HomeMy WebLinkAbout0071620-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 253 W 14TH AVE
Contractor
Fuel
System
CITY OF OSHKOSH
No 0071620
- - ,,8
HV AC PERMIT - APPLICATION AND RECORD
Owner
JAY A MASTERSON &WF
MONROE HEATING
Category 500 - Residential-Heating & Ventiiating
Plan
I I :5olld
1,11 Gas
I I New
-.J
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I
I I Kadlant
I I Hot Water
( ) "nlmney "
I I ~Iectnc
1,11 Keplace
U :5team
I I :5Uppl.
I I :5olar
I
I I Other
I
I
U !-orced Air
1 I ~Iectnc
U Vent
1-_.1 AI"
I I "on. "urner
Heat Loss
Chimney Type [) "hlmney A
Value
BTU Rate
Use/Nature
of Work
Fees: Valuation
Issued By:
( ) l) rect Vent
( ) Not Applicable
[ ) AS Approved
[ ) As Per Plan
( ) Not Applicable I
( ) Other -----¡
( ) ~XISting
( ) Vanable
Value
[..-
$3,725.00
$0.00
$47.25
Date 07/23/199'!
Plan Approval
Permit Fee Paid
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Signature
In the perfonmance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Address
,
Agent/Owner
2527 BOWEN ST
OSHKOSH
WI 54901-0
Telephone Number
232-6838