HomeMy WebLinkAbout0003514-HVAC CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
Date /0 /0- 7 6 Application N2 3 514
Owner J
Address a I
Building Use orAmprip,__„_
Type of Fuel:
Gas Oil
Coal Electric
Other
Type of Heating System:
Forced Air (number) X 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) gt21
Miscellaneous Work to Heating System
Heating Contractor .lI
Address
Valuation of Work 4 6td Fee 'c2 TO
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
A ddr -ss
CITY
O F (By), Agent
OSHKOSH
Heating Inspector
Final Inspection