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1991, 07-25 Permit, App, Inspection: 91004501 Removal of 2 Fuel UST SP ANE 90VUNTY DEPARTMENT OF DINGS. W.1303 BROADWAY AVENUE • SPOKANE,WASHINGTON 99260 (509).466-36p 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 hdrein 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 construbtion,oras a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE • • PROJECT NUMBER= 91004E701 ISSUED i t..RMIT DATE= 07/25/9i PAGE= 04 Jk R.:+t*****i+:'Jit i{•J,)F 1t•**3k3:*.*+E'1t F•**!{• •'E •t, •r.r -.(N .. `-'`h•T.r .. .. .. .... .... ' 1::f"•:+ � ..IV�' �,1 E't I"i P'i 1 .1. .�!•� }{•1�1{•)w)1•ih 7k}t 9{•}{•!C�•:it•:tt•ik•1::4-it}{•'.{•Sr i{•9t!t N•iY 4{':+h SITE ; -ri°`E:.E:. J== 12606 1::. MISSION A'v G Pf::1RC'•I:'I. ?ii:c: i 5542,-0605- ADDRESS= ke:}4;i,••-' ' }5yADDRE:::SS= c E"'OI<(AiNE.. WA 99206 P EMIT I»J,'E= F E:MC VI: <?)UNDIERG1;10..JNO E't.JEL_ i OR ;(:_ TANKS !"" 1 .R_. t:J::i'1 8 3 8 .P[.,t•7 ' N F9 r'1+_ __ t" --`3..;4 _ AREA 00013{Jt,09 F/n:::: i WIDTH= DEPTH=1"i:::: R W:::: t1:- OF _ .AC :_ n ?iLlx, . WATER 1T T _.. OWNER:s: VALLEY GEENERAL.. HOSPITAL PHONE= 509 924 6850 STREET= (, a'.rSt:;r_', E.. t,Sis ':'.1 ON AVE ADDRESS= SPOKANE. WA 9I9206 CONTACT NAME= DON PHONE' NUMBER= 200 667 7414 .:Iu:(i_.sTMG SETBACKS . f=RC:rNT= NA '1..E"FT::.. NA RIGHT- NA REAR=r' i,,= NA *9+:9t i{•.j{.7i}{'9t•*7{••/h*ft 7+:it.{-')t•.^*.}{1{'i{•;+:Y{•7k 9{.:1>*)k FIRE ,.+(}e E.. I T !"i"i T '1{•1l•*yk Y{•*f{'-!{7F*'!t'lt•1{••N''!t'!{•1k 1t 3{•*•ii 3i ii*aF•ie*Ji'a:* CONTRACTOR= COEUR D ' AL.,E Nf- SER STA EQU IPT PHONE= 1208 667 7414 STREET= 102 i':`"t E'E...r 3 Eti AVE ADDRESS= CO UR ;3 ' AL_ ENE: :(,D 83814 ITEM i) :..z:i,E{1.F: EI.CON QUANTITY E'E-•E.. AMOUNT TANK REMOVAi.'_.._..__. 2 70:00 .. r h Y'AymEN 1 V �' ************************:***.A }t fit'§S'4{'i?1k`iE'7t 3,h)t�k 3F!r 9'•3{•'1:•�{•iF Jt'3f ik lk�.?k fF 9t^a.::1{'1k;Yl �t.J f"}I�rAt E'i,`( F"A Y E:.N E DATE RECE' f: PAYE MN � AMOUNT 07/25/91 ':7037 70 00 TOTAL DLUE .: 00 TOTAL PAID=ID.;::- .;. . 0 PEM1.f TYPE FEE E AMOUNT AMOUNT PALL' AMOUNT 0t'J1.Ni. ETRE SAFETY PMT 70.00 70.00 .00 • ... r ?0.::y0 70 .00 .00 PROCESSED S'..>1:'D BT W1::N1/EL, GLORIAPRIN;'E i BY : ,WiENDEE..., GLORIA :, . . r n•�•lr•1t�•li•-:,.�' •'rr:{'�;':i•Y{• i i{':+:3e;i}i•n:t?�:J{'•i{••){•?e:ovist d�i{•)t•i{• i E"1 f•'•t P�1� + '1 t,! k-i{••},�if 3(-*•7i-b:ii�r:{•ii•i{•a:�x�:{••ii•�+;k 3**,4*•a:•li•li�:�x�r�+:a?* - .._.._-_... - . ._. y 0 .. I,> 1/4 JUL-16—'91 08:57 ID:DEPT OF BUILDINGS TEL NO:509-456-4703 1:1839 P01 0- ta... . s t. "Se,. 8 tY �y'`' Spokane County • f6t'hv.`< ��. DEPARTMENT OF BUILDING & SAFETY �r vi$t,:: p9- West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 ,l INFORMATION WORKSHEET PARCEL NUMBER: Vi.11N _AAosi3A-M . 4 cp,e,,clicsACR a' e, . ; STREET ADDRESS:_ , 'aco©(p cy\s`QlJ CITY/STATE/ZIP: _tlpYaTe__ F (� \S;-% _ _ . SUBDIVISION e- e o'4 \ o? 0Nme�', Q-0vt�t e -- - LSI : / -v300 94-/ ' BLOCK: LOT: ZONE: DISTRICT: / -& �aiO 9' • LOT AREA: F/A: WIDTH: DEPTH: R/W: # QF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: - - MAILING ADDRESS: CITY/STATE/ZIP: ' CONTACT: -/ PRONE: - - ; SETBACKS: - PROW: LES:... ...... RIGHT; - - - _REAR-: - PERMIT USE: ****************************************************************A.****fa***** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: .p-a3 -o • eO e.12i a-6 R 9-&-4/L CONTRACTOR: SeQyt ' 14 to 0 04 PHONE: 02O -11(,27 - 7 y it/ • MAILING ADDRESS: /pa -Po /a. 4tr �-u,.4, (cf: 1 ` --0 erlF ARCHITECT/ENGINEER: PHONE: - -• HAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELI Post-!tTM brand tart transmittal ma'm)76771- #or pages ► / ENG HOT:- -- -STORIES: • vn- .. brant AA Duns 'Co ���` /"1 ['H X DEPTH) EQ. FT. :________ tcF t.,__tV Ct1 p"s °r~ Dept. Phone# �J REQU] - -4,q '7156- Z,675- QED: CRITICAL MATERIAL: •Fax NzO� ...013 , Fax I/ 1, / 3 INSP - ID 11- 11/1 DATE r ♦ �* B I � 1 N I j G I _ M I•-- j 3 i H 1 A ei`03 • O I R i 72? -- - I THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * * Date received for C/O processing: Plans pulled for final processing: Conditions to check: Conditions resolved: --------------------- Temporary C/O requested (y/n) Certificate of Occupancy issued: Received application: By: Approval granted: By: 1 Ninety •ays a ter /1 issuance: • Owner/contractor caned regarding the return of plans: Date: Plans returned: Received by: No response from owner/contractor - plans destroyed: Notes: SITE ADDRESS: E 126 MISSION AVE PROJECT NUMBER: 91004501 PERMIT TYPES: FC F' PERMIT USE: REMOVE (2)UNDERGROUND•-FUEtr STORAGE TANKS DESCRIPTION INSPECTOR DATE RESULT TANK REMOVAL RUNKLE, DAN 07/18/91 APPROVED FINAL RUNKLE, DAN 07/18/91 APPROVED a , r