HomeMy WebLinkAbout1977-HVACCITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
Date ~ - a/ - 7
Owner
Add
Buil~
Type of ruel:
(Signed)
Address
Gas Oil
Coal Electric / / -!-
Other
X I~
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) ~ - T~ n/
Miscellaneous Work to Heating System
Heating Contractor __ ~Yl ~/.~~, ~~~ ~yyi ~~` ~'
Address ~ ~ ~~ 3 ~~ ~,~~~Q~ ~n~ ~ ,~_ -~
Valuation of Work _~~o ~ ~ `r`' s"v
Fee ~-
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.
{
~,
~::
..,.
~'
(BY) -
Address
Application N~ 3 fi 2 ~
Owner
Agent
Heating Inspector
Final Inspection /- ,' ~_ ~~