HomeMy WebLinkAboutAST Install Permit App 2-19-16I?f,NSTALL [] REMOVE
PERMIT #
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NAME OF COMPANY INSTALLING AND /OR REMOVING TANK
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MAILING ADDRESS
NAME & PHONE # OF CONTACT PERSON
T0 6A
DATE & TIME TANK IS TO BE INSTALLED /REMOVED
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SIGNATURE 0 APPLICANT DATE
APPROVED BY _ DATE
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FD2081(Rev 05/10)
BAKERSFIELD FIRE DEPARTMENT
ABOVEGROUND STORAGE TANK 0
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Prevention Services
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2101 H Street
Jr
Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661 -852 -2171
I?f,NSTALL [] REMOVE
PERMIT #
Page 1 of 2
ro
NAME OF COMPANY INSTALLING AND /OR REMOVING TANK
ou r- I t.s (�l.S n L-L C,
MAILING ADDRESS
NAME & PHONE # OF CONTACT PERSON
T0 6A
DATE & TIME TANK IS TO BE INSTALLED /REMOVED
`fro ud Cn) ¢c..1 o W 1 a ti It /a r.
SIGNATURE 0 APPLICANT DATE
APPROVED BY _ DATE
9
t'm
FD2081(Rev 05/10)