HomeMy WebLinkAbout1996-Storage Tank (remove) � ' CITY OF OSHKOSH No 0055838
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OSH OSH STORAGE TANK PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 663 W 3RD AVE Owner STATE OF WISCONSIN Create Date 9/30/96
Contractor SGS INC # z�I
Tank Type e a i er ass Tank Size 0 Tanks 2
Service ns a emove ove roun n ergroun �
Contents e ro eum o ven a ura as
erosene iqw e ro eum er !
Use/Nature emove s orage an s - , an
of Work �
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Valuation $3,841.25 Permit Fee Paid $120.00
Issued By: Date 11/26/96
ermit oi e
In the performance of this work I agree to perform ali work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address W4490 POPE RD 12-7 MERRILL WI 54452 -0000 Telephone Number 715-539-2803
9-25-1996 10:34AM FROM OSHKOSH FIRE DEPT_ 4142365295 P_ 1
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(.'c�ntraciur: S //�-dG -' . _
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AS'1'_ __ li�stall 't'anks Upgrade'�"anks
US'['��____ Ite�uove 7'anks �-- Upgrade Pipin�_
'I'ANK iN!'UItMA'("fUN #I #2 �#3 #4 #5
S 7L�� ST�F�
(:'ou,�x�sitiort: �-S��
'I'ank Si�e: �,d7�13 �,. (1�?a
C.'oi►tenls: � :
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Approxir►E�le(:ost uFJub:,,,„,��y�• � 3�
Approxitnate Sta��t.l)�te: f 0 / �4 � \��
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1'er�r�it Issuance App�oved: Yes � No \�
E;onditioitis c�f n�}proval: - -- -
1'eti»It Ap�)fUVC(1 1,3y: Datc: � �� ��
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'f'ank System E�ee:���P ans Jteview i�ee �� Y�YZNIIT TEE:,_„�,��
Nole: '1'I�is is uut � per�nit. 7'o ubl:�i�� ll�e rcquired per��iit, p�-ese�at"�'AX�S C1iEC�L1S'T,
.i1E►ng wi11� :� SI'1'1�r PLAN su�d :t C�.[E(;[t made��s�ystble lo tl�e"Cl'f7!Ok'QSIIKUSII"for
Ii�P �inounl 1i31rd �11 ��EI.t11�11'1' �EC, tu tl�e a3t�ilding lits4�eclurs O�ce, �oom 205 at City
fia{l, bel�i�cen Ihc l�unrs uf 8 & 9 AM, t Rc 2�'M,or lay nppoi�U��e��t. 7.'l�is City 1'erntat
sl►nll b�ubt�i��e�I R��d uu site prior to coromenceu�e�it of work.
�a1iy� �3�� S�ysy
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