HomeMy WebLinkAbout0098367-HVAC (furnace)OSHKOSH
ON THE WATER
1707 JEFFERSON ST
WESLEY HEATING & COOLING INC
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner THOMAS P/MARY M HENDRICKS
Category 500 - Residential-Heating & Ventilating
[] Gas ] [] Oil
[] New I
~ Forced Air I [_J Radiant
[] Electric 1 [] Hot Water
~ Chimney A ~ Chimney B
~O As Approved ~1 Existing
~ As Per Plan F_~ Variable
[] Electric ] [] Solar
[] Replace I
J ~ Steam J ~ NC
1 [] Suppl. I [] Con. Burner
Direct Vent (.~ Not Applicable J
~ Not Applicable i Value
~11 Other I Value
No 98367
Create Date 11/04/2002
Plan
L~ Solid
[] Other
Vent J
75m
Use/Nature ~ENTAL/Replace furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$2,100.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit VoidedI
$36.50
Date 11/04/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 - 0 Telephone Number
(920) 468-6951/235-(
~ 0'B0-200~ B: Bd~q FROH
CR3' of O~
Division of inspection
P,O, Box 11~0
Fax {920)
Application(s) and fe~s) can be brought to City Halt, Room 205 ~ mailed to Inspection Ser~, PO Box 1128,
Oshkosh ',VI 54903-!.128. ~'work without pemlit(s) will result in fees being doubled or $100.00 plus
normal permit fee, which ever is greateK.
OR
tf you ,ar~ a contractor participatin~ i~t the, pirm, it fee Account System and ~_ave adea_uate [ands, cheek here
if~vou want this_t~r_ocessed througk yo~tr account [~
DATE
~CK ~.aIL A-PPI~CABLE
USE CATEGORY
OSingte Family
, OMulti-Family
~ntal OCommercial OI~raiaI
CHLMNEY TYPE
HEAT LOSS
BTU RATE
ElChimney A
~A~ P~ Plan
IDChinmey B
EIVariab!e
DESCRIPTION OF ~L WORK BEING DONE
10-30-2002 ~ '. !54.PM FROM WESLEY_HEAT I NG zL 1.42BB75BI~
Eleetri~ lustall~tion Verifi~iou