HomeMy WebLinkAbout0004042-HVAC (furnace)CITY OF OSHKOSH HEATING PERMIT ~
APPLICATION AND RECORD
Date ~~ - 3 ~ ~ 7~ Application N~ 4 0 4 2
Owner
Address
Buildin
Type of Fuel:
Gas
So I id
Other
Type of Heating System:
Oil
Electric
Solar
Baseboard (number)
Forced Air (number) l Hot Water number)
Steam (number) Gravity (number)
Unit heater (number Supplementary
New Heating System Replacement of:
Conversion Burner Type of Chimney
New Class A Direct
Used Class B~ Vent
Calculated Heat Loss
Size of Unit(s) ,~~ !'1 ~~ ~ ~ ~,
Miscellaneous Work Including Air Conditioning or Heat Recovery
Heating Contractor
Address ~ ~ ~ ~,
Valuation of Work ~l ~ ~ ~ ~~
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 incompliance with ord finances of the City of Oshkosh and the state
building code of Wisconsin...,
:.,..
~..~. ~ 4 .
. ~.
(Signed)
Add re
(By
Address
Heating Inspector
Final Inspection _
Owner
Agent