HomeMy WebLinkAbout2004 -Storage Tank (removal)OSHKOSH
CITY OF OSHKOSH
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner MILLS PROPERTIES INC
Category 281 - REMOVE STORAGE TANKS
No
[] Solvent
[] Liquid Petroleum
ON THE WATER
JobAddress 177 N WASHBURN ST
Contractor OIL EQUIPMENT COMPANY INC
Tank Type ~ Metal ~ Fiberglass
Service ~ Install O Remove
Contents [] Petroleum
] Kerosene
Create Date 8/26/04
110172
Tank Size 1000 Tanks 1
Above Ground O Underground
[] Natural Gas
[] Other
Use/Nature Remove one 1000 G waste oil tank.
of Work
Valuation
Issued By:
$1,700.00 Permit Fee Paid $100.00
Permit Voided
Date 8/26/04
Parcel Id # 0614000000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1140 ASHWAUBENON GREEN BAY WI 54304 - 0 Telephone Number 920-336-9116
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.
ff8/24/2004 TI3E 11:28 FAX 001/001
UST/AST PERMIT CHECKLIST
Sob Site Address:
Contractor:
Address:
/27 ,o.
Phone Number:. ~]/~ .- ff~O- ~.! I ~
Fax Nurober:.
AST
.... Install Tanks
UST___~/ Reroove Tal~,s
Upgrade Ta~ks
.Upgrad{ng Piping_
Tank Information
#3
#4 #5
Composition
Tank Size
Contents
Piping
Approxiroate Cost of Job:
Approximate Start Date:
Permit Issuance Approval:
Conditions of Approvak
Permit Approved by:
Tank System Fee/t/l) et3L
Plans Rcvi~;~'/Fcc ~.~
'PERMIT FEE:..,~//~'/) · ~'
Note: This is not a permit, To obtain the required permit, present ]'HIS CHECKLIST. along with a SITE PLAN am
a CHECK made payable to the "CITY OFOSHKOSH" for the amount listed in PERMIT FEE, to the Building
Inspectors Office, Rooro 205 at City Hall, between the hours of 7:30~8:30 a,ro. and t 2:30-1:30 p.m. or by
appointment (920) 236-5045_ This City Permit shall be obtained and on site prior to cororoenceroent o f work.