HomeMy WebLinkAbout0099568-HVAC (gas stove) SHKOSH
ON THE WATER
.lob Address 1257 ELMWOOD AVE
Contractor FOX VALLEY STONE & BRICK
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner THOMAS D/MARY BURNS
Category 503- STOVES AND FIREPLACES
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
Create Date
Plan
L~ Solid
99568
01/24/2003
Other J
Vent J
Use/Nature
of Work
Installing a gas stove. All work shall comply with manufactures specifications.
Fees: Valuation
Issued By:
$2,114.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$38.00
Date 01/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1257 ELMWOOD AVE OSHKOSH WI 54901 -2753 Telephone Number
SHKOSH
ON THE WATER
Job Address 1257 ELMWOOD AVE
Contractor FOX VALLEY STONE & BRICK
Fuel L~ Gas I [] Oil 7 ~ctdc
System [] New I [] Replace
L~ Forced Air I ~ Radiant I [__J Steam
[~ Electric I [] Hot Water I ~-Suppl.
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner THOMAS D/MARY BURNS
Category 503 - STOVES AND FIREPLACES
[~-Solar
NC
Con. Burner
Chimney Type ~ ChimneyA ~ ChimneyB ~I DirectVent ~..~ Not Applicable
Heat Loss ~,~ As Approved ~ Existing O Not Applicable I Value
BTU Rate ~ As Per Plan ~ Variable O Other I Value
No 99568
Create Date 01/24/2003
Plan
~olid
[] Other
Vent
Use/Nature ~SFPJ Installing a gas stove. All work shall comply with manufactures specifications.
of Work
/
Fees: Valuation $2,114.00
Issued By: ~'~7
Plan Approval ' $0.00 Permit Fee Paid
[] Permit Voided J
$38.00
Date 01/24/2003
In the performance of this w_ork, I agree to~rform all work pursuant to rules governing the described construction.
Signature '~"'~ ~3.A.~. ~ Agent/Owner
Date
Address 1257 ELMWOOD AVE OSHKOSH WI 54901 -2753 Telephone Number