1991, 10-23 Permit 91007107 Install 50 Gal Cylinder-VoidA r
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, 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 tion, I have read
provisions included herein and agree to comply with same. All provSpokane County to proceed with isions of lawsandng. In ordinances governing thisstand the type of work willl be comp) ed wDTION lhEwhe hes specifiedO
give authority to violate or cancel the provisions of anyof this rstatappllcal law regulating coion and any nstructiont n or as a ection warranty of onforrovals or lmance wis of th the provisoancy es of any state or local
laws regulating construction. r.
SIGNATURE OF APPLICATION 0
OWNER OR AGENT DATE
V V 1'
PROJECT NUMBER= 91007507 ISSUED PERMIT DATE= 50/3/91 PAGE= 01
#*# * ** ** * * * ******#* PERMI'T INFORMATION
SITE STREET= 15920 E MANSF'IEL.D AVE 4004 PARCE.1.44= 09544--6005M
ADDRESS= SPOKANE WA 99206
PERMIT USE= INSTALL (1)'50 GAL CYLINDER
PLATO= MH0045 PLAT NAME= PINF—CROFT MOBILE HOME PARK F
BLOCK= LOT= LONE= 1.18-7 DIST'=
AREA= F/A= A WIDTH= DEPTH= R/W=
' OF BLDGS= 4 DWELLINGS= 5 WATER DIST =
OWNER= CLARK, GENE PHONE= 509 926 8858
STREET= 11920 E MANSFIELD AVE 4004
ADDRESS=. SPOKANE WA 99206
CONTACT NAME= MIKE KINNEY PHONE NUMBER= 509 534 5337
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
#************** FIRE SAFETY PMT **x•*5r***************
CONTRACTOR= PETROLANE GAS SERC LTD PRTNRSP PHONE= 509 534 5337
STREET= 6207 E. BROADWAY AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------------------••--------
L.PG TANKS 50 35.00
********************#**** PAYMENT SUMMARY***#*******>t*******#ft*
PAYMENT DATE RECEIPT' PAYMENT AMOUNT
10/23/91 7897 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: WENDEL,GLORIA
PRINTED BY: WENDEL, GLORIA
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