HomeMy WebLinkAbout0003866-HVACCITY OF OSHKOSH HEATING PERMIT
APPLICATION AND RECORD
Date '~ //- ~~
Own
Add
Buil~
Type of Fuel:
Gas
Coal
Other
Type of Heating System:
Forced Air (number)
Steam (number)
Application N~ 3 8 6 6
Oil
Electric
v'~
Hot Water (number)
Gravity (number)
Unit heater (number)
New heating system ~ Replacement of:
Conversion Burner
New
Used
Calculated Heat Loss ~~~~
Size of Unit(s) ~ 3 ~'- ~'~"°"~~
Miscellaneous Work to Heating System _
Heating Contractor
Address O
Valuation of Work 2 ~ Fee
Electrical Contractor
(Signed)
Address
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.
..~-. „:
,.r.
f.=:
~.
~" 2
Owner
(BY) ~-~~~~~ _ Agent
Address
Heating Inspector ~' P
Final Inspection