HomeMy WebLinkAbout0062068-HVAC
G
OSHKOSH
ON THE WATER
Job Address 1765 HUNTERS GLEN DR
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No 0062068
Owner
MARTY L SMITH & WF
calego'Y~Jt1;r>-iVUtb ~~] Pu Plan
I I I Electnc I I _ 0 a I
I Replace I I
U Steam U AlC I
I I Suppl. I I Con. Burner I
Create Date 11/18/97
Contractor TENTH ST STATION INC
Fuel [Xl Gas I 1011
System IX] New I
U Forced Air U Radiant
I I Electnc I I Hot Water
Chimney Type K ) Chimney A ( ) Chimney 1:3
Heat Loss K ) As Approved ( ) EXisting
BTU Rate K ) As Per Plan ( ) Vanable
Use/Nature
of Work
I Solid
I Other
U Vent
( ) Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
Value
Fees: Valuation
$525.00
Plan Approval
$0.00
Permit Fee Paid
$30.00
Issued By:
Date 1/21/98
U Permit VOided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 924 OHIO ST
OSHKOSH
WI 54901 - 0
Telephone Number 236-8770