HomeMy WebLinkAbout0075109-HVAC (a/c) � CITY OF OSHKOSH No oo�5ios .
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1916 NEBRASKA ST Owner ORVILLE J BECK Create Date 08/13/1999
Contractor TENTH ST STATION INC Category 501 -Residential-Air Conditioning Plan
Fuel Gas Oil Electric Solar Solid
System [�New _ � Replace _ Other i
— �---
Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature INSTALL NEW 2 TON A/C
of Work
Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $74.00
Issued By: Date 01/14/2000
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 924 Ohio St Oshkosh WI 54902 -0 Telephone Number 236-8770