HomeMy WebLinkAbout0003804-HVAC (furnace)
CITY Of OSHKOSH HEATINd PERMIT
APPLICATION AND RECORD
~.-- 7 ~
Date ~-....-
f
1
Owner ~ 8d' -e:& ~ ftJJ-o.
Address S (!) ? 9--c~J-,. Z O'
Building Use () #~ ( LA-<JZ. o<J/.c-=)
Type of Fuel:
Gas n tl-f:J~.4
('\
Coal
Other
r-'\
L-z-,
X
Appl ication
N2
3804
Oil
Electric
New heating system
Conversion Burner
New Used
Calculated Heat Loss
J -crt' 6 -/ u' (
Size of Unit(s) ) 7 S; 0 . f.." 1<<-
Miscellaneous Work to Heating System
Type of Heating System:
Forced Air (number)
Steam (number)
Unit heater (number)
Hot Water (number)
Gravity (number)
x"
I'
!~~
Replacement of:
Heati~g Contra~or _L~~
Address ; 3/ _~.~
Valuation of Work -~; ~ 0-0 Fee #2 t 00
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.
~.~ 4-~
(Signed) ~ ~~,/ . . / {. _ _ ~< ~/'\ -' Owner
Address ?) 7- !-} 0. u/ ~ 0,( h 1: t"A; j~
(By) Agent
Address ~ t1
Heating Inspector __ . v(fw
Final Inspection
tf).~