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HomeMy WebLinkAbout0003595-HVAC (furnace) ("'. Date .3.1.17 Owner Address Building Use Type of Fuel: r'\ jSW CITY OF OSHKOSH HEATING PERMIT APPLICATION AND RECORD Application NÇ 3595 ~@i~ iéd:2~£;¡1- . ">¿ 74 ~ C<.¿ ~~:,~~ Gas Y Coal- Other Oil Electric Type of Heating System: Forced Air (number) Steam (number) Unit heater (number) New heating system Conversion Burner / Hot Water (number) Gravity (number) Replacement of: ~<';f'1 ~--' New Used Calculated Heat Loss ¿, f'". ~ ß /' t'¡'. Size of Unit(s) Cj¡! ~ ~ìf' ¿- Miscellaneous Work to Heating System ~:;::s~ Contractor -5 ~~1: ~ ~1:& '- ~ Valuation of Work f?;J tJ, ð-t:J Fee .--:l>"~"o 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) Address (BYÌ--- --ðu( ~~ Address ' -?7:1¿2{~t 4, Heating Inspector Final Inspection Owner Agent 33117 kß