HomeMy WebLinkAbout0124828-Pump add-on
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OSHKOSH
ON THE WATER
Job Address 1623 BOWEN ST
Contractor OIL EQUIPMENT COMPANY INC
CITY OF OSHKOSH
No
124828
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner JAMES H LANG
Category 282 - UPGRADE PIPINGrrANKS
Create Date 5/17/2007
Tank Type 0 Metal
o Fiberglass
Tank Size
Tanks
Service . Install 0 Remove
Contents ~ Petroleum
o Kerosene
o Solvent
o Liquid p~t;oleum
. Above Ground 0 Underground
o Natural Gas
o Other
Use/Nature Adding point of sale pump to previously approved plans 1/11/07 - prior permit # 123189
of Work
Valuation
$5,000.00
Permit Fee Paid
$135.00
Date 5/17/2007
Issued By:
o Permit Voided I
Parcelld # 1504830400
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
1140 ASHW AUBENON
GREEN BAY WI 54304 - 0
Telephone Number 920-336-9116
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:-1~c';2~ ~~,("'\ ~+ .
Contractor: 6 \~ \ ~ ~ \ f> Co.
Address: \ \~"() M ~l.Ndrb-e ('\()i"'\
Gtree('\~ \~
s -t- ..
5q ~D ~
Phone Number: ct2.o -'3 \-:.In - C\ \ \ ~
Fax Number: ofU) -"'3\0 b - ..;>.:s 6 ~
AST
Install Tanks
U pgrade Tanks
UST
Remove Tanks
Upgrading Piping
Tank Information
-* AM\ 0\
. Composition
Approximate Start Date.
#5
--\-6 ~
'oos ell \\ {or J
Piping
Yes
Conditions of Approval:
Pennit Approved b~
Tank System Fee \35 Plans Review Fee -
Date:_.5~
PERMIT FEE: \ '6S
Note: This is not a permit. To obtain the required permil. presenl THIS CHECKLIST. along wilh a SITE PLAN an(
a CHECK made payable to the "CITY OF OSHKOSH" for lhe amount listed in PERMIT FEE. 10 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.