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CITY OF OSHKOSH No 0068131
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 485 WINDINGBROOK DR Owner CURTISS HOMES Create Date 12/14/98
Contractor BREWER HEATING Category 500 Residential- Heating Ventilating Plan
Fuel N Gas I Oil Electric Solar Solid
System IX New Replace Other
X Forced Air Radiant Steam IX A/C Vent
Electric I Hot Water I I Suppl• I Con. Burner
Chimney Type Chimney A Chimney B 0 Direct Vent Not Applicable
Heat Loss K As Approved Existing 0 Not Applicable Value
BTU Rate K) As Per Plan Variable Other Value 75,000 BTU
Use /Nature piSI-N furnace and A/C installation
of Work I
Fees: Valuation $4,600.00 Plan Approval $0.00 Permit Fee Paid $51.00
Issued By: Date 1/13/99
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
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