HomeMy WebLinkAbout0109442-Storage Tank
CITY OF OSHKOSH
109442
No
OSHKOSHSTORAGE TANK PERMIT - APPLICATION AND RECORD
ON THE WATER
ROBERT M POEHLMAN
Job AddressOwnerCreate Date
506 OHIO ST7/21/04
UNI-PUMP, INC.
ContractorCategory282 - UPGRADE PIPING/TANKS
Tank SizeTanks0
0
MetalFiberglass
Tank Type
Above GroundUnderground
Service
InstallRemove
PetroleumSolventNatural Gas
Contents
KeroseneLiquid PetroleumOther
Use/Nature Installing Card Readers w/ New Dispensers
of Work
Valuation$30,000.00Permit Fee Paid$78.00
Issued By:Date
7/21/04
Permit Voided
Parcel Id #0600350000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
PO BOX 446MENOMINEE FALLWI530070252-3222
Address-Telephone Number
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.
CITY OF OSHKOSH
109442
No
OSHKOSHSTORAGE TANK PERMIT - APPLICATION AND RECORD
ON THE WATER
ROBERT M POEHLMAN
Job AddressOwnerCreate Date
506 OHIO ST7/21/04
UNI-PUMP, INC.
ContractorCategory280 - INSTALL STORAGE TANKS
Tank SizeTanks0
0
MetalFiberglass
Tank Type
Above GroundUnderground
Service
InstallRemove
PetroleumSolventNatural Gas
Contents
KeroseneLiquid PetroleumOther
Use/Nature Installing Card Readers w/ New Dispensers
of Work
Valuation$30,000.00Permit Fee Paid$78.00
Issued By:Date
7/21/04
Permit Voided
Parcel Id #0600350000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
PO BOX 446MENOMINEE FALLWI530070252-3222
Address-Telephone Number
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.