HomeMy WebLinkAbout2003-Storage Tank (install)OSHKOSH
ON THE WATER
,Job Address 639 WITZEL AVE
Contractor U.S. PETROLEUM & EQUIPMENT
Tank Type O Metal (~ Fiberglass
Service O Install (~) Remove
Contents [] Petroleum
] Kerosene
CITY OF OSHKOSH
STORAGE TANK PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH CITY GARAGE
Category 280 - INSTALL STORAGE TANKS
Tank Size 500 Tanks
~ Above Ground ~) Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
No 100045
Create Date 3/4/03
Use/Nature
of Work
2 - 500 G above ground storage tanks (waste oil.)
Valuation
Issued By:
$3,000.00 Permit Fee Paid $0.00
Permit Voided
Date 3/4/03
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 1130 OSHKOSH WI 54903 - 1130 Telephone Number
03/03/2003 ION 12:35 FAX
UST/AST PERMIT CHEC KLI ST
[ 001/001
Job Site ^aaress:
Contractor:
Address:
AST .... ~
Install Tanks i/~ .Upgrade Tanks
UST
Remove Tanks
_Upgrading Piping
'lank Information
~ #3 #4
#5
Composition ~'7'~"~L "7
Tank Size ~.~., ~,~
Contents 60 ,,q-,Z r"~;.
Piping ..~ tat/~q-
/
Approximate Cost of Job:
Approximate Start Date:
Permit Issuance Approval:
Conditions of Approval:
Yes ~
No
Tank System Fee /tO O,OLS-- Plans Rev~,w~ee
/
PERMIT FEE:
Note: This is not a permit. To obtain the required pen:nit, present THIS CHECKLIST, along with a SITE PLAN ant
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 of 7:30-8:30 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.