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� CITY OF OSHKOSH No 95362
�
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2343 VINLAND ST Owner RORY J HEIDER Create Date 06/21/2002
Contractor OWNER Category 503-STOVES AND FIREPLACES Plan
Fuel Gas Oil Electric Solar Solid ;
System � New __J � Replace i ❑ Other _J
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Forced Air Radiant Steam A/C Q Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
i
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value
Use/Nature FR/Installing a wood burning stove. The installation instructions are required to be on site for the listed applicance at the rough heating z
of Work nspection.
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By:� P� Date 06/21/2002
� Permit Voided I
In the performance of this work, I agree to p rform all work pursuant to rules governing the described construction.
Signature Date z
AgenUOwner
Address 2343 VINLAND ST OSHKOSH WI 54901 -1855 Telephone Number
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