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Date:J - :2-9-7 0
CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
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Application
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3425 Y
Owner 9~~ k. -t-/~ ,.
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Type of Fuel:
Gas Y 0.1
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Type of Heating System:
Forced Air (number) /
Steam (number)
Unit heater (number)
New heating system
Conversion Burner
New Used
Calculated Heat Loss U'tJ.J c;ftJO /? t/ c-<
Size of Unit(s) ,/ / rJ J /7 t:J 0 /!3r c-<-
Miscellaneous Work to Heating System
Coal
Other
Electric
Hot Water (number)
Gravity (number)
Replacement of: p{Z<J/~,;eu--"ok~
Heating Contractor
Address
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Valuation of Work ,;2 cJ CJ tJ r
Electrical Contractor
Fee (;2, fi3!--
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) Owner
Addm -A-
(BylYl-'~ c::r~~ Agent
Address ___
Heating Inspector
Final Inspection
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