2011, 10-07 Permit App: 11003151 Remove Underground Tank Project Number: 11003151 Inv: 1 Application Date: 10/7/2011 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: _ r
Permit Use: REMOVE RESIDENTIAL UNDERGROUND OIL Contact: ROB'S Demolition
TANK Address: 3810 E BOONE AVE#203
C-S-Z: SPOKANE WA 99202
Setbacks:Front Left: Right: Rear: Phone: (509)534-2970
Group Name:
Project Name:
Site Information:
Plat Key: Name: Range District: Sout
Parcel Number: 45223.9240 Block: Lot:
SiteAddress: 12514 E 12TH AVE Owner:Name: ALBERT,WAYNE&JUDY
Address: 12514 E 13TH AVE
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: R-3 SF Res District
Water District: 011 MODERN Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ��� ._ ry� m
Review
Other Reviews Released By:
Originally Released: 10/6/2011 By: THARVEY
Permits: ,,s,o-� ,R ws a=
Fire Safety Permit
Contractor: ROB'S DEMOLITION Firm: ROB'S DEMOLITION
Address: 3810 E BOONE AVE,#203 Phone: (509)534-2970
SPOKANE WA 99217
Item Description Units Unit Desc Fee Amount
City Fire Procssng Fee 1 Select $37.00
Remv/Abandon Tanks 1 Each $105.00
Permit Total Fees: $142.00
Operator: JD Printed By: JD Print Date: 10/7/2011
Project Number: 11003151 1 ': 1 Application Date: 10/5/2011 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REMOVE RESIDENTIAL UNDERGROUND OIL Contact: ROB'S Demolition
TANK Address: 3810 E BOONE AVE#203
C -S-Z: SPOKANE WA 99202
Setbacks:Front !.,eft: Right: Rear: Phone: (509)534-2970
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 45223.9240 Block: Lot:
SiteAddress: 12514 E 12TH AVE Owner:Name: ALBERT,WAYNE&JUDY
Address: 12514 E 13TH AVE
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: R-3 SF Res District
Water District: 011 MODERN Hold:
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Other Reviews Released Bv:
12s11` �VfcG�� L�/ zi%t xJJ,
Permits:
Fire Safety Permit
Contractor: ROB'S DEMOLITION Firm: ROB'S DEMOLITION
Address: 3810 E BOONE AVE,#203 Phone: (509)534-2970
SPOKANE WA 99217
Notes:
Payment Summary:
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 he 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 violP‘rfap'of
the provisions of the code or of any other state or local laws or ordinances.
' p,%.
Signature:
Operator: JD Primed By: JD Print Date: 10/5/2011
Project Number: 11003151 Inv: 1 Application Date: 10/7/2011 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Fire Safety Permit $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: JD Printed By: JD Print Date: 10/7/2011
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October 6, 2011
Permit#: 11003151
Project Address: 12514 E. 12th Avenue
Project Description: Remove Undergound Residential Heating Oil Tank
Applicant: Rob's Demolition
3810E. Boone Avenue#2O3
Spokane, WA 99202
534-2970
RE: Permit Acceptance
The Spokane Valley Fire Department appetheisouonceofthepermitforthenemove|(ur
abandonment)of the tank at 12514 E. 12th Avenue.
For inspections call 928-1700. Provide a minimum of 24 hours notice.
If there are any questions please do not hesitate to call
SincetaTh
TnaoyHehvey ~- v
Fire Protection Engineer
Spokane Valley Fire Department
Co Spokane Valley Permit Center
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