HomeMy WebLinkAbout0131433-Storage Tank (remove)0 CITY OF OSHKOSH No 131433
OSHKOSH STORAGE TANK PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2737 HARRISON ST
Contractor SCHAPER EXCAVATING & PETROLEUM
Tank Type I* Metal O Fiberglass
Service O Install 10 Remove
Contents ❑✓ Petroleum
❑ Kerosene
Use /Nature Remove 2- 15,000 G AG tanks, Diesel Fuel.
of Work
Valuation
Issued By:
Owner OSHKOSH CORPORATION Create Date 7/1012008
Category 281 - REMOVE STORAGE TANKS
❑ Solvent
❑ Liquid Petroleum
Permit Fee Paid $100.00
❑ Permit Voided
Tank Size 15000 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 W11435 ADNEY RD
Agent/Owner
PORTAGE WI 53901 -0
UFI�7iG7f���I�I:3
Parcel Id # 0000000000
Telephone Number 608 - 742 -4686
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.
CITY OF OSHKOSH UST /AST PERMIT CHECKLIST
Job Site Address: p�1 ?jamb \SCE C 1
Contractor: Sr h;�-, v- o r
Address:
Phone #: -1k\-2 - t-Ne 'Ii�o
AST UST
Install Remove
FAX #: �loO�b> `it. -ti a -Lk\o \ -�_
Upgrade Tanks
Number, Size, & Contents of Tank(s):
i
Tank(s) Composition:
�a-A `D►ti
it
o-%\)
A
Piping Composition:
Approximate Cost of Job:`
Approximate Start Date: 'L r ",
Permit Issuance Approval: YES No
JUL 0 9 2008
Conditions of Approval:
Approved Date:
Tank System Fee: Plan Review Fee Permit Fee
PLEASE NOTE: THIS IS NOT A PERMIT. To obtain the required
permit, present this checklist, along with a check made payable
to the "CITY OF OSHKOSH" for the amount listed in "Permit Fee"
(above) at the Building Inspection Office, Room 205 at City Hall,
between the hours of 7:30 -8:30 AM and 12:30 -1:30 PM; or by
appointment (920) 236 -5045. This permit shall be obtained and
on -site prior to the commencement of any work.` ` >