HomeMy WebLinkAbout0004014-HVAC (furnace)
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(\. CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
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Building Use <~L ;(fJ-yv>.., f?J.A/'
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Forced Air (number)
Steam (number)
Unit heater (number)
New Heating System . ~ Replacement of:
Date
16-2i./~ 7?
Owner
Address
Type of Fuel:
Gas
Solid
Other
Type of Heating System:
Conversion Burner
New
Used
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Application N~
4014
Oil
Electric
Solar
/
Baseboard (number)
Hot Water number)
Gravity (number)
Supplementary
Type of Chimney
Class A
Direct
Class B
Vent
Calculated Heat Loss
/2.. ('.). i)O"'O
,
Size of Unit(s)
Miscellaneous Work Including Air Conditioning or Heat Recovery
Heating Contractor
Add ress
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. i
(Signed)
Owner
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Ad dress
(By)
Agent
Address
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Heating Inspector
Final Inspection