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2009, 05-01 Permit App: 09001126 Tank RemovalProject Number: 09001126 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/1/2009 Page 1 of 2 Project Information: Permit Use: REMOVAL OF ABANDONED UNDERGROUND Contact: ROB'S Demolition GAS TANK Address: 8420 E WOODLAND PARK DR C - S - Z: SPOKANE WA 99217 Setbacks: Front Left: Right: Rear: Phone: (509) 534-2970 Group Name: Site Information: Project Name: Plat Key: 999999 Name: Range District: Sout Parcel Number: 45334.9039 Block: SiteAddress: 4009 S BOWDISH RD Location:: CSV Zoning: R-4 Water District: SF Res Urban District Area: .96 Acres Lot: Owner: Name: MYRL L WATKINS TRUST Address: 4005 S BOWDISH RD SPOKANE VALLEY, WA 99206-860 Hold: ❑ Width: 140 Depth: 300 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Fire District Review Permits: Released By: Originally Released: 5/1/2009 By: THARVEY Fire Safety Permit Contractor: ROB'S DEMOLITION Firm: ROB'S DEMOLITION Address: 8420 E WOODLAND PARK DR Phone: (509) 534-2970 SPOKANE WA 99217 Item Description City Fire Procssng Fee Remv/Abandon Tanks Units Unit Desc 1 Select 1 Each Permit Total Fees: Fee Amount $37.00 $105.00 $142.00 Operator: jmm Printed 13y: JD Print Date: 5/1/2009 Project Number: 09001126 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/1/2009 Page 2 of 2 Notes: 1. ❑Upon completion of tank removal note if there has been any leakage and if mitigation has been done. 2.EA copy of the removal certificate needs to be placed in the master file (City of Spokane Valley & Spokane Valley Fire Department). Payment Summary: Permit Type Fire Safety Permit Fee Amount Invoice Amount Amount Paid Amount Owing $142.00 $142.00 $0.00 $142.00 $142.00 $142.00 $0.00 $142.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: JD Print Date: 5/1/2009 Project Number: 09001126 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REMOVAL OF ABANDONED UNDERGROUND Contact ROB'S Demolition GAS TANK Address: 8420 E WOODLAND PARK DR C - S - Z: SPOKANE WA 99217 Setbacks: Front Left: Right: Rear: Phone: (509) 534-2970 Group Name: Project Name: Date: 4/29/2009 Page 1 of 2 Site Information: Plat Key: 999999 Name: Range District: Sout Parcel Number: 45334.9039 Block: Lot: SiteAddress: 4009 S BOWDISH RD Location:: CSV Zoning: R-4 SF Res Urban District Water District: Hold: E Area: .96 Acres Width: 140 Depth: 300 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Owner: Name: MYRL L WATKINS TRUST Address: 4005 S BOWDISH RD SPOKANE VALLEY, WA 99206-860 Review Information: Review Fire District Review Permits: Released By: Fire Safety Permit Contractor: ROB'S DEMOLITION Firm: ROB'S DEMOLITION Address: 8420 E WOODLAND PARK DR Phone: (509) 534-2970 SPOKANE WA 99217 Item Description Units Unit Desc Fee Amount City Fire Procssng Fee 1 Select $37.00 Permit Total Fees: $37.00 F am6x4.0 LcitAiA 70,-k Operator: jmm Printed By: jmm 1 bc Cc Print Date: 4/29/2009 Project Number: 09001126 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/29/2009 Page 2 of 2 Notes:.a.,,.mm:a. Payment Summary::._^:-�.,�. Permit Type Fire Safety Permit Fee Amount Invoice Amount Amount Paid Amount Owing $37.00 $37.00 $0.00 $37.00 $37.00 $37.00 $0.00 $37.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 4/29/2009 Q° FIRE A<<F)- DEPARTMENT 10319 EAST SPRAGUE AVE. • SPOKANE VALLEY, WA 99206-3627 • (509) 928-1700 • FAX (509) 892-4127 www.spokanevalleyfire.com PREVENTION DIVISION May 1, 2009 Permit #: 09001126 Project Address: 4009 S. Bowdish Road Project Description: Gas tank removal Applicant: Robs Demolition 3810 E. Boone Avenue Spokane, WA 99202 RE: Permit Acceptance The Spokane Valley Fire Department approves the issuance of the permit for the removal of the tank at 4009 S. Bowdish Road with the following conditions: 1. Upon completion of tank removal note if there has been any leakage and if mitigation has been done. 2. A copy of the removal certificate needs to be placed in the master file (City of Spokane Valley & Spokane Valley Fire Department). If there are any questions please do not hesitate to call. Sincerely Traci Harvey Fire Protection Engineer Spokane Valley Fire Department Cc Jodi Main Jenna Davis City of Spokane Valley City of Spokane Valley Q:\Dept Data Unshared\Prevention Unshared\Building Files\B - Master Property\Bowdish S 4409 Tank Removal Permit Acceptance.doc