HomeMy WebLinkAbout1977-HVACCITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
Date ~~ ~ ~~ ~
Own
Add
Buil~
Type of Fuel:
(Signed) Owner
Address - ~ ,
3'7 81
Gas Oil
Coal Electric
Other
(BY) -
Address
Type of Heating System:
Forced Air (number) Hot Water (number)
Steam (number) Gravity (number)
Unit heater (number)
New heating system ~ Replacement of:
Conversion Burner
New Used
Calculated Heat Loss
Size of Unit(s) _
Miscellaneous Work to Heating System _
Heating ~
Address
Valuation of Work ~ -~~~'- ~
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.
.,,~~~
,,.
~Mx~
Application NO
X
Lam',
Agent
Heating Inspector -
Final Inspection /~ ~ ~~~_
Fee ~ ~S°