HomeMy WebLinkAboutHVAC' � ` CITY OF OSHKOSH HEATING PERMIT � (i?� /
APPLICATION AND RECORD j�
Date // '/ 3 ' % ,5 App�ication rJ� 4033
Owner � �' n•u� �-w-
Address � � � n �"y^�'��-� ./�^`l`"
Building Use � � T�`�'ti ' ) �
Type of Fuel:
Gas � Oil
Solid Electric
Other Solar
Type of Heating System: Baseboard (number)
Forced Air (number) � Hot Water number)
Steam (number) Gravity (number)
Unit heater (number) Supplementary
New Heating System "✓ Replacement of:
Conversion Burner Type of Chimney
New Class A Direct
Used Class B Vent
Calculatetl Heat �oss
Size of Unit(s) � � �� ��' � � �•
Miscellaneous Work Including Air Conditioning or Heat Recovery
Heating Contractor �y ��-��'-w ^�"�"'—"ti "� "�"`�r ^�� ' �*-��
Address �`�°�" 3SI � .� � � � ��•
� �'�' � S ' .�-.F //
Valuation of Work �z � � � ee 3
Electrical Contrec[or
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 saitl
description, plans and specifications,and in compliance with ordinances of Ihe City of Oshkosh antl the sta[e
building code of Wisconsin.
(Signed) Owner
° a �
.�.� Address G'.�`��
(gY) Agen[
Address
r ; o
� Heating Inspector � � °"—'
� .. Final Inspection