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HomeMy WebLinkAbout0071109-HVAC /D CITY OF OSHKOSH No 0071109 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 15 ROLLING GREEN CIR Owner CONTEMPORARY HOMES INC Create Date 03/18/199 Contractor BREWER HEATING Category 500 - Residential- Heating & Ventilating Plan Fuel ✓ Gas I 011 blectnc Solar Solid System ✓ New Replace I Other LI Forced Air Radiant Steam I NC Vent Electric I Hot Water Suppl. Con. Burner Chimney Type ( ) Chimney A O Chimney B + Direct Vent () Not Applicable Heat Loss " ) As Approved O Existing O Not Applicable Value BTU Rate ' ) As Per Plan O Variable O Other Value Use /Nature install new furnace for NSFR of Work Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $36.00 Issued By: Date 06/29/199 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 N8804 N DOUGLAS ST RIPON WI 54971 -0 Telephone Number 1- 748 -6494