HomeMy WebLinkAbout0100017-HVAC (VOID)100017
CITY OF OSHKOSH
No
V O I D
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
MARGARET A MORTENSON
Job AddressOwner
136 W 22ND AVE
Create Date02/28/2003
ContractorGARTMAN MECHANICAL SERVICESCategory502 - Residential-BothPlan
OilElectric
üüGasSolarSolid
Fuel
üüNewüüReplaceOther
System
üüForced AirRadiantSteamüüA/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
SFR/ Replace furnace and add an A/C. *EIV form from Beez Electric.
of Work
Plan Approval$0.00
Fees: Valuation$3,265.00Permit Fee Paid$54.50
Issued By:Date02/28/2003
üüPermit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
AddressPO BOX 2264OSHKOSHTelephone Number(920) 231-5530
WI54903-2264
100017
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
MARGARET A MORTENSON
Job AddressOwner
136 W 22ND AVE
Create Date02/28/2003
ContractorGARTMAN MECHANICAL SERVICESCategory502 - Residential-BothPlan
OilElectric
üüGasSolarSolid
Fuel
üüNewüüReplaceOther
System
üüForced AirRadiantSteamüüA/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
SFR/ Replace furnace and add an A/C. *EIV form from Beez Electric.
of Work
Plan Approval$0.00
Fees: Valuation$3,265.00Permit Fee Paid$54.50
Issued By:Date02/28/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
AddressPO BOX 2264OSHKOSHTelephone Number(920) 231-5530
WI54903-2264