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HomeMy WebLinkAbout0071288-HVAC e l)1 CITY OF OSHKOSH No 0071288 OSHKOSH HVAC PERMIT APPLICATION AND RECORD ON THE WATER Job Address 1922 OHIO ST Owner SUSAN R LLOYD Create Date 05/24/199 Contractor AMERICAN HEATING A C CO Category 500 Residential- Heating Ventilating Plan Fuel Gas 011 1 Electric Solar Solid System New Replace Other 11 Forced Air I I Radiant u Steam u NC Vent Electric Hot Water I 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 Vanable Other Value 50,000 BTU Use /Nature INS FALL FURNACE NEW CONS f of Work I I Fees: Valuation $2,700.00 Plan Approval $0.00 Permit Fee Paid $32.00 Issued By: Date 07/07/199 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1129 MICHIGAN AVE OSHKOSH WI 54901 0 Telephone Number 235 -8090 II II I, III I I II