HomeMy WebLinkAbout0106146-Storage Tank (remove) i�i CITY OF OSHKOSH No 106146
OSHKOSH STORAGE TANK PERMIT - APPLICATION AND RECORD ic�
ON THE WATER FEB 4��
Job Address 710 S MAIN ST Owner RECREATION LANES Create Date 1/15/04
Contractor ADVANCED TANK SERVICE INC Category 281 -REMOVE STORAGE TANKS
Tank Type � Metal � Fiberglass Tank Size 250 Tanks 1
Service � Install � Remove � Above Ground � Underground
Contents �✓ Petroleum � Solvent � Natural Gas
� Kerosene � Liquid Petroleum � Other
----— _ __- -_ --- _—_-
----__ _ _ _-- --_---- - - --.
Use/Nature Remove 1 250 G fuel oil storage tank.
of Work
�L
Valuation $4 .0 Permit Fee Paid $100.00
Issued By: Date 1/22/04
� Permit Voided'I Parcel Id#0301420000
In the performa of this w I agree to perf or rsuan to rules governing the described construction.
Signature Date /� 27—0
AgenUOwner
Address PO BOX 1072 EAU CLAIRE WI 54702 -1072 Telephone Number 715-831-8484
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.
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.
Q1/15/2004 T~J 10:20 FAX ~001/001
UST/AST PERMIT CHECKLIST
JobSi~^dd~ss:7/0 ,£-f~'
Contractor:
Address:
AST Install Tanks Upgrade Tanks
UST / Remove Tanks_ /~ Upgrading Piping.
Tank Information ~.~ //2 #3 //4
#5
Composition
Tank Size
Contents
Piping
Yes /,,-,"~' No
Permit Approved by: C'~ ~'?,.~_.~" Date:
'I-a,k Syste.~ ~,,/.~Pi~s ~,w ~e~..-- '_.PEr~MIT
Note: This is not a permit. To obtain tile required pegmit, present THIS CHECKLIST. along with a SITE PLAN am
a CHECK made payable to the "CITY OF OSHKOSH" for the amount listed in PERMIT FEE. to the Building
Inspectors Office, Room ?-05 at City l'{all, between the hours of 7:30-8:30 a.m. and 12:30-1:30 p.m. or by
appointment (920) 236-5045. This City Permit shah be obtained and on site prior to commencement of work.