HomeMy WebLinkAboutUST-APPLICATION 9/21/2015WATER To FACILITY PROVIDED BY w
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK
Prevention Services
5AARISTINN6
1501 Truxtun Avenue, 11 Floor
Bakersfield,, CA 93301
PERMIT APPLICATION M FISH
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Phone: 661-326-3979 • Fax: 661-852-2171
TO CONSTRUCT-INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
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TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑
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MINOR MODIFICATION OF FACI
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FACILITY NAME
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FACILITY ADDRESS
CITY
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ZIP C E5
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TYPE OF BUSINESS
APN #
TANK OWNER
PHONE # 1rOk- 9
ADDRESS
CITY
ZIP CODE
QV
ADDRESS
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CITY
ZIP DE
PHONE #:
BAKERSFIELD Ci N llt§S LICENSE
BRIEFLY DESCRIBE THE WORK TO BE DONE:
WATER To FACILITY PROVIDED BY w