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HomeMy WebLinkAbout0073530-HVAC (furnace) Cri II CITY OF OSHKOSH No 0073530 OSHKOSH HVAC PERMIT APPLICATION AND RECORD ON THE WATER Job Address 1575 WHITE SWAN DR Owner K JEANNE METZIG TRUST Create Date 10/11/199f Contractor STEINBRUNER HTG. CLG. Category 500 Residential- Heating Ventilating Plan Fuel I✓ Gas Oil 1 1 Electric U Solar I Solid System New j 0 Replace Other u Forced Air J Radiant _J Steam J A/C u Vent 1 J Electric 1 Hot Water 1 Suppl. 1 I Con. Bumer Chimney Type 7 Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved U Existing 0 Not Applicable Value BTU Rate 2 As Per Plan 0 Variable n Other Value Use /Nature Replace cracked fumace of Work Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $25.00 Issued By: Date 10/12/199$ Permit Voided In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address 600 OREGON ST. OSHKOSH WI 54901 0 Telephone Number 426 -1830