HomeMy WebLinkAboutMinor Mod Permit App 1-28-16Permit #
TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY
CHECK ONE ONLY MODIFICATION OF FACILITY
✓ MINOR M 11Y
STARTING DATE/
PROPOSED COMPLETION DATE
10/16/2015
10 %16/15
FACILITY NAME
EXISTING FACILITY
PERMIT :#
Plaza Towers
FACILITY ADDRESS
CITY
ZIP CODE
3015 Wilson Road
Bakersfield
93309
TYPE OF BUSINESS
APN #
Generator tank
TANK OWNER
Housing Authority of the County of Kern
PHONE #
661- 631 -8500 ex. 2406
ADDRESS
CITY
ZIP CODE
601 24th Street
Bakersfield
93301
CONTRACTOR
CA LICENSE
ICC #'.
Conf i'dence UST Services Inc:.
8 04 9 04
slsoTZ1 -u1
ADDRESS
16250 Meacham Rbad:
CITY
Bakersfield
.:Bak e
ZIP CODE
93314'
PHONE #
BAKERSFIELb CITY BUSINESS LICENSE #
J
COMP #
1308371'
INSURER
SCIF
661- .631 -38.70
32'864
BRIEFLY DESCRIBE THE WORK TO BE DONE:
Replace (4) ICON ISR 4.8x1.9x1.4 penetration boots to correct failing secondary containment system of "Secondary #1
", "Secondary #2" and
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED p APPROVED BY
FD2086 (Rev 08/09