HomeMy WebLinkAbout0105733-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 729 W 6TH 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 MICHAEL A BRECKLIN
Category 502- Residential-Both
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 O Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
105733
12/12/2003
Other
Vent J
Use/Nature SFR/Install replacement furnace and new A/C. *EIV form from Heritage Electric.
of Work
Fees: Valuation
Issued By:
$6,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$102.50
Date 12/12/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address P O BOX 355 MENASHA WI 54952 -355 Telephone Number
920-426-2654
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
11/19/0~ 08:17 FAX 7220651 DRUCE$ ~OZ
Electric. Installation Verification
~lcc~ical Corm*actor
(zip Code')
have been contracted to perform elec~c installation work for
(Name ofp~ty couhactcd to)
(Address where work will be performed)
The nature of thc work consists of: (Check Onc or Describe thc Natu~ of Work)
Reconnection or new circuit for rephcemant Heating Plant and/or A/C Condenser.
Reconnection or new circuit for r~placemant ElecUic Water Hcater.
Rcconneciion of the Service Enlzancc Cable, Meter Box, alterations to reccptaclcs and
lighting fixturcs duc to siding / soffit installaliom Notc: Ncw Scr~ce Bntrance
Cablcs will require a sepm'ate pcrmit.
Rcconnection or ncw circuit for other p~ m~pently wired appliances / fixtures.
Thc value ofdfis work is $
I hereby verify tkis work will bc performed by au cmploycc of this company and further vcxify the
rcconncction ! installation will bc donc in compliance with manufacturer and Ble. c~ric codc
~ of Company Offlc, er)
(Print Namc of Officer)
{} -i?-o?
(Date)