HomeMy WebLinkAbout0099450-Storage TanksOSHKOSH
ON THE WATER
.lob Address 3000 POBEREZNY RD
Contractor OIL EQUIPMENT COMPANY INC
Tank Type O Metal (~ Fiberglass
Service O Install (~) Remove
Contents [] Petroleum
] Kerosene
CITY OF OSHKOSH
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner E.A.A.
Category 280 - INSTALL STORAGE TANKS
Tank Size 0 Tanks
~ Above Ground ~) Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
No 99450
Create Date 1/14/03
Use/Nature
of Work
D 367 Toll Rd / Install 2 petroleum storage tanks. 1-550 G Deisel, 1-1000 G Unleaded.* Note: This project is out of City limits, however the City Fire
epartment is inspecting and collecting said fees.
Valuation
Issued By:
$12,580.00 Permit Fee Paid $145.00
Permit Voided
Date 1/14/03
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
MADISON WI 53714 - 0 Telephone Number
Address 4118 ROBERTSON RD 608-249-2881
(~ CITY OF OSHKOSH No 99450
OSHKOSH STORAGE TANK PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3000 POBEREZNY RD Owner E.A.A. Create Date 1/14/03
Contractor OIL EQUIPMENT COMPANY INC
Category 280 - INSTALL STORAGE TANKS
Tank Type · Metal (~ Fiberglass
Service · Install ~) Remove
Contents [] Petroleum
[] Kerosene
Tank Size 0 Tanks
· Above Ground O Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
367 Toll Rd / Install 2 petroleum storage tanks. 1-550 G Deisel, 1-1000 G Unleaded.* Note: This project is out of City limits, however the City
ire Department is inspecting and collecting said fees.
Use/Nature
of Work
Valuation $12,580.00
Issued By:'t~~'w~
Permit Fee Paid $145.00
[] Permit Voided
Date 1/14/03
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature ~'~_~.~j~_ ~-'~,~/~.~~...-~.. ....... Date
Agent/Owner
Address 4118 ROBERTSON RD MADISON WI 53714 - 0 Telephone Number
608-249-2881
01/10/2003 FRI 12:47 FAX
Job Sitc Address:
USTIAST PERMIT CHECKLIST
Contractor:
Address:
AST y Install Tanks ,~_~
Upgradc Tanks
[ 001/001
UST Remove Tanks ,Upgrading Piping.
Tank Information 1~ ~
#3 #4
Composition
Tank Size
Piping
Approximat~ Cost of Job:
Approximate St~ Date:
Pemfit {~ce A~mval:
Conditions of Approval:
, ¥ No
i'ermit Approved by: ~o._~~
Tank System Fe~ [O(b Plans Review Fee q ~ PERMIT FEE~ I ~t ~, o ~s
Note: This is not a permit, To obtain the requirexl permit, present THIS CHECKLIST, along with a SITE PLAN ant
a CHECK made payable to thc "CITY OF OSHKOSH" for 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.
01/13/2003 MON 16:35 FAX
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