HomeMy WebLinkAbout0059992-HVAC 0 CITY OF OSHKOSH No 0059992
OSHKOSH. HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 100 ROLLING GREEN CIR Owner JAMES MATHUSEK Create Date 6/4/97
Contractor BREWER HEATING Category 502 - Residential-Both Plan
Fuel M Gas pr Dil V Electric I Solar I Solid
System IXI New 11 Replace I I Other
h Forced Air [J Radiant Li Steam N A/C u Vent
I Electnc I I Hot Water I I Suppl. I Con. Burner
Chimney Type ?, ) Chimney A O Chimney B 7 Direct Vent • Not Applicable
Heat. Loss ID As Approved () Existing . Not Applicable I Value
BTU Rate I As Per Han 0 variable Other I Value
Use /Nature install tumace and a/c
of Work
Fees: Valuation $3,800.00 Plan Approval $0.00 Permit Fee Paid $43.00
Issued By: Date 9/4/97
U 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