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0099957 H
OSHKOSH ON THE WATER .lob Address 2360 PATRIOT LN Contractor BREWER HEATING Fuel System Gas J ~J Oil New ~ CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Forced Air I ~J Radiant Electric I ~J Hot Water Owner WESTOWNE HEIGHTS Category 502- Residential-Both L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~ ChimneyA ~ Chimney B Heat Loss I~ As Approved ~ Existing BTU Rate I~ As Per Plan ~ Variable Direct Vent Not Applicable Not Applicable Other Value Value No Create Date Plan L~ Solid 99957 02/26/2003 Other J Vent J Use/Nature MULTI-FAMILY/Install HVAC system for new 5 Unit - State Transaction #827767. of Work Fees: Valuation Issued By: $23,500.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $290.00 Date 02/26/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address N8804 N DOUGLAS STREET RIPON WI 54971 -0 Telephone Number (920)748-6494 ~ly of Oshkosh Division of Insllecfion Services P.O. Box 1130. Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information after bold categories must bc provided. tncomplcte applications w/It not be processed. OIq THF WATFR Application(s) and fee(s) can be brought to City Ilall, Room 205 or ma/led to Inspect/on Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR .If you are a contractor participatin~ in the Permit fee .4ccoun! System and have adequate funds, check here you want this processed through your account fl USE CATEGORY UtSingle Family I-iDuplex ~l~°¢lulti-Family tZIRentat I-tCommercial UIIndustrial FUi!;L r:E~as E]ElecuSc [2Solid SYSTEM ~ F1Oil l-iSolar U]Other DReplace )5~e'orc~zd Air UiRadiant UlStea~C F1V,-,at UlEl¢ctric ~lfot Water EISuppl. [-iCon. Burner IS CHtMN!~¥ BEJNG I2NED [_-]No ~Ycs - LINER Si~ZE Note: All chimneys shall be ;ized per .....~ .~ BTU s bemgl ,.,ented. - ..... MANUFACTURE].< CIfIMb.~Y TirPE ~,~A.~ LOSS BTU RATE L]Chimney A HAs App:oved I-lAs Per Plan I" iChimney i?, E]Existing EIVariable [] Direct Vent E]Not Applicable [] Other Value [5Other DESCRIPTION OF ALL WORK BEING DONE Elf ~r'c~q':>~l CONTRACT©R ?.~ O. ':~,r .' ~:.~ :ct~ :c ]:~;stalhu:io~ VeriI]catien .form at/ached(if Rep' ,cement) ~lectri,:al in.rr,',~/at e. of new,4'eph~ceme~g equ?xent shall ,';e done by lic:.ascd ..ontractors. ~/o2