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HomeMy WebLinkAbout1976-HVACCITY OF OSHKOSH HEATING PERMIT APPLICATION AND RECORD Date- ~ ~~ ~ 7 Type of Fuel: Gas Coal Other Type of Heating System: Forced Air (number) _ I Steam (number) Unit heater (number) Application N~ 3 4 8 5 Oil M Electric Hot Water (number) Gravity (number) - New heating system __ ~ Replacement of: Conversion Burner New Used Calculated Heat Loss _ 100? o-z~~, / ~ Size of Unit(s) _ ,~-~/) ~,~, Miscellaneous Work to Heating System Heating Contractor Address Valuation of Work ~SDd . ~ Electrical Contractor Fee ~ SO 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) (BY)E Address ~...., `1'T , Heating Inspector Final Inspection _ Owner Agent -tc1~~~