1990, 10-03 Permit: 90005102 Propane Tank SPOKA UNTY DEPARTMENT OF BUILDINGS
1303 BROADWAY AVENUE
JOKANE,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 construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT i'LZ DATE 70/P0
±.t,,.±;••_.• # NUMBER= 90005-102 D '4 ' .1 P,•'?,t3 i 2jj PA;•,E::..
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SITE STREET= 12025 E 25TH AVE PARCEL4 2C544-0314
:., -..•,',1;: ,-,t•». SPOKANE • u 99206 9 2:•.
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INSTALLPERMIT USE=
PLATO- 002392 . .
P? i-:? ; NAME- ,.: V.#.#::.k± i•i t.:. 1...:: ADD
BLOCK= 3 LOT= 14 ZONE= AGEUB DIET4=
DWELLINGS= 1
OWNER= SMITH , EVELYN PHONE=
STREET= 12025* E 25TH AVE
ADDRESS= SPOKANE WA 9920,6
CONTACT ;'`a±.•i('•!!.:.= MIKE ix. : !`w#'•.E Y PHONE NUMBER= !-:,09 ... •.',rb 5637
:.R A. 1.:!.,!.;"::k'J!r i!:P:4!:'P:•K•:!:'P::!!:'Ar**i?•-?r•lk:1',..A. FIRE :'s t^±}••#::. # ? !-`m_4 •}!i 3!i :'{•i'i••jf•j(9!i}f !i;G•}!i•j!i a';}'3±i'Ai'P:'j!i'Rr•j'i'j!i 9!i !i•P::J{.iq.i!.
COTRACTOR= PRTROLANE GAS SERC LTD D -'R tJ{•t:,t#'' PHONE= 509 9 ..:3 5337
ETREET,, 6207 E BROADWAY AVE
SPOKANE i4A . .... ....
ITEM !1!...:r f..:!t,?.! ? ?.±1 N QUANTITY FEE AMOUNT
LPG TANKS 120 ,
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PAYMENTPAYMENT DATE RECEIPTO ... ..
NT
10/03/90 6096 35 , 00
TOTAL i-ii.., ?j!,UE •• ..':.!!. TOTAL PAID= 35.00
PERMIT!.!. ! ? i?"::. FEE AMOUNT AMOUNT PAID AMOUNT OWING
ETRE SAFETY PM -35-00 35 —00 0 •.;:it..}
i'PRINTED
.11.:E,:>:':•E?.1 B`i : k='?::.N1.}t::.i_ GLORIA
I u' E... BY : W EN D1 E.:#..., GLORIA
?, rt:•. -.A. :{,!..!.1!.d it...3•..!.:}P.:-.1t 1!.A. A.?!:1!r••}!i i!!r S•:+i?Y•}:•::•'1i:.: THANK YOU '?l• S-'7{•xi C 1t 1•i!:•;k*•, i %k)i'. 1 R•3 9`:•i i! •P 1
•
SPECIAL CONDITION CHECKLIST
•
Project
Address: _----.__ _ ----__------ __ -Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Y
_ -- rant
-- ---__-____._—_ — Lock Box
Engineer's_______ _ _ RID/CRP ---
__________ —____-_ Easements_— --------__—_--
__-___—.__--_—_ -- -- Road Plans/Improvements-___--_ ---
_.__.___-_._____________.___. -- — — -- Bonds__—_-- ----__W ____._________
Planning -- — Bonds.
Utilities______.___-- Double Plumbing___.-UL I D
Other — — — — -- --
^"""' ' ""*"THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY
Date received for C/O processing: ________ _ _ —.Plans pulled for final processing:
Temporary C!O issued:___ ___.____ -----_____. Certificate of Occupancy issued:
Office file review by: — -- . Date: ._
Filed insp tinaled by:.___—.____-----_.-._—_-- Date:_
Ninety days after C/O issuance:
Ownerlcontractor called regarding the return of plans:. _ ____ . Date:
Received by: ----- ______- -
Nr.� response from owner/contractor-plans destroyed: .____.. —___--. --- --
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