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HomeMy WebLinkAbout0003428-HVAC CITY OF OSHKOSH HEATING PERMIT APPLICATION AND RECORD Date / 2 _ 7C Application N? 3428 Owner--48 — Address Building Use Type of Fuel: Gas Oil Coal Electric 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 VO Size of Unit(s) / 6 O do 0 Miscellaneous Work to Heating System _ Heating Contractor G W — Address •f• /� dv Valuation of Work ,, Fee 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 Address CITY OF (By) L.i� .� Agent OSHKOSH Address Heating Inspector — Final Inspection v