HomeMy WebLinkAbout0003446-HVAC (furnace)
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Date
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CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
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Application
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3446 /I
Owner
Address
Building Use
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Type of Fuel:
Gas
Coal
Other
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Oil
Electric
Type of Heating System:
Forced Air (number)
Steam (number)
Unit heater (number)
New heating system
Conversion Burner
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Hot Water (number)
Gravity (number)
Replacement of: r4 -"
New Used
Calculated Heat Loss /c; 7- C'r?{J
Size of Unit(s) /00. ~
Miscellaneous Work to Heating System
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Heating Contractor
Address
Valuation of Work
Electrical Contractor l
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Fee :1.
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.
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(Signed)
Address ~.;;
(By) ~_
Address
Heating Inspector
Final Inspection
Owner
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Agent
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