HomeMy WebLinkAbout0003495-HVAC (new home) CITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
Date f3/ Application ND 3 4 9 5 )(
Owner 0 -€A--
Address ( /
Ai& 0
Building Use
Type of Fuel:
Gas Oil
Coal Electric /r
Other
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 6
Size of Unit(s) ` ' ♦ iii • tip
Miscellaneous Work to Heating System _
Heating Contractor �( /
Address at. i i _ -�'� � / 1Nl •
Valuation of Work � o-fl Fee 42- -.
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
Ad. _
C17Y ,
OF (B �∎AP% �� �`�f" /_ / Agent
OSHKOSH
Address
Heating Inspector
.' S 7
Final Inspection