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HomeMy WebLinkAbout0052482-HVAC (furnace) C CITY OF OSHKOSH No 0052482 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1104 MINNESOTA ST Owner RUBENNIRGINIA BORGARDTJR Create Date 5/29/96 Contractor SMITH BROS HTG & COOL INC Category 500 - Residential- Heating & Ventilating Plan Fuel N Gas al Electric Solar I Solid System New N Replace Other Forced Air L Radiant u Steam L NC L Vent I Electric Hot Water Suppl. I Con. Burner Chimney Type I• Chimney A 0 Chimney B () Direct Vent L Not Applicable Heat Loss O As Approved • Existing O Not Applicable Value BTU Rate C As Per Plan 0 Variable • Other Value 75,000 Use /Nature of Work REPLACE FURNACE Fees: Valuation $1,700.00 Permit Fee Paid $22.00 Issued By: Date 5/29/96 LI 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 1104 MINNESOTA ST OSHKOSH WI 54901 - 6445 Telephone Number