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HomeMy WebLinkAbout0077477-HVAC (a/c) (1) CITY OF OSHKOSH No 0077477 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 165 ROLLING GREEN CIR Owner CONTEMPORARY HOMES Create Date 06/02/2000 Contractor MCM HEATING Category 501 - Residential -Air Conditioning Plan Fuel ✓ Gas 011 I Electric Solar Solid System ✓ New Replace Other A Forced Air Radiant Steam ✓ NC Vent Electric I Hot Water Suppl. i Con. Burner Chimney Type '‘ ) Chimney A () Chimney B O Direct Vent () Not Applicable Heat Loss „) As Approved () Existing () Not Applicable Value BTU Rate \) As Per Plan () Vanable O Other Value Use /Nature install new 1 -1 /b ton a/c of Work Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid $19.00 Issued By: ! ) Date 06/02/2000 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 (920) 582 -4402