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OSHKOSH
ON THE WATER
Job Address 2456 /58 BLAKE CT
CITY OF OSHKOSH
No 0079328
HVAC PERMIT - APPLICATION AND RECORD
Owner
HANS J / BIRGIT Y BICHLER
Create Date 06/12/2000
Contractor
AMERICAN HEATING & A C CO
Category 500 - Residential-Heating & Ventilating
Plan
System
1 I Gas
~New
U Forced Air
U Electric
Chimney Type () Chimney A
1 Oil
J Solar I Solid
D Other
U AlC U Vent
I ) Con. Burner
. Not Applicable
U Electric
D Replace
U Steam
1 ""I Suppl.
C) Direct Vent
Fuel
Heat Loss
() As Approved
() As Per Plan
U Radiant
U Hot Water
o Chimney B
() Existing
() Variable
BTU Rate
. Not Applicable
. Other
Value
Value
Use/Nature DUPLEX / ADD 3-SUPPLlES AND 1-RETURN TO ADDITION
of Work
Fees: Valuation
Issued By: sms
$800.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 07/31/2000
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
o
-0
Telephone Number