HomeMy WebLinkAbout0004029-HVACCITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
Date %~ °- 3 - ~~
Owner
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Address _ 2 3 ~.S- /~,~--••,c'~ck.a,c
Building Use ~~~~~
Type of Fuel:
Gas
Solid
Other
Type of Heating System:
Forced Air (number) ~ Hot Water number) _
Steam (number) Gravity (number)
Unit heater (number Supplementary
New Heating System ~ Re lacement of:
P
Conversion Burner Type of Chimney
New Class A
Used Class B
Calculated Heat Loss
Size of Unit(s) M
Miscellaneous Work Including Air Conditioning or Heat Recovery
Heating Contractor
0
Address
Valuation of Work ~ t7~b Fee ~~ ~s
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 ordinances of the City of Oshkosh and the state
building code of Wisconsin.
Application N°_
Gz V
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4029
Oil
Electric
Solar
Direct
Vent
Baseboard (number)
(Signed)
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<3 %'A1g~; r taz'a
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Address ~
(BY)
Address
Heating Inspector
Final Inspection _
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Owner
Agent
0