HomeMy WebLinkAbout0102818-HVAC (furnace & ductwork)OSHKOSH
ON THE WATER
.lob Address 839 841 JEFFERSON ST
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner KELLY/ELIZABETH BURNETT
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 IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102818
07/09/2003
Other
Vent J
Use/Nature SFR/841/ Furnace & ductwork install. * Job #1419. EIV form from Mr Teas.
of Work
Fees: Valuation
Issued By:
$3,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$59.00
Date 07/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W8078 HILLCREST COURT HORTONVILLE WI 54944 -0
Telephone Number
(920) 779-8838
$0 to $1,000 OO ............ '
$io,000.01 to ,25,oo0.oo ............... ~,~ ................................. $I~5.00 Eot firat
SlO, 000.00 ~1~ ~1. O0 ~i~$100,00 v~luatt~ o~ ~r~
Over ~25,000 OD ....... . '~ - . ',~ t; ~aO~ n0
~r~ 8100.00 va~i~ or pa~
fees bein~ ~1~ or $100.00 pl~ the n~l pa~t fee, ~i~ ~r is
~&NUFACTU~ .....
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