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HomeMy WebLinkAbout0003537-HVAC (furnace)(2 �. CITY OF OSHKOSH HEATING PERMIT APPLICATION AND RECORD Date e - 7 �- Application M 35:37 Own Add Buil Type of Fuel: Gas Coal Other Type of Heating System: Forced Air (number) Steam (number) Unit heater (number) New heating system Conversion Burner [IN Electric Hot Water (number) Gravity (number) _ Replacement of: New Used Calculated Heat Loss ��> 6'77- Z11 Size of Unit(s) -��� /' T Miscellaneous Work to Heating System Heating Contractor Address Valuation of Work Fee 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 (By) — Address Heating Inspector — Final Inspection S` 7 i h • b Owner Agent