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HomeMy WebLinkAboutAMERIGAS - PROPANE EXCHANGE SYS ,ice { ~ ~j1 ~• ~ ~I . { .1 l ~J I ~~~. 2~ ~ (AMERIGAS -PROPANE EXCHANGE SYS) ' ` ~ I WALMART #O1-1574 2300 WHTTE LANE I~ -- ----- ------------- /// ~ _... -~ w~ ~_ PROPANE EXCHANGE STORAGE TANK(S) APPLICATION FOR INSTALLATION /REMOVAL OF PROPANE EXCHANGE TANK(S) INSTALL ^ REMOVE PERMIT; # P£ ~ -- ~'Y'j ~. ~•~~ -~ ~ w`=.~>;: FIAT _ ~~~ D~fPARTM6Jl~T f ~~.. `~ . r'.-.. BAKERSFIELD FIRE DEPT. Prevention Services 900 Trttxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax.: (661) 852-2171 Page 1 0(1 FACILITY w ADDRESS 00 W ~' L N OPERATORS AME .... ~~ ~~ OWNERS NAMnE /`/' NUMBER OF CAGES TO BE INSTALLED ~ /REMOVED __ ~ ~ ~~ ~ / l._ TOTAL N0. OF TANKS VOLUME ~ ~ ~~fA~/G~„ ~~L/l/~ ~' a NAME OF COMPANY INSTALLING & / OR REMOVING TANK(S) MAILING ADDRESS 7 c1~J/ rc/ NAME & HONE NUMBER OF CONTACT PERSON 0~-0 t~/Jr Lc, DATE & TIME TO BE INSTALLED OR REMOVED SIGNATUR F PPLICANT ~ / Q~ ~ DATE n'~ ! :~ PROV BY ~ DATE _,~_ , /Z_ ~~ ~ FD2107 (ReJ:;02/os) i~% p~~-ti ti u ,.~ ~~ C(/ "v ~~ ~ ~~ o~~i~ ~ J . ~~~a 1, ' '~`' `-~'~ ~o~~ 1--7`~"- I ~S"~D~z ~'~bd " ~ "' ~ - ~~ ~r ~ .. ~~• ~ ~~ 3 ~,~~/ P~b~ `1 `dam ~ Z,v'f ~ I , 4i ~, L vv ~ ~~~~_~ ~-2 .~ _