HomeMy WebLinkAbout2006-Storage Tank (waste oil)
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OSHKOSH
ON THE WATER
Job Address 237 N WASHBURN ST
CITY OF OSHKOSH
No
117996
STORAGE TANK PERMIT. APPLICATION AND RECORD
Owner ARTHUR E POMMERENING
Category 280 -INSTALL STORAGE TANKS
Create Date 1/26/06
Contractor Owner
Tank Type . Metal 0 Fiberglass
Service . Install 0 Remove
Contents ~ Petroleum
0 Kerosene
Tank Size 500
Tanks ----.1
0 Solvent
0 Liquid Petroleum
. Above Ground 0 Underground
0 Natural Gas
0 Other
Use/Nature Install 1-500 G waste Oil tank.. Halron Lubricants is contractor
of Work
Issued By:
Permit Fee Paid
$160.00
Valuation
Date 1/26/06
0 PermitVoided
Parcelld #0614030000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
AgenUOWner
Oshkosh
WI 54901 -0
Telephone Number
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.
UST/AST PERMIT CHECKLIST
Job Site Address:
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Contractor:
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Address:
Phone Number: (('!'Z.D'> 43 ì - DL\:1.o1.o
Fax Number: (~'Z.D) 4;:, t - L.D '3 ¡
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Upgrade Tanks
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UST
Remove Tanks
Upgrading Piping
Tank ¡nformation@
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#4
#5
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Approximate Start Date: 2l~ D \.p .
Permit Issuance Approval: Yes \ ../
Conditions of ApprovaI:-=r::í\ ""'~~ \tc\
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Composition
Tank Size
Contents
Piping
Approximate Cost of Job:
No
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Permit Approved by: ~ ~~~
Tank System Fee \ 00 Plans Review Fee CoD
Date: I 12-1.0 l () to
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PERMIT FEE: {, \ \.c 0 -
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 HaIl, 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 shaIl be obtained and on site prior to commencement of work.