HomeMy WebLinkAbout0098879-Storage Tank (remove)OSHKOSH
ON THE WATER
Job Address
Contractor
Tank Type
Service
Contents
CITY OF OSHKOSH
STORAGE TANK PERMIT - APPLICATION AND RECORD
2100 -2110 HARRISON ST Owner RECORDS BROWNE INVESTMENTS LLC
PETROLEUM EQUIPMENT SERVICE OF WI, INC Category 281 - REMOVE STORAGE TANKS
No 98879
Create Date 11/22/02
· Metal
(~ Install
[] Petroleum
] Kerosene
O Fiberglass Tank Size 500 Tanks
· Remove · Above Ground O Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
Use/Nature ~emove 1-500 G waste oil storage tank.
of Work
Valuation $8~
Issued By:
Permit Fee Paid $100.00
[] Permit Voidedj
Date 12/3/02
In the performance of this work I agree to 3erform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
GREEN BAY WI 54303 -0 Telephone Number
Address 1850 VELP AVE 920-499-5404
Job Site Address:
Contractor:
Address:
UST/AST PERMIT CHECKLIST
Phone Number: q2,o- Cqq,~ oqc/"l) 5/
Fax Number:
AsT t,,// Install Tanks
Upgrade Tanks
UST
Remove Tanks i,/ Upgrading Piping.
Tank Information {~)
#2 #3 #4 #5
Composition
Tank Size
Contents
Piping
Approximate Cost of Job:7'~<~"-~
Approximate Start Date: /[/27/DZ..:
Permit Issuance Approval: Yes
No
Conditions of Approval:
ermit Approved by: Date:
Tank System Fee r/(92) Plans Review Fee ~ PERMIT FEE:
Note: This is not a permit. To obtain the required permit, present THIS CHECKLIST, along with a SITE PLAN an
a CHECK made payable to the "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.