HomeMy WebLinkAbout0054583-Storage Tanks (remove 3 tanks) CITY OF OSHKOSH
No 0054583
OSH r OSH STORAGE TANK PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1221 S KNAPP ST Owner WINNEBAGO COUNTY GARAGE Create Date 9/16/96
Contractor SCHROEDER ENVIRONMENTAL # 28''
Tank Type I• Metal () FiberGlass Tank Size Tanks 3
Service K ) Install • Remove K ) Above Ground • Underground
Contents N Petroleum Solvent Natural Gas
Kerosene I Liquid Petroleum _ Other
Use /Nature REMOVE 3 UG storage tanks. 10, 15, 28, thousand gallons.
of Work
Valuation $8,000.00 Permit Fee Paid $500.00
Issued By: Date 9/16/96
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature %y ^✓ % i Date 07— / 6 " y6
Agent/Owner
Address • - • H • I - : • ;- Telephone Number
9 -13 -1996 9 :12AM FROM OSHKOSH FIRE DEPT. 4142365295 P. 1
41L N- i—>
�� US'FIAS'I PERMIT CHECKLIST
lcr . ite ciclres l It,�t}�l S.
Contractor :...._. C 0 D C. ., 3 l 1 r --
Address: WI I7.?Dlz Pe-#'4t
I'I No: COO 3y — /57 --E !li 1339 F"'j._
AST Install Tanks Upgrade Tanks
UST ✓ Remove Tanks i/ Upgrade Piping_
TANK INFORMATION #tl #2 #3 #4 #5
Composition: _
Tank Size: cat OD /9000 (; o0v
Contents: E.41L(r1)f) (tit) Lrila 0
Piping
Approximate Cost of Jab; ' 1'7 0
Approximate Start Date: 5£, 2 e9, /110
Permit Issuance Approved; Yes t No
Conditions of Approval: _
Permit Approved By: Date:
Tank System Fee:rj Plans Review Pee PERMIT FEE: 62/0
Note: This is not a permit. '1'o eEtt:un the required permit, present THIS CHECKLIST,
along with a 51'1'1? PLAN and a CHECK made payabic 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 8 & 9 AM, l & 2 PM, or by appointment. This City Permit
shall be obtained nerd on site prior to sy,n■ueneewnwe»t or work.