HomeMy WebLinkAbout2004-Storage Tank (remove 3 tanks)OSHKOSH
ON THE WATER
JobAddress 103 111 N SAWYER ST
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 LOUIS A THOMA ESTATE
Category 281 - REMOVE STORAGE TANKS
Tank Size 0
Create Date 8/14/04
Tanks
(~ Above Ground (~ Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
108718
Use/Nature Remove 3 UG Petroleum Storage Tanks, 2 @ 8,000 G, 1 @ 10,000 G
of Work
Valuation
Issued By:
$4,000.00 Permit Fee Paid $520.00
Permit Voided
Date 6/15/04
Parcel Id # 0607960000
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.
06/11/2004 FRI 12:21 FAX 001/001
USWAST PERMIT CHECKLIST
Job Sitc Address: ,/0.~ ,42, .~z~Y ~ C~ .,,
Contractor:
Address:
AST. Install Tanks__ Upgradc T~nks
UST ~ Remove Tanks ._ ~ Upgrading Piping
Tank Information
//4 #5
Composition 57~i¢~ "
Appmximat~ ~st of Job:
Pe~it {ssu~ Approval: Ycs
Conditions of Approval:
No
Tank System Fee ..~'~?-P Plans Re'~w Pe~ · PERMIT FEE: ~',~ 0 ~
Note: This is not a permit. To obtain the reAuired permit, present THIS CHECKLIST. along with a SITE PLAN
a CHECK made payable to the "CITY OF OSHKOSH" for the amount listed in PERMIT FEE, to thc Building
Inspectors Office. Room 205 at City Hall. bctwccn the hours of 7:30-8:30 a.m. and 12:30- l: 30 p.m. or by
appointment (920) 236-5045. This City Permit shall b~ obtained and on site prior to commencement of work.