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OSHKOSH
ON THE WATER
Job Address 944 PIERCE AVE
CITY OF OSHKOSH
No 0076350
HVAC PERMIT -APPLICATION AND RECORD
Owner
RENNY OHLSSON
Create Date 04/06/2000
System
RIPON SHEET METAL
~ Gas
D New
U Forced Air
L I Electric
Chimney Type () Chimney A
Category 500 - Residential-Heating & Ventilating
Plan
Contractor
I Oil
U Solar LI Solid
o Other
U AlC U Vent
I I Con. Burner
() Not Applicable
I Electric
D Replace
U Steam
U Suppl.
() Direct Vent
Fuel
Heat Loss
() As Approved
() As Per Plan
U Radiant
U Hot Water
() Chimney B
U Existing
() Variable
BTU Rate
U Not Applicable
() Other
Value
Value
Use/Nature NOT CHANGING EQUIPMENT RUNNING HEAT TO ADDITION
of Work
Fees: Valuation $1,000.00
Issued By: S m,(
Plan Approval
$0.00
Permit Fee Paid
$15.00
Date 04/11/2000
D 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
PO BOX 436
RIPON
WI 54971 - 0
Telephone Number 1-800-236-2498