HomeMy WebLinkAbout0003413-HVAC CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
f Date 7 6 Application N9 3 413
Owner
Address lr AA
Building Use -1 1 -4" a,4-
Type of Fuel:
Gas x Oil
Coal Electric
Other
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 4 73 6-25-0 7 C/
Size of Unit(s) A2
Miscellaneous Work to Heating System
Heating Contractor xes
Address 600 0
Valuation of Work i'1 Fee S6
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
(By) ii Agent
OSHKOSH
Address
Heating Inspector
Final Inspection 76 K-