HomeMy WebLinkAbout2004-Storage Tank (removal) � CITY OF OSHKOSH No 110412
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OSHKOSH STORAGE TANK PERMIT -APPLICATION AND RECO
ON THE WATER ,I����
Job Address 663 W 3RD AVE Owner STATE OF WISCONSIN �1(��ate 9/7/04
Contractor METCO Category 281 -REMOVE STORAGE TANKS
Tank Type � Metal � Fiberglass Tank Size 300 Tanks 1
Service � Install � Remove � Above Ground � Underground
Contents � Petroleum � Solvent � Natural Gas
� Kerosene � Liquid Petroleum � Other
Use/Nature Remove 1-300 G waste oil storage tank.
of Work
Valuation 200.00 Permit Fee Paid $100.00
Issued By: Date 9/9/04
� Permit Voided! Parcel Id#0602980000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address PO BOX 448 HILLSBORO WI 54634 -0 Telephone Number 60&489-2198,EXT 1
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 Ciry strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activiry.