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0
OSHKOSH
ON THE WATER
Job Address 128 W 14TH AVE
Contractor
Fuel
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No 0064018
Owner
Create Date 5/20/98
SHARON A FUHRMAN
DRUCK'S PLBG & HTG & CLG
Category 501 - Residential-Air Conditionin9
Plan
I I C;as
I I New
U -orced Air
I I ~Iectnc
Chimney Type K) Chimney A
System
Heat Loss
BTU Rate
Use/Nature
ofWork
Fees: Valuation
Issued By:
I lUll
I
I I ~Iectnc
[><1 ¡{eplace
I I ~olar
I
I I Uther
I
I
I I ~olld
U ¡{adlant
I I HotVVater
( ) Chimney '"
U ~team
I I ~uppl.
¡¿:¡ AlC
1 I Can. "'urner
U Vent
( ) Ulrect Vent
. Not Applicable
K ) AsApproved
IT As Per Plan
( ) ~XISting
( ) Variable
. Not Applicable
. Uther
Value
Value
1'==
$3,200.00
Plan Approval
$0.00
Permit Fee Paid
$37.00
Date
5/20/98
U Permit Voided I
In the performance of this work, I agree to perform ali work pursuant to rules governing the described construction.
Signature
Address
Date
Agent/Owner
604 3RD ST
PO BOX 365
MENASHA
WI 54962-0
Telephone Number
426-2654