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HomeMy WebLinkAbout0131094-Storage tank (revision fees)zak CITY OF OSHKOSH No 131094 yv OSHKOSH STORAGE TANK PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2737 HARRISON ST Owner OSHKOSH CORPORATION Contractor U.S. PETROLEUM & EQUIPMENT Category 280 - INSTALL STORAGE TANKS Tank Type O Metal O Fiberglass Service 0 Install O Remove Contents ❑✓ Petroleum ❑ Solvent ❑ Kerosene ❑ Liquid Petroleum Use /Nature Permit issued to collect Revision fees of $100 for permit number 130083. of Work Valuation _$71,� 00 Permit Fee Paid $100.00 Issued By: ❑ Permit Voided' Tank Size Create Date 7/1/2008 Tanks Above Ground O Underground ❑ Natural Gas ❑ Other In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Address 558 CARTER COURT Agent/Owner KIMBERLY WI 54136 -0 Date 7/1/2008 Parcel Id #1519600000 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. FLAMMABLE AND COMBUSTIBLE MATERIAL STORAGE TANK REVIEW CHECKLIST Address of Job Site Owner W (' a (`�U�u Y-\ w Contractor_ Contractor Address Contractor Phone ftD>`135 -�S2 S`1 �• yN2D 1 t - 6 -1 Li 1 Install Tanks Underground Remove Tanks Above Ground Number and Size of Tanks aC;-, List Materials Stored ilea `rA-�DoJ-e e\) Tank Composition (Check the proper Categories) Fiberglass Steel Fiberglass Coated Steel Proposed Start Date Cost Of Job�� ©� Permit Fees to be Collected i w Review Approved For Permit Issuance Y V 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 OBTAINED PRIOR TO COMMENCING ANY\A9P'%?-%? %I�D ED O1j THIS FORM. Signature of Reviewing Officer Date