HomeMy WebLinkAbout0127124-Storage Tank (oil)
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OSHKOSH
ON THE WATER
Job Address 1005 HIGH AVE
Contractor HALRON LUBRICANTS INC
CITY OF OSHKOSH
No
127124
STORAGE TANK PERMIT -APPLICATION AND RECORD
Owner AXLETECH INTERNATIONAL INC
Category 280 -INSTALL STORAGE TANKS
Create Date 10/5/2007
Tank Type 0 Metal
o Fiberglass
Tank Size 4000
Tanks
Service . Install 0 Remove
Contents ~ Petroleum
o Kerosene
o Solvent
o Liquid Petroleum
. Above Ground 0 Underground
o Natural Gas
o Other
Use/Nature .lnstaIl1-4000 G New Oil storage tank inside the building.
of Work
Valuation ~
Issued By:
Permit Fee Paid
$375.00
Date 10/5/2007
o Permit Voided I
Parcelld #0507610000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
PO BOX 2188
Agent/Owner
GREEN BAY WI 54306 -2166
Telephone Number
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
FLAMMABLE AND COMBUSTIBLE MATERIAL STORAGE TANK R
Address of Job Site +\ ~b '" ~tr\'-^ 'f'
Owner
OCT 0 4 Z007
Contractor
D;:;';-pfZ I iV1cN \ OF
CO[vllli.~~ITY DEVELOP,,1ENT
IN_ \ lU.''l ...)-1\,\"-1':::... DIVISION
Contractor Address
tIn'\<; ~S:i:.
-;.ree' . 1 W::I: 643D'-o
Contractor Phone CC\LO ') 43 eo-4c:oo ~(c;L.o )l..\3to - ~oo l-\
Install Tanks~ Remove Tanks____
Underground
Above Ground____
l '--\OD(:) b~\\'r-. A~
0e~ Or-\ \
~a,) ~\ \
Number and Size of Tanks
List Materials Stored
Tank Composition (Check the proper
Fiberglass____ Steel~
Proposed Start Date to \ \'D \ DI
\- y
Cost Of Job ~ \C\, 50 C)
\ :$
Permit Fees to be Collected 3~~
Categories)
Fiberglass Coated Steel____
Review Approved For Permit Issuance
- c.\--ec L ~tl~e ~
Y~N_
Conditions of Approval:
,.-....:.., '<'(.
NOTE: THIS IS NOT A PERMIT. THIS FORM MUST BE PRESENTED TO THE
INSPECTORS IN ROOM 205, CITY HALL, BETWEEN THE HOURS OF 8 - 9 A.M.
OR 1 - 2 P.M. TO OBTAIN THE REQUIRED PERMITS. PERMITS SHALL BE
O~:~~~D PR,OR TO COMMENC'NG.AN~. T:'~V"~~ 'ND'CAATT~~DD ON TH'S FORM.
Signature of Reviewing OffiC~
Date \.0 ~ '--\ \, D1 STORTANK
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