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HomeMy WebLinkAbout0071979 - HVAC (AC) (1) CITY OF OSHKOSH No 0071979 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2218 MT VERNON ST Owner JAMES R MATHUSEK Create Date 07/07/199 Contractor RASMUSSEN'S HTG&A/C Category 501 -Residential-Air Conditioning Plan Fuel 1 Gas Oil I I Electric i Solar Solid System I✓ New Replace I I Other 1 Forced Air Radiant I Steam J NC Vent Electric 1 Hot Water Suppl. Con. Burner Chimney Type K ) Chimney A O Chimney B O Direct Vent O Not Applicable Heat Loss s pproved O Existing O Not Applicable Value BTU Rate O As Per Plan (l Variable ( Other Value Use/Nature INSTALL 1-1/2 TON NC of Work Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid $19.00 Issued By: Date 08/10/199 I Permit Voided-I In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1915 KNAPP ST Oshkosh WI 54901 -0 Telephone Number 235-6569