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HomeMy WebLinkAbout0099511 H(~ CITY OF OSHKOSH No OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1690 VILLA PARK DR Owner MICHAEL E VALDE7 Contractor WESLEY HEATING & COOLING INC Category 500 - Residential-Heating & Ventilating Fuel ~J Gas ~ ~J Oil b~ Electric ~J Solar System ~J New ~ ~J Replace ~ ~J Other ~J Forced Air I ~J Radiant L~ Steam ~J A/C ~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I Heat Loss I~ As Approved O Existing ~ Not Applicable I Value BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 67,000 BTU Create Date Plan L~ Solid 99511 01/13/2003 Vent J Use/Nature of Work SFR/Replace bad furnace found over the weekend with an Armstrong G1D93AU067D12B-lA. * EMERGENCY INSTALLATION. EIV form from So ar E ectr c. Fees: Valuation Issued By: $2,500.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $42.50 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 1736 SAL STREET GREEN BAY WI 54302 -0 Telephone Number (920) 468-6951/235-6 1 --'1 3-2~3 t: 2BP~4 ~t~t. 2~, OE 03~3~p Cily of 0~kosh P.O. Box 1130 Osliosh, WI ~.903-I 1t0 pl~.e (920) 236-$0~0 Fax (~2o) 1~6-$084 Fg, IOM WESLEY_FEAT lNG Oshkosh I.~spec~i ohs no~ ~t f~, w~ch e~ is ~. OR ?f ~.~_~r~ co~r~C~o~ ~rt~cip~tin~ in ~k¢ ~r~it [~e A,~co~: ~vstem a~ }~ye adequate f~nds, ehect here co..,n~oR, h/~gz. 5'y H~,q-.7-/rd6 q Oool./dG DATE ....... c. oo Y EikMult/-Family I::}~enml ElCoramerc.,ial ID Industrial ID,Solid SYb"I~M ONcw ~l~place OOther ~oo. 0 0 VALUE (I.¢lading labor.and all matcrtal$ incluclin{ I~ht fi~r~$) $ ~' D 'For ~plicabl~ ~j~, ~ ~e ~lla~v V~ ~. ~ by ~ ~c~ ~~, ~t ~ a~ch~, Ifnot a~ached or ~ a~licable, e s~ ~]c~caI P~ is ~u~ 1 '-:-13-2E~2)3 t: 2E, PM FROM WESLEY_HEAT I NG -',41 -423S7SS0 d_Jul