HomeMy WebLinkAbout0078318-HVAC (furnace; a/c)'
OSHKOSH
ON THE WATER
a
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No 0078318
Job Address
1350 W 5TH AVE
Owner DENNIS K. /TERRY E. MOE
Create Date 06/29/2000
Contractor
CUSTOM HEATING
Category 502 - Residential -Both
Plan
Fuel
LE9as
Oil
Liwglectric
Sol
I I Solid
System
New
Q✓ Replace
Other
✓ Forced Air
Radiant
Steam
✓ A/C
Vent
Electro�
Hot Water
Suppl.
Con. Burner
Chimney Type
Chimney A
U Chimney B
Direct Vent
Not Applicable
Heat Loss
As Approved
Existing
Not Applicable
Value
BTU Rate
As Per Plan
Variable
Other
Value
Use /Nature Replace furnace 80,000BTU and install a/c 2.5 ton
of Work
Fees: Valuati
B
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid $40.00
Date 06/29/2000
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1503 S. MAIN ST. OSHKOSH WI 54902 -0 Telephone Number (920) 235 -7263 _
I.
Job AddMM /35-6 =,-4417
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