HomeMy WebLinkAbout0080322-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 414 MADISON ST
Contractor
CITY OF OSHKOSH
No
HV AC PERMIT - APPLICATION AND RECORD
Owner
RAYMOND A THOMSEN
Create Date
SMITH BROS HTG & COOL INC
Category 500 - Residential-Heating & Ventilating
Plan
1,( I Gas
I I New
~ Forced Air
I I I::lectnc
Chimney Type ~) <';hlmney A
Fuel
System
Heat Loss
BTU Rate
Use/Nature
of Work
1011
Il::lectrlc
1,( I Replace
U Steam
I I SUppl.
e ) Direct Vent
I Solar I Solid
ITOther
U AI<'; U Vent
I I <.;on. l::3urner
e ) Not Applicable
~ ) As Approved
~ ) As Per Plan
U H.adlant
I I Hot Water
e ) <';hlmney 1::3
e ) EXisting
Value
e ) Not Applicable
e ) Other
e ) Variable
Value
Plan Approval
$0.00
Permit Fee Paid
$127.50
Date 08/22/2000
Fees: Valuation $1,500.00
Issued By: 5ms
U 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
1462 VELP AVE
GREEN BAY WI 54303 - 0
Telephone Number 1-494-2813 OR 1-80
~. . . H~ATING PERMIT REQUISITION f ;) 7_)0
D~te~permit No.
Address~ . ~ ~ i'lffi'i. 8, . ~::
Name:] \; . _~ ~A\\
-
Building Use~ l).r)\c\~ioO .
Type of Fue 1 C-...,{)..{\
Forced Air (No. )-L-Air Condo (No.)
Steam (No. ) Hot Water (No.)
- Unit Heater(No.) Other (No.)
New (NS.) Replace (No.)
Size of Un,its 15, {Y)o Jbtu
Valuation of Work \> \5cx::J,-
Electrical Contractor
Heating Contractor
Address ~L\
G\<eell lJay