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0 CITY OF OSHKOSH No 0063703
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3071 MOCKINGBIRD WAY Owner SECURITY HOMES OF WI Create Date 4/13/98
Contractor BREWER HEATING Category 500 - Residential- Heating & Ventilating Plan
Fuel Gas I I 011 I I Electnc I I Solar I Solid
System Ni New I Replace I Other
[XI Forced Air j Radiant Li Steam Li NC LI Vent
I Electric I I Hot Water I I Suppl. I I I Con. Burner
Chimney Type fl Chimney A Q Chimney B 0 Direct Vent • Not Applicable
Heat Loss fl As Approved O Existing • Not Applicable Value
BTU Rate ) As Per Plan C) Vanable • Other Value
Use /Nature HVAC new SFR
of Work
Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $37.00
Issued By: Date 5/4/98
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 N8804 N DOUGLAS ST RIPON WI 54971 -0 Telephone Number 1- 748 -6494
HVAC Permit Work Card
Job Address 3071 MOCKINGBIRD WAY Permit Number 0000000 Create Date 4/13/98
Owner SECURITY HOMES OF WI Contractor BREWER HEATING UV
�I
Category Plan
Fuel T 'f as 1 1 011 Electric I I Solar I I Solid Value . 24:10 -- 60.00 fii_ S
System ,3New I I Replace I Other
p/P orce. . it u Radiant u Steam u NC u Vent
M Li Hot Water U Suppl. Li Con. Burner
Chimney Type 1 ) Chimney A () Chimney B () Direct Vent 0 Not Applicable
Heat Loss Z ) As Approved ( ) Existing 0 Not Applicable Value
BTU Rate ;) As Per Plan () Variable • Other Value
Use /Nature
of Work
Inspections:
Date Type Inspector U Approved