HomeMy WebLinkAbout0071261-HVAC (a/c) (9 CITY OF OSHKOSH No 0071261
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1913 WILSON AVE Owner IRA L KOEPKE B FLANIGAN
Create Date 07/06/199
Contractor CUSTOM HEATING Category 501 Residential -Air Conditioning Plan
Fuel I I Gas
1 I 1 Od I I 1 hlectnc Solar
System I I New
I 1 I I I Solid
I I Replace
1 I I Other
I I Forced Air I O Radiant I Steam
I NC I I I Vent
I I Electric I I I Hot Water I I I Suppl. I
Con. Burner I
Chimney Type K Chimney A Chimney B Direct Vent
Not Applicable I
Heat Loss As Approved O Existing Not Applicable
Value
BTU Rate As Per Plan Variable Other I Value
Use /Nature 1NS I ALL 24,00 E3 I U A/C
of Work
Fees: Valuation $1,250.00 Plan Approval $0.00
Permit Fee Paid $18.00
Issued By:
Date 07/06/199
Permit Voided I
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 54901 0 Telephone Number 235 -7263