HomeMy WebLinkAbout0099172-HVAC (furnace)" ~ill~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1420 W 5TH AVE Owner ERVlN F PORTMAN SR
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas I LI oil I [] Electric ] I I Solar
System [] New i [] Replace--
L~J Forced Air I LJ Radiant I [~ Steam I ;LJ A/C
L~ Electric I L~ HotWater I ½ Suppl. I b~ Con. Burner I
Chimney Type ~ Chimney A ~ Chimney B ~I Direct Vent ~ Not Applicable
Heat Loss ~ As Approved ~l Existing (_~ Not Applicable I Value
BTU Rate ~ As Per Plan (.~ Variable O Other I Value 026 Q3-75
No 99172
Create Date 12/23/2002
Plan
[] Solid
[] Other
LJ Vent
Use/Nature SFR/Replacement furnace* EIV from Solar Electric attached.
of Work
Fees: Valuation
Issued By: ~
$2,100.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$36.50
Date 12/23/2002
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-(
~' 1~-2(~-2002 11:BBAM FR~,4 WESLEY_HEATIF~ At4235755@
Ci~ of Oshkosh
O*~sh, WI 54903~! 1~
Phon~ (~ZO)
HVAC PERMIT APPUCATION
OC~B~
~l~y BErG ~~o BYes - ~ S~ & ~A~
LoSS ~~ <~v~ .....~2 ~ ¢¢,- 7 %
For v~t~lie~ble projeets, an Ele¢~c tn,~L~a~On Verifi=afion form, ~ig~ct by ~he El~t~ieat ConU-aetor., must be
-12-2E.~-2882 1 t :E,.4.AM FROM WESLEY_HEATING
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