HomeMy WebLinkAbout0102819 HOSHKOSH
ON THE WATER
.lob Address 824 OSBORN AVE
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 PATTI L HARTENBACH
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
102819
07/09/2003
Other
Vent J
Use/Nature SFR/Replace furnace. * Job #1457. EIV form from Mr Teas.
of Work
Fees: Valuation
Issued By:
$2,300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$39.50
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
COMMERCIAL
NOT ~PFLZ~
$0 to $1,000.00 ................... ~ .......... =:=:~ ................... $20.00
$~0,000,00 pl~j :~.00 ~[00.0o val~tion o~
~r ~s,Ooo.oo ..................... ~;,~~ .............. 9~o5,o0
~t~0~00.00 ~t~ ~
g~eater.
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