HomeMy WebLinkAbout0071623-HVAC (furnace & a/c)CITY OF OSHKOSH No 0071623
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 11 JOHNSON AVE Owner DAVID E BUTZLAFF Create Date 07!07/199
Contractor CUSTOM HEATING Category 502 -Residential-Both Plan
Fuel as i e nc oar o i
System ew ep ace er
orce it a ian eam en
e nc o a er upp. on. urner
Chimney Type imney imney ire en o pp ica e
Heat Loss s pprove xis ing o pp ica a Value
BTU Rate s er an ana a er Value
Use/Nature
of Work EPLACE A/C 2 TON
Fees: Valuation
Issued By:
$3,200.00 Plan Approval $0.00
ermi of e
Permit Fee Paid
$32.00
Date 07/23/199
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address 1503 S. MAIN ST.
Agent/Owner
OSHKOSH WI 54901 -0
Telephone Number 235-7263