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HomeMy WebLinkAbout0071561-HVAC (a/c) I CITY OF OSHKOSH No 0071561 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 145 ROLLING GREEN CIR Owner GREGORY /STACEY L WILLIAMS Create Date 07/20/199 Contractor MCM HEATING Category 501 - Residential -Air Conditioning Plan Fuel III Gas I Oil Electric I Solar I Solid System ill New I Replace Other I I Forced Air I 1 Radiant i Steam ✓ NC i _ Vent Electric Hot Water Suppl. Con. Burner Chimney Type `) Chimney A () Chimney B () Direct Vent () Not Applicable Heat Loss ) As Approved C) Existing () Not Applicable Value BTU Rate ', ) As Per Plan () Variable O Other Value Use /Nature Install new air conitioner and carrier coil of Work Fees: Valuation $1,465.00 Plan Approval $0.00 Permit Fee Paid $20.00 Issued By: Date 07/20/199 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 6122 COUNTY ROAD M WINNECONNE WI 54986 - 9780 Telephone Number 582 -4402 JUG. -29 -1999 02:43 MCM AIR INC. 414 582 0136 P.07 • MCM AIR, INC. 0172 COUNTY *OAD M WINNECONNE. WI 64900.2780 502.4402 DATE: 1 T - 2a q 9 ATTENTION. V AC 1 N IOW FROM: 14C1-t A 1 12 - DESTINATION'FAX 23(0 50Bq NUMBER OF PAGES. VE HAVE COMPLETED THE � INSTALLATION AT THE LOCATION BELOW. PLEASE COMPLETE THE NECESSARY INSPECTION. THANK YOU, NAME: - - - G ZE e TPtCE N ADDRESS: (45 POI-LA IOC, EEN HOMEOWNERS PHONE 1: