HomeMy WebLinkAbout0003675-HVAC (furnace) CITY OF OSHKOSH HEATING PERMIT X
APPLICATION AND RECORD
Date —7 7 Application N9 3675
0
Owner L OP fr'
Address ii • _.
Building Use i ANIP
Type of Fuel:
Gas X Oil
oal Electric
0 her
Type of Heatin v System:
Forced ' it (number) / Hot Water (number)
Steam ( umber) Gravity (number)
Unit he.ter (number)
New heating sy.tem Replacement of:pd
Conyers on Burner i
Ne Used
Calculat-d Heat Loss
Size of nit(s) — ? 00 0 /7 & ( 4 i d)
Miscella eous Work to Heating System _
Heating Contra •tor / I_ _
Address y � ''' �
. /�
Valuation of Wo k 9‘at'i Fee a_
Electrical Contr- ctor
The undersigne• hereby applies for a permit to do the work herein described, according
to the plans an specifications herewith filed, and hereby agrees that such work will be
done in accorda ce with said description, plans and specifications, and in compliance with
ordinances of t e City of Oshkosh and the state building code of Wisconsin.
(Signed) Owner
Address
) (By) �j Agent
( ? )
Address
Heating Inspector
Final Inspection 5'. Or 7 7 k.1