HomeMy WebLinkAbout0003805-HVAC (space heater) 6L Z
CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD Al
Date /— 7 r 71 Application N° 3805
Owner )0A- Y.�, .—,.s i,,,,r,',.."1 f `7 ? -'
Building Use s _ _ �i —__ '
r
Type of Fuel: j
Gas Oil
Coal ; c� Electric
Others
Type of Heating System:
Forced Air (number) Hot Water (number)
Steam (number) Gravity (number)
Unit heater (number) c �
New heating system Replacement of:
Conversion Burner
New Used
Calculated Heat Loss
Size of Unit(s)
Miscellaneous Work to Heating System _
Heating Contractor ,;"- "'"- -. -' '
Address _
Valuation of Work ` / D-a Fee f NSF 0
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 th state building co e f Wisconsin.
,-
(Signed) ,nf. 71 Owner
Address / ? ,S - 7 r'h /4 rJ . c 7 S
CITY B
OF (By) Agent
OSHKOSH
''°,,,,,, 4;" ^'' ,, , / v
Address
Heating Inspector — ��� cf
Final Inspection