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HomeMy WebLinkAbout0072413-HVAC (fireplace) C CITY OF OSHKOSH No 0072413 OSHKOSH HVAC PERMIT APPLICATION AND RECORD ON THE WATER Job Address 1294 WHEATFIELD WAY Owner KAREN I. JEWELL -VAN BUSKIRK Create Date 06/02/199 Contractor ZILLGES MATERIALS INC. Category 500 Residential- Heating Ventilating Plan Fuel I I Gas 011 Electric Solar I Solid System I New I Replace Other Forced Air ^I Radiant Steam I A/C Vent Electric I Hot Water I I Suppl. I Con. Burner Chimney Type imney Millaglaelaigniii. '0 pp Ica e Heat Loss As Approved O Existing O Not Applicable Value BTU Rate As Per Plan O Variable O Other Value Use /Nature fireplace installation of Work Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $17.00 Issued By: Date 08/23/199 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 1800 FOUNTAIN AVE OSHKOSH WI 54904 0 Telephone Number 231 -1994