HomeMy WebLinkAbout0105504 HOSHKOSH
ON THE WATER
.lob Address 110 W 22ND AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
DRUCKS PLUMBING & HEATING CO INC
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner WILLIAM P/HAZEL GRUSE LIFE ESTATE
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
105504
12/01/2003
Other
Vent J
Use/Nature SFR/Replace furnace. *EIV form from Heritage Electric.
of Work
Fees: Valuation
Issued By:
$1,800.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$32.00
Date 12/01/2003
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 P O BOX 355 MENASHA WI 54952 -355 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 Installntlon Verification
The n~ture of ~c work co~i~t~ of: (~k ~e or D~bc
~ K~o~tio~ or n~ c~t for r~l~t
--- ~:~on of~e S~ce ~ Cable,
~ fiXeS due to ~ / ~t ~Iafion. No~: N~ S~i¢~ ~n~cc
C~Ics will r~u~r¢ · ~atc
K~o~ec~ion or u~ ci~t for other p~fly
~h~
The value of th~s'
//___.d/q ' °__-~-~
(Date)