The URL can be used to link to this page

Home My WebLink About0003924-HVAC (furnace)CITY OF OSHKOSH HEATING PERMIT APPLICATION AND RECORD Date ~ / Application N~ 3 ~ 2 ~ J~ e ~ Owner • Address Building Use Type of Fuel: ~ ~~~ Q ~ ~ ~~ QA' Gas Oil Coal Electric Other Type of Heating System: Forced Air (number) Steam (number) Unit heater (number) Hot Water (number) Gravity (number) - New heating system Replacement of: Q Conversion Bu er New ~ Used Calculated Heat Loss ~~.yT oo_f,~~-t~~ Size of Unit(s) f ©ST~. ~~~ - Miscellaneous Work to Heating System _ Heating Contractor Address 3 Valuation of Work ~~~~. ~ Electrical Contractor ~ ,sQ 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. ..f ~:~. ~, ~.. r. ~. ~.. . (Signed) Address (BY) - Address Heating Inspector Final Inspection _ Owner Agent