HomeMy WebLinkAbout0003658-HVAC CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
Date 6_ �S_? 7 Application N2 3658
i
Owner S i i0
Address 71 a a441--%
Building Use
Type of Fuel:
Gas Oil
Coal Electric X
Other L�
Type of Heating System:
Forced Air (number) Hot Water (number)
Steam (number) Gravity (number)
Unit heater (number)
New heating system X Replacement of:
Conversion Burner
New Used
Calculated Heat Loss ..._4—f//73 Size of of Unit(s) /Y
Miscellaneous Work to Heating System
Heating Contractor 'fl
Address 6;6 O l L�
S-
Valuation of Work ele 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.
(Signed) Owner
Address
CITY
O F (By) 7 2 e Agent
*r..a�..:. OSHKOSH
Address
Heating Inspector
1 1111.7 q 4 Final Inspection -7 7 1'.13