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HomeMy WebLinkAbout0065553-HVAC 0 CITY OF OSHKOSH No 0065553 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 165 ROLLING GREEN CIR Owner CONTEMPORARY HOMES Create Date 7/1/98 Contractor BREWER HEATING Category 500 - Residential- Heating & Ventilating Plan Fuel M Gas I Oil I Electric I Solar I Solid System 1 New I Replace I Other ix Forced Air LI Radiant Li Steam u NC U Vent I Electnc I 1 Hot Water I I Suppl. I Con. Burner I Chimney Type ) Chimney A 0 Chimney B () Direct Vent • Not Applicable Heat Loss ) As Approved 0 Existing • Not Applicable Value BTU Rate ) As Per Plan O Venable 0 Other Value Use/Nature 1- 50,000 B i U FURNACE of Work Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $35.00 Issued By: Date 8/3/98 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