HomeMy WebLinkAbout2004-Storage Tank (remove)OSHKOSH
ON THE WATER
,Job Address 1018 W MURDOCK AVE
Contractor U.S. PETROLEUM & EQUIPMENT
Tank Type O Metal (~ Fiberglass
Service (~) Install O Remove
Contents [] Petroleum
] Kerosene
CITY OF OSHKOSH No
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner MERCURY MARINE
Category 281 - REMOVE STORAGE TANKS
Tank Size 560
Create Date 3/23/04
107026
Tanks
(~ Above Ground (~ Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
Use/Nature :~emove 1-560 G UG storage tank.
of Work
Valuation
Issued By:
$100.00 Permit Fee Paid $100.00
Permit Voided
Date 3/23/04
Parcel Id # 1218770000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 558 CARTER COURT KIMBERLY WI 54136 - 0 Telephone Number 920-730-4240
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.
03/22/2004 1§:31 FAI 001/001
UST/AS'I' PERMIT CHECKLIST
Job Site Address:
Address:
AST J Install Tanks
UST Remove Tanks
Upgrade Tanks
~'~iUpgrading Piping
*Faak Information #1 82 #3 #4 #5
Composition
Conte.
Piping ..~I--~'~'~L .....
Approximate Cost of Job:
P~fit [ss~ Ap~oval: yes~ , / No
Conditions of Approval:
Va.kSys, mFee/ .lans
Note: This is not a permit. To obtain the required permit, present THIS CHECKLIST. along with a SITE PLAN ant
a CHECK made payable to thc "CITY OF OSHKOSIt" tbr the amount listed in PERMIT FEE, to the Building
Inspectors Office, Room 205 at City Hall, 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 shall be obtained and on site prior to commencement of work.