HomeMy WebLinkAbout0102763-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
933 EASTMAN ST
RASMUSSEN'S HEATING & NC INC
~' Gas 1 [] Oil 7
[] New I
Owner ANTON FRUHWIRTH JR
Category 502 - Residential-Both
~ Electric
Replace
L~J Forced Air I LJ Radiant I LJ steam
[~ Electric 7 [] Hot Water ~ ~ Suppl.
Chimney Type ~ Chimney A O Chimney B
Heat Loss ~ As Approved O Existing
BTU Rate ~,.) As Per Plan ( ~ Vadable
No 102763
Create Date 07/11/2003
Plan
~r~lar ] [] Solid
[] Other
~J NC ~ Vent
[] Con. Burner 1
(,~ DirectVent (,~ Not Applicable
(, ~ Not Applicable I Value
O Other I Value
80m
Use/Nature ~FPJ Installation of forced air system in house and add NC.
of Work
Fees: Valuation
Issued By:
$7,678.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$120.50
Date 07/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenfJOwner
Address 5154 DAVID DR OSHKOSH WI 54904 -8850 TelephOne Number 920-235-6569
P.O. Box i 130
O~ WI 549~]~.1130
(920)
6r2o)
HVAC PERMIT APPUCATION
All informalion ~ bold cat~gorles must be provided.
Incomplete applica~iom will not be processed.
· Appli~tiao(s) aml f~(s) ~an bo brought to City ~nH~ Room 205 ~ ~ited to In~po~ie~ Se~vi~ po ~ 1128,
Oshl~hWI 54903-1128. C~""'"~iugworkwi~outpermit(s)wfllrcsultln fees being doubled or $100.00 plus th~
OR
If you are a contractor ~arti¢iDatia~ in the Permit fee ~4ccount Svs~m and have adetluate funds, check her.
if you want this vrocessed through your account .[--] -.
DATE
JOBADDRESS c/35
uIt~CK ~ ALL AI'PLICABLE
USE CA'I'r. GORY
[~ingle Family f"IDuplex
~Multi-Fmnily I~Re~tal
ClComm rcial
CiIndustrial
FUEL ~r~Oas CIEl~trio Cl$olid
ElOil ElSolar
~Por~clAir ElRadiant OSl~,~ I~A/C I:]Vent [:]Eleolric
IS CmMNEY BEING LINED EINo ~es -LINHRSt~I~.
lrru RATE EIAs p= Plan ElVariablo
SY$'r~.;M
~ew EIRcplace
El0ther
DHotWater ElSuppL EiCon. Burner
& MANUFACTUR~
DDireet Vent Do6~r
~)ti~APPIi°able
Value
DF~::RII~ION OF ALL WORK I~NG DONE --~n~A ~,~,n
V-~-,UR(lad~lalmrsadallms~rtab~Hghtllal~es)$ 7~ 78,
~,ECTRIC. AL CO1N'fRACTOR ~ k~r ~'le.c~ ~t_