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Contractor WESLEY HTG Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas -~ Oil Electric Solar Solid -)
System New
_ Ji / Replace
_ ~ ~ ther '
...~
/ Forced Air
Radiant ~
Steam _.
~PJC~ Vent
Electric Hot Water ~ Suppl. ~ Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value 50,000 BTU
Use/Nature EPLACE FURNACE
of Work
Fees: Valuation $2,900.00 Plan Approval $0.00
Issued By:
Permit Voided
Permit Fee Paid $34.00
Date 11 /01 /1999
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address 1736 SAL ST
AgenUOwner
GREEN BAY WI 54302 -0
Telephone Number 46&6951