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HomeMy WebLinkAbout0102476-HVACContractor Fuel System OSHKOSH ON THE WATER Job Address 2600 HEARTHSTONE DR BREWER HEATING I"1 Gas [] New L~J Forced Air I IElectric ChimneyType ~ ChimneyA CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Owner KURTA KOEPPLER Category 502 - Residential-Both Oil II I Electric [] Replace Radiant j k~ steam HotWater I I~ suppl. I Solar I ,,,,,I Con. Bumer I Not Applicable I Chimney B ~,~ Direct Vent Heat Loss [,~ As Approved (,) Existing O Not Applicable I Value BTU Rate ~.~ As Per Plan ~ Variable O Other I Value No 102476 Create Date 04/29/2003 Plan I I Is°lid I [] Other I LJ vent Use/Nature ~ISFR/install HVAC system for new home. of Work Fees: Valuation $4,860.00 Plan Approval $0.00 Permit Fee Paid Issued By: [] Permit Voided $78.50 Date 06/27/2003 In the pedormanceofthiswork, I agree to pedormallworkpumuantto rulesgoveming the described construction. Signature Date Agen~Owner Address N8804 N DOUGLAS STREET RIPON WI 54971 -0 Telephone Number (920)748-6494 ' Apj,]5 ;ation(s)~md ::c(,;)can ucbroughlk)Cffy]lalLRoom205 o~ mailed tolnsl)e~Q~a;~ces POBo> 2~ Oshkosh Wi 54903-1128. Commencing work wffhom per n t(s) w 11 result in fees bein }/~55V~d' or $100 O0 ];s the g . . p no.at pem~it fee, which ever is wearer. OR ffvo~ nre o co~m'acZor Oorticipatinp i~ lhe PermH fee ~ccou~l Sysiem ~nd have ~dequnre fu~ds, check here if you wo~ zhis procesxed through your accou~Z f qi. so  CATEG .O, RY ngle Fami}y FUI,.'i,, ~i~s [3Duplex UiMulti-Fmnily 1- ;Rental l~lCo~mnercial E}h~dustfial :'~YS'!'P. t _~.; .,'er,, ~Rep~ace .L2~o~hcr i.~:orced. ,'dr [. ,ad5' 'nt IDS('".~,n ~A/C t~¥'cJ,t ~:: 'ec~t:: D] ,,:t W:::cr ~Supp].[JCon. Burner Notv: AU ctfinmeys sh:::~ t>e sited per file BTU's Cl../Vt: E~ T) E J~, ,\, LO.,S BTU P-ATE T'( .... ~e5 ['}As A,ppreved 12Chimney B DExisfing DVariabie E] D ;:eot Vent ~Nol Appli<:: ale OOther Value t2Ofl~er DESCRIPTION OF ALL WOR.K BEING DONrE 3/02