HomeMy WebLinkAbout0100186-Storage Tank (waste oil)OSHKOSH
ON THE WATER
,Job Address 1301 KNAPP ST
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 VULCAN LANDS INC
Category 280 - INSTALL STORAGE TANKS
Tank Size 500 Tanks
(~ Above Ground (~ Underground
[] Solvent [] Natural Gas
[] Liquid Petroleum [] Other
No 100186
Create Date 3/13/03
Use/Nature nstallWaste oiltank
of Work
Valuation
Issued By:
$2,500.00 Permit Fee Paid $135.00
Date 3/13/03
Permit Voided J
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
Telephone Number
735-8237
OSHKOSH
ON THE WATER
Job Address 1301 KNAPP ST
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
[] Solvent
[] Liquid Petroleum
No 100186
Owner VULCAN LANDS INC
Category 280 ~ INSTALL STORAGE TANKS
Tank Size 500 Tanks
~11 Above Ground (~ Underground
[] Natural Gas
[] Other
Create Date 3113/03
Use/Nature
of Work
Valuation
Issued By:
Install Waste oil tank
Permit Fee Paid $135.00
[] Permit VoidedI
Date 3~13103
In the performance of~his work I~qcree to perform, all work pursuant to rules governing the described construction.
Signature ~/~ ~.~~ J¢,~ Date
Agent/Owner
Address 5~CARTER COURT KIMBERLY WI 54136 - 0 Telephone Number
735-8237
03/10/2003
ION 12:41 FAX
001/001
UST/AST PER.MIT CHECKLIST
Job Site Address:
Contractor:
Address:
Phone Number: ~')g,o - 7,?J'"- (ff'2.ff
AST / 'v'//~' Install Tanks
Fax Number:
Upgrade Tan.ks
UST Remove Tanks . Upgrading Piping.
Tank lnformati
Composition
Tank Size
Contents
#2 #3 #4 #5
Piping
Approximate Cost of Job: '~ ~:,~;~7.~'-d) ~
Approximate Start Datc:_fl'Trq"F--- /7 / 2..6qCP-J
Permit Issumace Approval: Yes [///
No
Conditions of Approval:
Permit Approved by: ~2%~ Date:
Talsk System Fee ./00 ~'/Plarm Re "~' Fee .yo''''~2' PERMIT
Note: This is not a permit. To obtain the required pcrmit, present Ti-liS CHECKLIST, along with a SITE PLAN
a CHECK made payable to the "CITY OF OSHKOSH" for Thc amount listed in PERMIT FEE. to the Building
Inspectors Office, Room 205 at City Hall. between the hours o[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 sire prior to commencement of work.