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CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
MERCY MEDICAL CENTER OSH INC
Job AddressOwner
500 S OAKWOOD RD
Create Date11/04/2003
ContractorTWEET GAROT MECHANICAL INCCategory512 - Ind. & Comm-BothPlan
üü OilElectric
üü GasSolarSolid
Fuel
NewReplaceOther
System
üü Forced Air üü Radiant üü Steam üü A/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
Hospital / provide hvac to 5th floor bedtower expansion project
of Work
Plan Approval$0.00
Fees: Valuation$789,000.00Permit Fee Paid$4,125.50
Issued By:Date02/17/2004
Permit Voided
Parcel Id #0613660000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
SignatureDate
Agent/Owner
AddressPO BOX 11767GREEN BAYTelephone Number920-498-0400
WI54307-1767
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.