1991, 04-11 Permit: 91001761 Propane Tank SPOKANE COL''1TY DEPAR7-1ENT OF BUILDINGS
W. ')3 BROAD1h 'AVENUE
SPQ!:.:NE;WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructign
SIGNATURE OF Ja-n i / / APPLIDATE CATION ////9/
OWNER OR AGENT '
PROJECT NUMBER= 91001 761 ISSUED PERMIT DATE= 04/11 /91 PAGE= 01
3************3 ************* PERMIT INFORMATION ****** •*#*3N**#**#*#*****at*ar t
SITE STREET= 18813 E: VALL.EYWAY AVE 4; 7 PARCEL_4= 17553-2707
ADDRESS= GREENACRES WA 99016
PERMIT USE= INSTAL..L.. 119 GALLON PROPANE TANK
PLAT:= 002442 PLAT NAME= SOUTHERN ' S MOBILE PARK ADD
BLOCK= LOT== :.ONE= RMH DIST@=:: G
AREA= 0O000000 F''A— F WIDTH= DEPTH= k:'i,:I-=
OF BLDGS= 0 DWELLINGS= 10 WATER DIST =.
SWAY: tT9 YSY :: 04Fffitba' AVE" 0 r PHONE= 509 924 5592AY:
ADDRESS== GREENACRES WA 99016
CONTACT NAME= FERRELLGAS PHONE NUMBER= 509 922 5070
BUILDING SETBACKS : FRONT= NA LEFT== NA RIGHT:::: NA REAR= NA
* •************•***•*********** FIRE SAFETY PMT ************ ******* *' *3 ' *
CONTRACTOR== FERRELLGAS INC PHONE-- 509 92.2 5070
STREET= 7011 E:: TRENT AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
LPG TANKS '119 35.00
********* '3 ******************** PAYMENT SUMMARY ********* *****n***********
PAYMENT DATE RE:CEIF'Tr: PAYMENT AMOUNT
04/11 /91 1981 35.00
------------
TOTAL.. DUE= ..00 TOTAL PAID= 35.00
PERMIT TYPE:: FEE AMOUNT AMOUNT PAIL? AMOUNT OWING;
FIRE SAFETY PMT 35.00 35.00 .00
35.00 35.00 ,00
PROCESSED BY : JOHN LARSON
PRINTED BY : .JOHN LARSON
*** **; **•*•*******u r************ THANK YOU x ri• • :•* xx**ac•* •************hx*;{kh
P - y
SPECIAL CONDITION CHECKLIST
Project
Address: — _ ___.___-- Project# --- Use:------_----_-_.___—__
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp. Final Report
— — Hydrant( ) — —
— Lock Box —
Engineer's_ —___ _.— RID/CRP .._
Easement
Road Plans/Improvements-rr
.. , ., ,
Plapni.ng : ,3Alt.t 6, — -- r t .., f` ,. w :�—
i.:. .,� ::.. ;t:;;ti..r� '4, {'t E i:,•1 t f, , .. t. •ti�. I1 , _ - -___
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Utilities — Double Plumbing
Other__
, .
*'*****************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for 0/0 processing: .Plans pulled for final processing:
Temporary 0/0 issued:— .Certificate of Occupancy issued:_ —__—
Office file review by: _____.__ . Date:
Filed insp finaled by:___.___—._________. _. Date:
Ninety days after C/0 issuance:
Owner/contractor called regarding the return of plans: Date: _
Plans returned: — . Received by:
No response from owner/contractor-plans destroyed:_ -- —_______— —_.__—____-.___ —__________—____