HomeMy WebLinkAbout0122867 Storage Tank (install)
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OSHKOSH
ON THE WATER
Job Address 3355 JACKSON ST
Contractor U.S. PETROLEUM & EQUIPMENT
CITY OF OSHKOSH
No
122867
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner RAR INVESTMENTS LLC
Create Date 12/12/2006
Category 280 -INSTALL STORAGE TANKS
Tank Type . Metal
o Fiberglass
Tank Size
Tanks
Service . Install 0 Remove
Contents ~ Petroleum
D Kerosene
D Solvent
D Liquid Petroleum
. Above Ground 0 Underground
D Natural Gas
D Other
Use/Nature Permit in addition to previously issued permit #122124 to collect the plan revision fees. No additional tanks.
of Work
Issued By:
Permit Fee Paid
$100.00
Valuation
Date 12/12/2006
D Permit Voided I
Parcelld # 1250180000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 558 CARTER COURT
KIMBERLY
WI 54136 -0
Telephone Number 920-730-4240
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.
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UST/AST PERMIT CHECKLIST I QeJ~~lC () k
Job Site Address: 3 35S .J~b,: ~. . RECEIVED
Contractor: II S ~~ ~ \ f> ,\A W\ Cct LA \ f (V\e (\ -E '
Address: 55 ~ ~+er ('~ \, DEe 1 2 2006
\:( ~ ~ b-er- \" l w"T 0'4 \ 3~ DEPARTMENT OF
I COMMUNITY DEVELOPMENT
Phone Number: (q "U) ),65 - ~~ ~ l
Fax Number: (q2.D ') "'13 q - cYI ~ \
AST
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Upgrade Tanks
//
Install Tanks
UST
Remove Tanks
Upgrading Piping
Tank Information # I #2
(060 6~\ \ ~'5 G.
Wes-k.61 \b=-to
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Approximate Cost of Job: ~ 'd- ~ ~ ~. ,
Approximate Start Date: A\(~~tJ ~d\ l.s. "'-t.- do
Permit Issuance Approval: Yes ~
Composition
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#4
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Tank Size
Contents
Piping
Conditions of Approval:
- ~..~~V\ ~
Permit APprove~p)..
Tank System Fee Plans Review Fee \DO
Date:J:L{ 2..C\\ t>lP
PERMIT FEE:-1-\OO
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 of7:30-8:30 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.