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HomeMy WebLinkAbout0072975-HVAC 0 CITY OF OSHKOSH No 0072975 OSHKOSH HVAC PERMIT APPLICATION AND RECORD ON THE WATER Job Address 350 WINDINGBROOK DR Owner KENT MOSEBACH Create Date 08/05/199 Contractor BREWER HEATING Category 500 Residential- Heating Ventilating Plan Fuel I✓ Gas I 011 Electric Solar 1 Solid System New Replace Other Forced Air Radiant Li Steam A/C O Vent Electric Hot Water Suppl. Con. Burner Chimney Type Chimney A Chimney B Direct Vent O Not Applicable Heat Loss As Approved O Existing O Not Applicable Value BTU Rate As Per Plan O Variable O Other Value Use /Nature NSFFt install furnace of Work Fees: Valuation $3,400.00 Plan Approval $0.00 Permit Fee Paid $39.00 Issued By: Date 09/17/199 O 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 N8804 N DOUGLAS ST RIPON WI 54971 -0 Telephone Number 1 -748 -6494