HomeMy WebLinkAbout0056764-HVAC
o
OSHKOSH
ON THE WATER
Job Address 1815 ORCHARD LA
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No 0056764
Owner
BRAD L BROWN/KIM M LAST
Create Date 1/30/97
Contractor OWNER
Category 503 - SOLID FUEL STOVES AND FIREP
Plan
Fuel
I Solid
[Xl Gas
[Xl New
U Forced Air
I I Electnc
Chimney Type r) Chimney A
System
Heat Loss
r: ) As Approved
r: ) As Per Plan
BTU Rate
I 1011
I
I Electnc
I Solar
I Replace
U Steam U AlC
[Xl Suppl. I I Con. Burner I
. Direct Vent C) Not ApplIcable
( ) Not Applicable Value
I Other
U RadIant
I I Hot Water
( ) Chimney 13
. EXIsting
( ) Variable
U Vent
. Other
Value 35,000
Use/Nature
of Work FURNISH AND INSTALL NEW GAS FIRED DV SC FIREPLACE
Fees: Valuation
$1,500.00
$20.00
Issued By:
Permit Fee Paid
Date 2/13/97
o Permit VOided I
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Address
Agent/Owner
OSHKOSH
WI 54901 -0000
Telephone Number