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HomeMy WebLinkAbout0090668-Storage Tank (remove) CITY OF OSHKOSH No 90668 OSHKOSH STORAGE TANK PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1423 MONROE ST Owner JEFFREY SCHERER Create Date 10/17/01 Contractor MIDWEST ENGINEERING SERVICES Category 281 - REMOVE STORAGE TANKS Tank Type O Metal 0 Fiberglass Tank Size Tanks 1 Service 0 Install • Remove • Above Ground 0 Underground Contents 0 Petroleum ❑ Solvent ❑ Natural Gas ❑ Kerosene ❑ Liquid Petroleum ❑ Other Use /Nature Remove AG storage tank. size and composition and contents unknown. of Work Valuation $2,500.00 Permit Fee Paid $100.00 Issued By: l✓ Date 10/19/01 /"" ❑ Permit Voided In the performs e f t is work 1 agree to perform all ork pursuant to rules governing the described construction. / 9/// Signature � Date /■/( © ( Agent/Owner Address 104 W JACKSON ST RIPON WI 54971 - 0 Telephone Number 920 - 745 -2200 FROM : CITY OF OSHKOSH /DP PHONE NO. : 9202365134 Oct. 17 2001 10:15RM P1 UST)AST.PERMIT CHECKLIST Job Site Address: ,IY13 . . nA . Contractor: Alt / rf X `" S t E C S Address: J. Al —t1C' 1 t roa rJ rte- t 97 f .. Phone Numb er: Z O Fax Number:_D..v — 7 V 7-12- Z A ST v Install Tanks Upgrade Tanks . UST Remove Tanks / Upgrading Piping Tank Information 0 #2 #3 #4 #5 Composition kgeg J Tank Size • Contents Piping _ Approximate Cost of lob: e� 4-II-- Approximate Start Date: /6 /Z3/D C Permit Issuance Approval: Yes No- Conditions of ApprOvaL _ Permit Approved bp: 4,2 - Date: • Q Mb Tank System. Fee /02) — Plans Revi Fee --- FEE: ,JD . Note: This is not a permit. To obtain the requiredpermit prescnt T IS-C ECIFLIST. along with a SITE PLAN a CHECK made payable to the 'CITY OF OSttKOSW' fur ttic- artmotrttt- liste4-in- PERMIT FEE, to the Building Inspectors Office, Room 205 ar City Hatt, between the-hours-of T.30-8:30-a.m. a n t 2:3O- I :30. p.m_ or by appointment (920) 236 -5045. This City Permit shall be obtained -and ett sprier tacvmme.ncement of work.