HomeMy WebLinkAbout2003-Storage tank (waste oil)OSHKOSH
ON THE WATER
.lob Address 351 S WASHBURN ST
Contractor WALT'S PETROLEUM
Tank Type O Metal (~ Fiberglass
Service O Install (~) Remove
Contents [] Petroleum
] Kerosene
CITY OF OSHKOSH
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner WAL-MART STORES INC
Category 280 - INSTALL STORAGE TANKS
Tank Size 800 Tanks
~ Above Ground ~) Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
No 99630
Create Date 1/30/03
Use/Nature
of Work
1 - 800 gallon waste oil tank within the building.
Valuation $15,000.00
Issued By:
Permit Fee Paid $135.00
Date 1/30/03
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2660 N PACKERLAND DR GREEN BAY WI 54303 - 1856 Telephone Number
920-498-0565
Job Site Address:
Contractor:
Address:
UST/AST PERMIT CHECKLIST
.5-2
Phone Number: 7t',5- ~7.5'"-'~- tTr36 2_ FaxNumber: 7/~~5- ffj"',.~- c/~ffd,
AST t~" Install Tanks [ Upgrade Tanks
UST Remove Tanks
.Upgrading Piping
Tank Information
#2 #3 #4 #5
Composition
Tank Size
Contents
Piping
Approximate Cost of Job:
Approximate Start Date:
Permit Issuance Approval:
Yes k,~ No
Conditions of Approval:
Permit Approved by: ~~---'--~.,~,.~ Date: ///~ q/~_.~
Tank System Fee 10 ~ Plans R~ Fee ;3,' PERMI~ (EE: ~~ ~
Note: This is not a pe~it. To obtain the required pe~it, present THIS CHECKLIST, along with a SITE PLAN an
a CHECK made payable to the "CITY OF OSHKOSH" for the amount listed in PE~IT 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 Pe~it shall be obtained and on site prior to commencement of work.