HomeMy WebLinkAbout0003982-HVAC (furnace)CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
Date 8 "2 S' ~ ~~
Coal
Application No 3 ~ g 2
Electric
Other
Type of Heating System:
Forced Air (number) ~
Steam (number)
Unit heater (number}
New heating system
Conversion Burner
Hot Water (number)
Gravity (number) -
Replacement of:
New Used
Calculated Heat Loss
Size of Unit(s)
Miscellaneous Work to Heating System _
Heating Contractor
Address
Valuation of Work ~2 G '~% r~ ~~
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) a Owner
'`~ Address ~'-'~'°`-~ ~
t '' (BY)
~.... Agent
Address
`~,' ,~
~' ~ Heating Inspector - ~'
Final Inspection
_-
z ~~'
Type of Fuel:
Gas _~~ Oil
HEATING REFERENCE
~39~~-~~-~~
Name of Owner ~ Date
Address ~ ,
Type of Work ~ ~.o . 1 ~. ~ ~~ ~~- o .~ ~~~ ~ ~~ ~ fl
Bldg. Contractor
Heating Permit Issued __ ~L? 3~~~
Htg. Contractor ~~~ ,..,;, ~- ~ ,~
Final ~~/ ~/'7 9 G'~~