HomeMy WebLinkAbout1999-HVAC (furnace)
e
OSHKOSH
ON THE WATER
Job Address 1455W3RDAVE
Contractor
Fuel
System
CITY OF OSHKOSH
HVACÞERMIT -APPLICATION AND RECORD
No 0070779
Owner
PAUL 0 & LOIS JOHNSON
Create Date 5/17/99
TENTH ST STATION INC
~I (;as
Category 500 - Residential-Heating & Ventilating
Plan
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¡XI Keplace
I
I
[JATC~
I I (;on. lòurner I
I I ~olar
I I ~olld
I I New
[;x:J ~orced Air
I Other
U Vent
[TR~
: Hot Water
U ~team
I I ~uppl.
I ¡l=lectnc
Chimney Type K) (;hlmney A
Heat Loss
BTU Rate
Use/Nature
of Work
Fees: Valuation
Issued By:
. (;hlmney Iò--o--mrecrvent e ) Not Applicable
e ) I=xlsttng . Not Applicable
K ) As Approved
K ) As Per Plan
Value
e ) Vanable
.---other
Value 75,000 BTU
I~'" ,"moo
$1,536.00
Plan Approval
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$0.00
Penmit Fee Paid
LJ Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Address
Date
924 Ohio St
Agent/Owner
Oshkosh
236-8770
WI 54901-0
Telephone Number