HomeMy WebLinkAbout0067400-Storage Tank (install) , � CITY OF OSHKOSH No oos�aoo
OSH OSH STORAGE TANK PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 845 HIGH AVE Owner UW OSHKOSH Create Date 11/20/98
Contractor FOX VALLEY PETROLEUM SERVICES I Category 280-INSTALL STORAGE TANKS
Tank Type e a i e ass Tank Size 3000 Tanks 2
Service ns a emove ove roun n ergroun
Contents e ro eum o ven a ura as
erosene �qw e ro eum er ;
Use/Nature ns a a pe ro eum s orage an s.
of Work
Valuation $70,924.00 Permlt Fee Paid $135.00
Issued By: C�� Date 11/20/98
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ermi oi e�
In the performance o is woric I agr t erform al work pursuant to rules governing the described construction.
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Signature Date �/�'���
AgenUOwner
Address 1700 LAMERS DR LITTLE CHUT WI 54140 _0 Telephone Number 414-788-4470
11-18-1998 d:51PM FROM OSHKOSH FIRE DEPT. 9282365295 P. 1
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' UST/AST PERMIT CHECKLIST
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Job Sitc Address: �y.� /�/ (� /y � j,(,LcJ--d,
Contractor: /GD)C �/iql.[E y l�L.=T12o�(',�..M �Li'L-�/�c£ ,.v�
Address: 1 7�O L.�Fr►��l� S � 2
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Phone Nwnber: �7.�I - 7��� �/��7 U Fax Number_ gL0 r 7��— g��3
AS'C Install Tanks Upgrade Tarxks :
UST l� Remove Tanks Upgrading Pipin6 � 9 ° � �°�,
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'1'ank Information #1 � #3 #4 #5 a
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Compositior� F/'B!�(y'L-R�-� 3
Tarlk Size 3,a o v 3' t1 o O �
� a 3
CUiltf.I]t$ e �. � � e �
�Dr_ESE� .V-LErrfi C�
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P;p1ns t?1�1�L, F�� � �--� ' a �
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Approximate Cost of Job:�70, 9 Z�f, [TD �p �
ApproximaYe Start Date: ���i �9� M
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Permit lssuance Approval: Yes ��_ No _ h
Conditions of Approvai:
Permit Approved by: Uate: // �7
Tank System Fee�_'�Flans Revi ree 3�� PEKMIT FEL:��_�
Note: This is not a permit. To obtain the required permit, present T'H1S CHECKLIST, along with a S1T� PLAN �nd
a CHECK made payable to the"CITY OF OSHKUSH" for the amount listcd in PERMIT FEE, to the Building
lnspectors O�ce,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)Z36-5045. This City Permit shall be obtained and on site preor to cornmencement of work.