HomeMy WebLinkAboutMinor Mod Permit App 2-4-16ra
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK
Prevention Services
.
PERMIT APPLICATI N
1501 Truxtun Avenue, 1st Floor
Bakersfield, CA 93301
TO CONSTRUCT - INSTALL NEW ANK (NEW FACILITY) /NEW ...., ;LPhone:
'
661 -326 -3979 s Fax: 661 - 852 -2171
TANK INSTALL (EXISTING FAC /MOD -MINOR MOD
Page 1 of 1
Permit, ;.
TYPE OF APPLICATION: F, r-3 NEW TANK INSTALL/NEW FACILITY J; D
NEW TANK INSTALL/EXISTING FACILITY
CHECK ONE ONLY D MODIFICATION OF FACILITY
MINOR MODIFICATION OF FACILITY
STARTING DATE/
PROPOSED COIfP
N
fn
DATE
C
FACILITY NAME
'®
:EXISTING FAC3'tTFY PEElMtiT # ;`
FACILITY ADDRESS
CITY
CO
TYPE OF BUSINESS `
i
5
APN #
TANK OWNER
Ot CAO cl
t
PHONE
ADDRESS
CITY
ZIP CODE
COM'RACtQR '
i
� �
�,_-• . g
CA LICENSE # � `
UV
ICC
ADDRESS
iL
CITY
ZIP CQD
PNUIVE
'# BAlCERaFIEL,D CITY BI.iSII�ESS LICENSE �
WORKMA & COMF #
BRIEFLY DESCRIBE THE WORK TO BE DONS: t
on