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� CITY OF OSHKOSH No 0052590
�
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 35 W NEVADA AVE Owner WINONA M PAUP Create Date 6/3/96
Contractor CUSTOM HEATING Category 501 -Residential-Air Conditioning Plan
Fuel as i ec nc � o ar o i
System ew ep ace er
orce ir a ian eam � en `
�ec nc o a er Q upp. on. urner
Chimney Type imney imney irec en o pp ica e
Heat Loss s pprove x�s mg o pp ica e Value
BTU Rate s er an ana e er Value 2 TON
Use/Nature
of Work DD AIR COND
Fees: Valuation $1,250.00 Permit Fee Paid $18.00
Issued By: Date 6/3/96
ermi oi e
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 35 W NEVADA AVE OSHKOSH WI 54901 - 2953 Telephone Number