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0091786-HVAC (furnace & a/c)
011111©14 CITY OF OSHKOSH No 91786 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1931 MINNESOTA ST Owner CLARENCE M SCHMIDT Create Date 09/24/2001 Contractor TENTH STREET STATION INC Category 502 - Residential -Both Plan Fuel ✓ Gas 1 Oil 1 Electric Solar Solid System 0 New 0 Replace [] Other ✓J Forced Air J Radiant u Steam u NC _J Vent Electric 1 1 Hot Water I Suppl. Con. Burner Chimney Type , ) Chimney A • Chimney B 0 Direct Vent 0 Not Applicable Heat Loss J As Approved • Existing 0 Not Applicable Value BTU Rate ( ) As Per Plan () Variable 0 ) Other Value 75,000 Use /Nature SFR/Replace furnace with 80% furnace and add 2 ton NC of Work Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $53.00 Issued By: K • " /1 ' Date 12/12/2001 0 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 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236 -8770, MOBILE 7