HomeMy WebLinkAbout0003698-HVAC (furnace)
Date g'- 0/- 77
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Owner .' /
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Type of Fuel:
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Type of Heating System:
Forced Air (number)
Steam (number)
Unit heater (number)
New heating system )(
Conversion Burner
Gas
Coal
Other
CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
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Application
N<!
3698
Oil
Electric
Hot Water (number) I
Gravity (number)
Replacement of:
New Used
Calculated Heat Loss .
Size of Unit(s) , ,/:2r1) ð () tJ .ßT:u c;~.u._7!)
Miscellaneous Work to Heating System
Heating Contractor
Address
Valuation of Work
Electrical Contractor
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)
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Address
Heating Inspector
Final Inspection
Owner
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Agent
c¡ If '77
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