HomeMy WebLinkAbout0004030-HVACCITY OF OSHKOSH HEATING PERMIT ~Z~
APPLICATION AND RECORD
Date ~~' ~~ _ ~ ~ Application N°_ 4 0 3 0
a
Owner ~,.t.li~
Address ~- 3 `~ ~
d
Building Use
Type of Fuel:
Gas l,/
So I id
Other
Type of Heating System:
Oil
Electric
Solar
Baseboard (number)
Forced Air (number) ~ Hot Water number) _
Steam (number) Gravity (number) _
Unit heater (number) Supplementary
New Heating System ~ Replacement of:
Conversion Burner Type of Chimney
New Class A
Used Class B
Calculated Heat Loss
Size of Unit(s) 0 Z ~ ~ ~ ~
Miscellaneous Work Including Air Conditioning or Heat Recovery
Direct
Vent
Heating Contractor ~"^'" ,,~-~ (,;d
ti G
Address .~ ~'~~~
Valuation of Work _ ~ ~~ ~ Fe 3/ ~ ~~
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.
CITY
OF
OSHKOSH
(Signed)
Address
Owner
~"y ~ Agent
Address
Heating Inspector
Final In$pection ~°Z "~ ~ J7~