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HomeMy WebLinkAbout0100104-HVAC (furnace & a/c)(~ CITY OF OSHKOSH OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 450 #C1 N CAMPBELL RD Owner JOAN ROEHRIG Contractor WESLEY HEATING & COOLING INC Category 502 - Residential-Both Fuel ~J Gas J ~J Oil b~ Electric ~J Solar System ~J New ~ ~J Replace ~ ~J Other ~J Forced Air I ~J Radiant L~ Steam ~J A/C ~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I Heat Loss I~ As Approved O Existing ~ Not Applicable I Value BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 75m btu No Create Date Plan ~J Solid Vent 100104 03/07/2003 Use/Nature SFR/Install 2 ton central air and 75m btu furnace. *EIV form from Solar Electric. of Work Fees: Valuation Issued By: $6,300.00 Plan Approval $0.00 Permit Fee Paid Permit Voided $99.50 Date 03/07/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1736 SAL STREET GREEN BAY WI 54302 -0 Telephone Number (920) 468-6951/235-6 ~CK~ALL~ US'~ CAT~GORY Jt~ingle Family E1DupI~x ~Multi-FamHy ~3R~ntal ClCommercial Ullna_~ FUEL ~,~a~ UIL~¢~¢ [3Soli8 BEING LII~D ~o ClY~a - LINER $~za CHIM~¥ TYPE E}Cliinm~y A E~Chit~ B ItEAT LOS~ ~ A~m~d ~~ ~ BTU ~ ~ P~ Plan ~Va~able E:lRot Wmr lliSt.}l. & MANI~ACTUKI~ .... For a~i~ble ~j~, ~ ~c ~b~ ~~ ~ ~-~y ~ ~o~ C~t~, must a~c~d. If not a~eh~ ~ not appti~ble, a g~ ~I P~t ~ ~& 2-~8-2003 2: BBPl',4 FRCY.] WESLEY_I E. ATING g] 'i