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HomeMy WebLinkAbout0099512 HOSHKOSH ON THE WATER .lob Address 703 W 17TH AVE Contractor Fuel ~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ALL SEASONS QUALITY HTG & CLG Oil Forced Air I ~J Radiant Electric I ~J Hot Water Owner GREGORY A PASCH & WF Category 501 - Residential-Air Conditioning L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~ ChimneyA ~ Chimney B Heat Loss I~ As Approved ~ Existing BTU Rate I~ As Per Plan ~ Variable Direct Vent Not Applicable Not Applicable Other Value Value No 99512 Create Date 05/23/2001 Plan Solid Other Vent Use/Nature SFR/LATE PERMIT/ Install A/C system. *Late fee waived per AD. of Work Fees: Valuation Issued By: $1,375.00 Plan Approval $0.00 Permit Fee Paid Permit Voided $26.00 Date 01/20/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1661 IOWA ST OSHKOSH WI 54902 -0 Telephone Number (920) 426-8090 HE~TING PERMIT REQUISITION Date i- I-'/~ ~:~ Permit No. Address Hame Building Type of Fuel /k~/-~ Forced Air (No.) Air Cond. (No.)' SSeam (No.) Hot Water (No.)~ Unit Heater(No.) Other (No.)~ New (No.) Replace (No.)~ Size of Units Valuation of Work Electrical Contractor Heating Contractor ~ll Address i~G I ~