HomeMy WebLinkAbout0003787-HVAC (furnace)CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD L Zo
Date... ~a ~ ~~• ~ 7 Application N~ ~ 3 ~ g ~
Owner ~.-~-~ ~~e~ ..,
Address- -i~~ ~ ~~~
Building Use CJ-~w-a - ~i`
Type of Fuel:
Gas __~
Coal
Other
Type of Heating System:
Forced Air (number)
Steam (number)
Unit heater (number)
New heating system
Conversion Burner
New - ~ Used
Gravity (number)
Replacement of:
Calculated Heat Loss i o ~• ~~ ~ T ~1•
Size of Unit(s) ~~ o-v-U _
Miscellaneous Work to Heating System _
Heating Contractor
Address
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.
~~
~ _ :~,t
.._ .
Oil
Electric
~ Hot Water (number)
(Signed)
Address
(BY)
Address
Heating Inspector
Final Inspection _
Owner
~~
Agent
Valuation of Work `~~~0 • ~ Fee ~~ sd