HomeMy WebLinkAbout0076154-HVAC 0 CITY OF OSHKOSH No 0076154
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3189 BELLFIELD DR Owner THOMAS N. RUSCH Create Date 01/27/2000
Contractor BREWER HEATING Category 500 - Residential- Heating & Ventilating Plan
Fuel ✓l Gas 1 1 J OiI I ( 1 Electric I Solar I I Solid
System n New ® Replace 1 n Other
IJ Forced Air u Radiant U Steam Li A/C u Vent
Electric 1 1 Hot Water Suppl. I Con. Bumer
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing 0 Not Applicable 1 Value
BTU Rate Q As Per Plan 0 Variable 0 Other Value
Use /Nature INSTALL NEW 45,000 BTU FURNACE
of Work
Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $36.00
_
Issued By: / ' J S
J Date 04 /03/2000
❑ 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 N8804 N DOUGLAS ST RIPON WI 54971 -0 Telephone Number 1- 748 -6494