HomeMy WebLinkAbout1978-HVAC (furnace, air conditioner) CITY OF OSHKOSH HEATING IT
APPLICATION AND
°„ .w. j Date _._ _.......,. Application
Address ��._ ....M..�,.._..�_.—._____n. __ _-_..._..... ,..... _.__.... ..._
.m,.
BuildingUse
Type of Fuel;
Gas — . ...._._-- Oil
Solid ___.._ _..............__.___ Electric
Other Solar _
Type of Heating System:
Baseboard (number)
Forced Air (number) .,..._... ._.._.. ._.. Mot Water number)
Steam (number) _ _ Gravity (number)
Knit heater (number) ..____.._._ ._ _m,,.._.. _ Supplementary__ ......._ _ .__..._...
New Heati.
ng System _ °111, — R lacement of
Conversion Burner Type of Chimney
New_� ,....... Class A ..... .. _____..,._ Direct
Used __._ ._,_.__- Class S_,. Vent _.....
Calculated Heat Loss
Size of Unit(s) .,.....
Miscellaneous Work Including Air Conditioning or Meat Recovery
Heating
Address Contractor l� � ...:... � _�..�.-. ....
Valuation of Work°......__ C ��"A
Electrical Contractor _ _.,,.. ..
a
The undersigned hereby applies for a permit to do the work herein described, according to the plans and
specifications herewith filed, and hereby agrees that such work will be done in accordance with said
description, plans and specifications,and in compliance with ordinances of the City of Oshkosh and the state
building code of Wisconsin.
(Signed) __-- _ _�..._._ _ _._., Owner
r
Adree
r
rAgent
'"
Address.--__ —__.._.. ............
r ,
Heating Inspector
Final Inspection "