANT SCHULTZ HEATING & COOLING
Oil
Owner REBECCA A COWLING
Category 502- Residential-Both
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 O Direct Vent ~ 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
105665
12/08/2003
Other J
Vent J
Use/Nature SFR/Replace furnace and add new A/C. *EIV form from Drexler Electric.
of Work
Fees: Valuation
Issued By:
$3,650.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$60.50
Date 12/08/2003
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 1411 S MAIN ST Oshkosh WI 54902 - 6519 Telephone Number
(920) 216-1616
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 Installation Verification
(Electrical Contractor Name)
(Ad&'ess) (City) (State) (Zip Code)
contracted to pcffom elec~ic instalafion worn for ~C ~, ~ ~(a~
have
bc~
~me ofp~ con~acted to)
atthefollo~gad~ess: [~o~ ~ ~ [
(Ad~s where work will be perfonued)
The nature of the work consists off (Check One or Describe the Nature of Work)
__ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
__ Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
__ Reconnection of the Sen, ice Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a sepm-ate penuit.
__ Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
__ New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ ~..~oc~, ~ c)
I hereby verify this work will be perfonued by aaa employee oftl~s company and further verify
the recomaection / installation wiU be done in compliance with mamffacturer mad Electric cede
requirements.
~Company Offi ) (Pri~ Name of OffiCer) (Date)
5/02
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