Dishman S 321 Diva Co
•APPLICATION/PERMIT ~ PERMITNUMBER
SPOKANE COUNTY - DEPARTMENT OF BUfLDING & SAFETY
" NORTH $11 JEFFERSON 1 SPOKANE, WASHINOTON 982841(509) 468-3675
APPLICANT: COMPLETE NUM9ERE0 SPACES - PRESS HARD TO MAKE 3 COPIES
81'REET AOORE6S r}1~ PARCEL NO
L' lvt -d S 1 S
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L0T BtoCK SUBOIVISION LEQAL DESCRIPTION ~ o t ~q~ WES'~'
2. 1 q 1N~S~ ~iSNMAIV ~./~.t S H~vAn~ ~.Ats! -I'7'NJ~rt PbRtto~VtaF tHE W~s'~
OWNER P ONE ~ONE ~ O 1~ NW I9 D F SECt10JV ?D •+•25 • NR C NM
3 Di y~ 610) ck 13 ~ al1v\) ~Z6 -JyZ'~ 5POxayj. _JB __r
MU4ILING ADDRES9 Z Actual Set BwC° rn foo to
r~ -9_y05 5 P RAl'~ur. 9- QG~' wm I lsw,n 38/ lent 12 1 wasi SU
CONTRACTOR IICEN96 PIRES P ONE Sits~Parc81 10neClaselftC611 p~n1~Q 3 ~00
AA~1 7nruustRtEs 7-1 •V`t ~~a~t 801o zlyao • 1~.1~r►~ owmwwain
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4 AooAESS „Solra E - l ~P
T'4°
DESIGNER PHONE NewOmret VeluaUon pertrodeleOYaluatlon Total8ldp Ftoo~ryArea
5 ~+c'tr/I~ JTV~Q ~II L~ i,` r
aooREss ziP Main Floor~ I~►
7-1~ 11
piANOE OF USE FROM TO Oarer Oe* Uncv Deck FU► Besomenl UMin Baiement ~4 7 Q
6 3p1k 2 4'
No 8au~ No Flooro R oome No owenlnpa
TYPE ~ NEW 0 ALT D AD' N ~ RPL MVE 0 OTHER i 1 ,
7 WORK 0 B1-0 0 PLMB 0 MECH 0 M H 0 POOL ~it v~ , ~ulred Yeso Noa N+~
~ ~4 PmMvee Ye,a NoO
oE3caIeEwoRK Shorepne~IflooaHa~ara Plara Re~iulreo❑
g 6o X~'o wd E Fl D U~~ w`~'i~."~ YeeO Not Applia Q Reoelved 0
vnWnTIoN SOURCE aas ELEcrRic PuC~ c~ ~nc ~ ~"r'~'~'~° FEES C4llECTED
9 U1'tl~iFTIE8 W~ P PAIYATE r &E1NER D 0~~te D
i hereby ceriify that I have read and exam{ned thls appllcation and have reed the "NOTICE" provlsions lncluded on
reverae slde, end know the same to be lrue and correct All pravlsions ol laws and ordinances governing thie typs of ~l~lnp
work wlll be complled wlth whether specitled hereln or not The granting of a permlt doea not presume la glve au-
Ihorlty to violate or cancel the provlslans of any other state or local law regulating constructton or the perlarmance
of constructlon SEE AEVERSE SIDE FOR REGUIpED INSPECTIONS P, ~"~~no
SIGNATURE OF ~ APPUCATION ! ~y ~1 $ ~
OWNER OR AGENT ~ DATE ~ ~h
SPECIAI APPROYALS ECfAt CONDITIONS. (SEE REVERSE StOE FOR NOTICE) Pl~~k
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TOTAL S
SEPA
WHEN MACMINE VALIDATED IN TNIS SPACE, ,
Plaft PERMiT IS NONTpANSFERABIE THIS BECOMES A PERMIT.
Exa" PERMIT iS NUII ANO VOID 1F WORK HAS NOT COMMENCEO
Tu~,l,lhdlttg IN 180 OAYS OATE ISSUEO PERMiT NO TOTAI
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Catttact E'er5un Namr~4 k1j9<.. L~~~ 8ub I nrbs Na ~
Addcess AddcrsB
Phone - - ~'hutie ~
County Con tac t Pe r~~n cri Phoae No. 456-36
U~
CUMMEItCIAL t3UILUING NEltMiT LtLVtEW
Thie building permi[ review is incetided tu appratae yuu uf the impravemel►ts (coadwsy, side-
walk, curb, stormwetrr, etc.) which mubt be constructrd in aseociation with youc buildiog
permit. This checklist will be filled out by the Enginrer's etaff and a copp will be re-
turned to ynu at the time that the permit ia initialed by the Engineering Department. A11
requiremeote shall be completed priur to issuance of ttie building permit. All uncbecked
boxea require addi[ional research or information to make a determination.
1. Stormwa[er Draioage Coasideratlone
A. Pec gui"aeMnea tor "S'tormwater Nlenagement 1981" both on and of eite.
1. 208 Coneideration8* Yes ~ No
e
a No
2. Flood hazard zone considecations** Vif
3. Storm Drainage Plan ee ~ No
II. Planning Action #
1. Rezoae. Conditional Use or Variaace on property ~ Yee ~ No
2. Atre requiremeats of planning action incorporated D Yes D No
into eite plaa
III. Itight of Way
1. Does permit neceseitate R.O.W. dedication El Yes No
2. Did zone change requi re B. Q.W. ded ication D Yee V~ lrb
3. ltadius at corae r ~ Ye6 ~NO
IV. County R,oad Improvements
1. Roada aeed to be improved. How wide 0 Yee E] No
2. Curb VYes eB D ~
3. CRP/R ID agreemen[ (Copy of deed, Aseessor' a micro ~ No
run, title report or legal description cequired.)
4. Plane for improvementa provided I-] Yes El No
5. Sidewalk ~ Yes ~ No
V. Parking Plan & Approach Locetion
1. Review and eign ofF by 'fraf f ic 12 es El No
2. Approach Permit frnm Engineer•s Office Yes VNo
3. State or Ci[y aigo off Ll Yee
4. Is this ruad nn 6 Yeac Plaii n Yes No
VI. Field Keview: Prelimitidry Gowments
* Ali laiuf wi tlilti tltr Atiui tor tieoa i t i vt• Arca, wli~ i#- 1eem. d teas ihle by [lie County Enki-
neer, bhall ineocNorate -itt,rmwater t r~-acmeat tu ini c it;.At+s tlle po[ential tur groundwater
degradat ion . (Set- 0iic1eI inN, f(,r st urmw.it er Wi,l.i);~-moiit 1981, Spokdne &oard uf County
Commi s51onz r's ResoI ut I on Nu. 8(1- 11)9_', i, 4mviteleei.)
fttr l~i~~ ~n►~e• «rl t l,►„4) 111.0111 ( 41110.6 t. vi, wI, l,i mimniire Iotiw-, tlut, to i loudink 1tt bPe-
ritir ~iril.iS ►1lo•,i);,1dtvd by hllo,,d Ihrir.) IsomiJiiy on tile +t tliL t,t)mity Lne
ineer's
Ot f iCr. (~wN ,jit►k mt- fk)ti►I o,t WMil y Re--,olul ton Nu. .41-011b, AS
~iue~ic~ed . )
J1~1 ,`fs
N NUMBER
~ PERMIT NUMBEA
sPoKaNECOUHTr-
DEPA
RTMEHT OF BUIIDINQ & SAF
ETY l
NOpTH 811 JEFFER80N f BPOKANE, WABHINOTON M01(=)16b,11Bf5
AMICANT: COMPLETE NUMBERED BPACES - PRESS HARD t0 MAKE 3 Pi
QO ES
A~~
t WI RD, PARCEL N0.
~15~111~AN w05~S
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05
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MAIV LEGAL OESCRIPTION A~ t S
l, 13~.bGk~
2. 1 w~ s~ Dis~~
2! /y MN~W ~1.Afs 1 rt H J~7 PbRfloj! o~ tNE 1Nes~
OWNER E PH~VE / OF J I
H _ NW .I4 OF
3 SECfi0/1~ ?D-"~•25-NR ~t9 ENM
JCk C3 ~ M
~ ~n Cr~ ~
Z~
, . ik,
MAIIING AQDHE38 AftW On @eoke M Feet to
~~s r l
~ i woo So
P,~Z,~r v~ 92 o(~ I ~ 38 I~
CONTRACTOA LICENBE PIRES 0 E SieaaiPanael Me~ilan Reyaent p~~ liq MC&MRiN6
4 AAa 1,v~-,~astR,Fs ~ ~~g~~o 21y00 ~
M
aooAEss 'r ~o on sr or v • 99~a~ riic
.t-uP ~ aym Mlfb aReo'd
~Y 8
r • .
DfSIGNEii ~ PHONE NowConet Vsluatlon RenoOeledVeluflflon ToteIBlOg Fioornrea
. ~ 5'" 0 Q Ft,
~
ADOAE9S 21P AWn Flaor '111m~
sy~op
CIANGEOF USf fROM TO Oow ~alc Unew Deck Fln 8ammen1
6 30 Unffn Basement
~ 4 '
'nPE 1< NEW 0 ALT 0 AD' N0 RPL 0 MVE. No Bedft NO Floom No Owellin ga
►
I
T OF ❑ OTHER
WORK 0 BLD ❑ PLMB 0 MECH ❑ M H ~ POOL oen►H dExen~pt Pequ~red YeeO No0 N+~
. arVerlanoe Raoelred Yesl] NoC
DES(~118E WORK
$ rU 4,q C ` SAaelineelftood He~ard Plmie i~quired C
~/1I~b 13 E N_~L .E JI~P reeo Narapplle 0 Flocielved ~
VALt1ATION 50UACE dAS ELECTAIC WIATES 9EWA0 ~~p
9 °F ~s u~ PueLic s~ ic FEES COLIECTEa
IJTILITIEB - RAIVATE 7 8 r PUWIC Qpdvate 0
I hereby oertify that I have read and examined tfiia applicatlon end have read the'NOTICE' pravislon8 Included on
reverse side, and know the same to be true end oorrect All provlsions of lawa and otdlrtances governing tAla type of
work will be comDlied wtth whether ePeCItted hereln or rtot The 9rentinA of a permIt doee not presume to Qtve aw Buildi"g
thority to vlotate or cancel sne provfaiona of any other etate or loql !aw regulaflnp conetructlon or the pertormana
of construclfan SEE pEVERSE SIDE FOR RECUiREO INSPECTION9 Plumoing
SIt3NATURE OF APPIICATiON
OWNER OR AGENT OATE Mxn
SPECIAL APPROYALS SPECIAL CONDITIONB: (8EE REVERSE SIDE FOR NOTICE)
PAELIM FINAL DATE Pten Chock
Env ttedlh
BEPA
Planninp
MOdufor/
Flro 30.
Reftn! 4
O
ErplrAec Ot+e►opdNl v
' W
J
Ut~lllles
SEPA TOTAt s
~
(
PEpMR IB MOMTRAMSFERA9LE WHEItMACHINEVAIIDATE0IN THI88PACE,
~ PERMR IS NUII AND VOID IF WORK MAS NOT COMMENCED TMtS dECOAllE8 A PERMIT.
~ 3 a 160 oaYs
T,~, i
aMaSM vemR No. Tar,u
.i i:r}.1C:1L_r l,oa4 r, 2274
ti
V f f fe` 1175 , vit t ivol
~
~
NOTICE TD THE PUBLiC `
KlVOW ALL MEN BY THESE PRESENTS, Thdt Fich-rd C. aeid Ivah J. BeL-a Jr.
(huNla-md anrl irife)
being the awner5 of the fallowing described lands in consideratian of mutual beneflts
to be hereafter derived do far themsel ves, thei r hei rs, grarttees and assa ans , hereby
agree to the following
Jain and part1cipate in the formation of a County Road Impravement tlis-
trict (RID) pursuant to RCW 36,88, at such time as a district may be
fprmed or any Road Improvemertt Project sanctianed by Spakane County, which
i nvolves the lands herei n described. The owners, thei r hei rs, and assf gns
further agree not to appase vr pratest any 1 eqal assessments for said Road
iiriprovetient UistricL (RIU) established pursuant to RG1r! 36.88,
It i s further agreed that at such time as an RID is created flr any RQad
Imprauement Project is sanctioned by Spokan+e Covnty, the irnpravements
required (curb, sidewalk, drainage contro1 and pauing to existing pave-
ment) will be at the sale expense of the unders7gned owner, their hetrs,
I grantees and assigns.
These conditfons and statements apply to the foTlowing descrzbed prnperty:
I Lat 19 B1ack 99 :,.:..T TST...F.AN AUJyTI{}N, ag recarried in Voltiune 3 of Plats,
Fa~e 77f reoarda of Spokar'ie 'dounty, .iash.ingtony
.U;D 1,,LS0, that portian Qf the Southwrest Quax ter of the l3orthweflt
, ("uarter(lW4) af Sect3.an 20, Townslaip 25 Noarth, Range 44 E.W.M• described
as foll owas
beginrAing at the ::oithwest cornex of said Lot 1f Hlook 9, 4EST DISMIAM
ADDITION; ~'ihe21Gi9 South 27°5713U'1 D$ut along the Easterly right af way
Iine of Dishman Road, a distance of 100 feet; thence 14arth 62°0213v'
East, a distaroe of 86.63 feet to tne Wosterly 12'ne of the Union P~ifiG
R.silroad Ri,-ht af titay; ther,ce Worth 21° 32100" West alomg gaid Westerly
lineI a dista-tiae of 50.4I feat to the South line Qf said Lot 1; thenae
North 8903310011 a d1stan-ce aa 104. 90 faet tn tiie Pv3nt .6e,glr~ning.
~
I
These requirernents are and sha1l run with the land and shall be binding upon the
owners, their heirs, successors ar assigns.
~ f
~
,
, Da te d { . ~ ~ • , t` _ f ~ ° X_
.
X
S'rATE OF wASHTNGTON ~
~ ss
CUuNTY OF SPQKAMC )
On this day of 'T~ A a 19, r befa~-e m~ personally
"
~ ~ , r4r ~ ~ y f 1 r
dppedred Z ' _ -
known ta me ta be the who executed the Foreqo ina instrumerlt
and at-fcnvvrledoed the said irrstrument to-Eii the free and valunterv act ano d~~~`,~~`
.
• .U'~p .C,2 !1 ..lt
- • .
74
. ~ .
687
Ni►T I CE Ti, THE PUtsl i C
~
KcJoW ALL MEN aY TNLSt aRESttjTS, That =c 1:j•d a,~: iv~n ~iet~m 3r.
kn+i.: b~.t d s:nd .11fe )
beinq the owners of tne fo7lowing described lands in consideration ot mutudl benetitS
to be hereafter derived do for themselves, tneir heirs, grantees and assigns, hereby
aqrPe•
Tn authorize the i,ounty to pl ace the ir name(s) on a peti ti on for the formatlon
of a ULIO by petition methad pursuanL to RCW 36.94 which the petition inc]udes
tne Owner(s) property and further not ta object by the signi ng of a protest
petition against the formation of a ULID by resolution method pursuant to RCW
Chapter 36.94 which includes the Owner(s) property. PROYIDEO, this condition
shali not prohibit the Owner(s) or Successor(s) from objection to any assess-
ment(s) on the property as a result of improvements called for in ConjunCtiGn
with the formation of a ULID by either petition or resalution method under ItCW
Chapter 36.94. This statement involves the following described property:
Lot l, ..locr. ►'--T JI.-H.~~21. as zecord.ed in Volume 3 of rlatep
i'age 77, record s of apol;ur,e .ounty, 'rrauhinCton;
nnd hlso, t'jat portian af the 5outhxest °!uurter (S*) oP the Ilorthwo$t
~.u~~rf.er (N'~F~ ) ot' ~eotion 2A, I'oirnehip 25 Iiorth, RAnGe 44 E.J.~. deecribed
3s follaWS:
BeLt-inYlinb at the ;'outhYtest csurrier of cuid Lot 1, Blook 9f WEST LISIE'Al1
ADDT?'IGAX; t,=ence ,iouth 2 j° 57130" ~aet alonG the zAaaterly right of Nay
1 ine of .Dishmar~ Rosd, a dis tance of 100 feot; thence North 6200213011
Eaet, a dist3nce of 86.63 feet to the ;tezterly 1 ine of the Union Pacifia
Psilroad R3.1,,-ht af Zlay; thence 1:ortli 21° 32 000" ►leLt a.long said Westerly
line, a dist$noe of 50.41 feet to the South line of said Lot 1; thenee
27orth 85° 33' 40" :lest, a di6tanoe of 104. g0 feet to the Point of Beginnfng.
~
These requirements are and shal 1 run with the lar►ci and shal l be bi nding upon the
owners, their heirs, successors or assigns.
a ~
STATE OF WASH I NG i 0N ) n ) ss
COU«TY QF SPOKAtvE )
un thz.- • day of :.1 , 19 4, befori, me personal iy appeared
2ct ra • L ~ 1'v' t' • r ~ T• ~ 1~.l:*~ I1?C, , .ri f.
p~rsana (~11y known to tt~e to be the i ndi v i dua s) escri be~erei n w o~ e
faregoing instrument and acknowl edgEd the said instrument to be t he.'1an 41 s; un-
tary ac t and deed of sa id i nd iv i dua 1( s), for the uses and purpose s_o rn~c:~r~~0nz~i .
_
Given under my hand and seal tht s ~ day of t~,
~ rr~
~
Y
Notary 'u6'~f i c, In dn'g"4for trE ~"ta`~c•
Co~inLx I nrir,. #ar of Washingtan, resiciing in S}+a~one t
Washington.
rf •
( 1 1 t r ~ ~ I~ 5 p
.46d&R CO 982203A WEST DISHMAN L4 89 264 ivo 5931 6031 84 1 TETRAULT RAY F S 918 Pe:1114 ,
,
, . . , GOEDEN S~ERR~ R 91~ ~.',9~
y~l r~Rll, ~rrn~I.'E N z > " l„~t 4300 l~~E 9G~IIINE P~i 20543-U13SHEf~RY A C~OEDE~v SIES'~'~
~IC .1 n!`aFi(~IAt- ' t 8 516b 84 1~ ALI. L07 9, P!1/2 UF j. iC Bl
ALT Ebb , j~nAw,,: ,~.L «o, "G wL%JL ~LJu ~4t ',j1%t h S(.NROEOER KfNNETH G 5 129 HAUANA ST
i: rvrAN d&A C0 982203A WEST DISHMAN L2 85 264 lUo 5536 5636 84 1 SCHAOEDER KEI"~IETH G S 902 N1NA C1R
, , 20543-0131 MC IAREN tiiD~1 1211 ~1API,E AVE
DISHMAN BLDG & RLT E 8814 SRRAGUE AVE yr~C~K~,~,E w►~ 99"tU6 09?183 6,,1 fi0R0ON KLAAEN 840028644~ SIESTA M~1LE PA
G~~-R~515 BElil~ RItHAAO C JR E 4405 SPRAGUE AVE SPOKANE WA ~9- b 6'~~L ku~,t ~'i All LOT 1; E1/2 Of L? Bl
~ D I S H I~ A N 8&R C0 9 8 2 2 0 3 A W E S T D I S NMW L 1 6 9 100 1909 8009 1
w a
20542-0516 DlSHMRlV BLDG & iLT E 8814 SPRAGUE pVE SPOKANE WA 99206 300 300 USE 96 ZON~ M BASLER I~IaR D 6 s 906 Ntw~ cICLE
20543-0132 BASLER I~WARD B S 906 NINA CIR
D1SHf~APJ B&R CO 982203p 4EST DISHMIW L1 810 264 10q 395 445 84 1 H 8 BASLER 569259C SIESTA MOBILE PA
W1/2 Of L2 Bt
20542•n517 S 764960 07/27/76 t0 20542-0521 20542-0522 20542-0523
° EDGf JANES P OR B S 8 NlNA CIRCLE
20542-0518 5 740960 07/27/76 TO 24542-0521 2054 -OS22 20542-0523 20543-0133 EDGE JANES P S 8 NINA CIRCLE
JANES P EDGE 8003140038 SIESTA M081LE PK
20542-0519 D1SH(I BIDG A AL E 8814 ~RAGUE AVE SPOKANE WA 991gt S00 500 RE196 ZONE M ALL l4; E1/2 LS B1
DIS
~MUw B&R ;82203A wEST DISHIMAN l4 910 10Q 659 759 ° 24543-0134 BEAUPRE ALBERT 912 Nltitt
70542-0520 DISHNIAN BLDG 9 RL1 E 8814 SPkAa~E. N.t ~~~r"NE wA 99206 300 300 USE 96 10NE M ALBERT BEAUPRE 51ESTA t-1!~ ~
D15hMAN n&R CO 962e03A WESi p'SHMAN ~ 264 100 395 495 84 1 W1/2 OF L5, Atl
D1SriN1AN HLDG RlT E 0 14 `~nr t n, ~r~,hHE WA 9~~8g 08027 1191-02 lOlt aRCH1E
- N DG Ri.T E 14 Srf~ru EP KAN WA 9 4 0 440 _ y~~~"
20542 0521 DISfNW B~ ~ 0 E u155 10L1 ARLHIE L 4 NINA CIRCLE
OISr~1FW 6& R CO 982203A WEST D:SH~~RZ >64 100 527 621 84 1 ARCHIE C TOLL 75042802 ~ SIESTA MOBILE pA
L3 EIJ0 EKt PtN DAF; 8EG AT SWIr COti JF jL, eL_~ ~ jE.~ ~it-, L12; NWLY 1/2 OF L13 $1 MqBILE EXENIPTION p83
TH',WLY TO A Pt ON WLY LN OF SD L3-25FT NLY fR0M SwLf .JR Tri S, i
AL Y LN ~~FT TO P08 '
S C, 60 07 7/76 fR 20542-0517 20542-4518 '
20543-0201 ROBINSON DpNAlO E S 901 NINA CIRCLE
PETF,RS ~N C E 8910 2ND AVE SPOKANE WA 99206 063482 b1407 DON E R~1f~SON 572588[ SIESTA M08ILE PA
20542-0522 PErf,RS BEN c 5 324 DiSHMAN AD SPOKANE wA 99206 500 504
l1 82
• 8EN C PSTIRJ 7510150 24 WEST D SHMAN 264 lOQ 659 759 84 1
PT OF L 810 OAF • 9 AT 5 CO OF L3 TH S660EG 28MIN VINCENT JESSE J S 935 N1NA CIRCIE
W83.80FT T SWLY N 0f L T 52 DEG 23MIN W25FT TO S OF L3
20543-0207 VINCENT JESSE J 33S NINA tIR
TH CONT SDEG MIN WbS.Q fT TO SWLY COR OF L2 tN E4.COR 1 FT TH JESSE J VINCENT 780314 1 SIESTA MOBILE PA
. N20QEG 23M N E42.96F T TH N65DEG 28MI N E106.88F T t0 ELY lN OF l2 L2 82; El /2 OF l3 82
TH M270E6 7MIN 30SOS W40FT TO POB
5 760960 07/27/76 fR 20542-0517 20542-0518 20543-0208 ROON Y MARGUEAITE 8933 NINA C1RGI E
M L OONEY 810368 F1 S,Fr"A M:f",f ^A
20542-0523 oIsH116-e~ 1 5l "n_ ~92'jb 400 400 wl 12 of u, N< <v~~
~
D 15
~ 3 l
~ -a 75~~ 90 ~4
S 90
~
~o
r 41 ADUHt44 » lANO IMPS TOTAL VAWE S PARCELNO TAIIPAVQR AOORE65
v~vNEN DEEDNO OEStNis E i% ►IpE WEED iAA UNVAID Y11 T AMOUNT ACENO 0i (OWN6R OQiLDNO Ob6CRIPTION
DISHMAN B& R CO 982203A WEST DISkMAN P1 Of 2 81C 100 527 627 84 1 20543-4209 WESEMAN A1MA L S 914 N1NA tIRCI
DAF, BEG A1 SE COR OF Ll & TAUE PQB TH N20DEG 2 IN E42,Ybhi ALMA WESEMAN 118297C SIESTA M IL PA
N66 G 28M1N E106 A9f1 T ELY LN OF L2 SELY ALG SD ELY LOTS ~ 6 82 MOB1LE EXEMPTION ~34-9 260
ltl FT TO SELY OF L'fH S Y A G S Y LN OF L2 TO POB
S 760960 07/27176 d 20542-051 2 542-0518 SHACELFqiD SHIALEY S DISHMAN RD
. NILES AGNES M S DISHMAN RD
NlCK HARRY S fARR RD SPOKANE bdA Qb 1~80~5 LL11~1 W 1 03 D1SHHi~IIAN RD
20543-0301 RIDEhH01A WI
e-0542-4119 DAMAS US MItHAEI 19 ALKI AVE POKANE WA 900 ~460' RE 01 ZONE I~FS W W R D N U 830gjt IIESTA P~08ILE PA
~I N 0 tU5 300272 9 OPPaiT 1TY PT OF 1 100 6374 63842 B3
1 pl I X I~PTI N t82
BEG ON EL 331,8FT S OF NEtOR 1H W3 .2FT TH S12FT TH E364.2FT
' TH 1V120FT TO P08
TAUITT BERT S 1009 DISHMAN RD
, , KINtAIO TERRY G S 1889 DISHMAN RD
, ~wAA~a ~ ,_v ~ ~1 s ~~~~tiF~E a~A 992Q6 07~5? 143 pIERSOP1 AAY F S 1 4 DISNMAN RD
9~~~3, 03 102 20543-0305 R F , 7940198405 SIEStA MOBILE Pp
P ~ JIERSON
Du►v►+" , R1 ~t,x ' ~r~K,lE WA 49206 0 2b40 30600 ~SE 01 tOp{E ~IFS L5
i r~L41 140 100 43734 43834 84 1
wMNSpN ).~1,l`)7g0b GPP~+ uN, t
dE~ Ora EL 451.8FT S OF NECOR TH ~ A.(, l^f~ Tii W3a4 ZfT TH TRUITt BERT S 1009 D1SHMAN RD
'r •
CYy
. .
• ~1 r~ll'; rs _r= . ~•~a 2274
5 . 687 FA~-' I176
NOTICE 70 TNE PU4LIC
KtIOW ALL MEN BY THESE PRESENTS, That I ich3rd anci Iv;,h J. zehm 3r.
( hucb,And and wi fe )
beinq the owners of the foliowing described lands in consideration ot mutual benettts
to be hereaFter derived dn for themselves, their heirs, grantees and assigns, hereby
agree
To authorize the County to pl ace thei r name( s) on a peti ti on for the formati on
of a ULID by petltion method pursuant to RCW 36.94 which the petition includes
the Owner(s) property and further not to object by the signing of a protest
petition against the formation of a ULID by resolution method pursuant to RCw
Chapter 36.94 whfch includes the Owner(s) property. PROVIOEO, this condition
shal l not prohibit the Owner(s) or Successor(s) from objectton to any assess-
ment(s) on the property as a result of improvements cailed for Tn conl unc tion
with the formation of a ULIO by either petition or resolution method uflder RCW
,Chapter 36.94. This statement involves the following described property:
Lot 1. ilock 9, TiIbHlWI _DLi`PIGN, as reaorded ln Volwne 3 of Plats,
Page 77, recorde of apokane Gounty, Wa::hington;
And 41so, that portior of the : outhwest wuarter (SWI) of the 1Torthwrost
~uLrter (1VWy ) of weotion 20, Toxnshio 25 Idorth, Range 44 E..tia.Me desvribed
as t`oll ows a
Beeinninp, at the 'hiouthwest errner of sa1d I.ot 1, B1ook 9, Z+TEST DISIDWJ
ADDITI0N3 V.ence .1jouth 27°57130" Eact alonE; the Jasterly i ight of Way
line of nishmdn ? oad a diatanoe of 100 feet; thence North 6200213011
Baet, 8 dlstance of' 66*63 feet to the ►lesterly line of the Union Puoifie
RaJ3road ~:i{;ht ot' 'Jay; thence 'North 2103210011 'Jeet alonr, said Westerly
lir.e, a distanae of 50.41 feet to the .youth liAe af eaid Lot 1; thence
rort& 8903?' 00" .Iest, a distance of 104. 90 feet to tbe Point of Begianing.
.
These requirements are and shall run with the iand and shall be binding upon the
owners, their heirs, successors or assigns.
! r ~
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,
StaTt OF WASHINGTON )
? ss
COJf~TY OF SPOKANE )
^n thz ~ djy of , 19 be-foT•t, me, nersonal iy appeared
w /►1 ~ t ~ _ ~l ~ i ~ ~ t.`~~ t) t1 r t C) C
.
~ ~ • ~U11C~11'. _ 3T'►711t ~~3CY•
Ji~Lr«n ..oa,ci ir 2274 ~
Y~E 687 1175 ~ 11,101
#6 ~
NOTICE TO THE PUBLIC /
KNOW ALL MEN BY THESE PRESENTS, That P,ich3rd. C. and Ilra.h J. Yseh.^i Jr.
(husb3nd and jrife )
being the owners of the following described lands in consideration of mutual benefits
to be hereafter derived do for themselves, their heirs, grantees and assiQns, hereby
agree to the followinq:
Join and participate in the formation of a County Road Improvement Dis-
trict (RID) pursuant to RCW 36.88, at such time as a district may be
formed or any Road Improvement Project sanctioned by Spokane County, which
involves the lands herein described. The owners, their heirs, and assigns
further agree not to oppose or protest any leqal assessments for said Road
lmprovenent Ulstrict (RID) established pursuant to RC41 36.88.
It is further agreed that at such time as an RID is created or any Road
Improvement Project is sanctioned by Spokane County, the improvements
required (curb, sidewalk, drainage control and paving to existing pave- ~
ment) will be at the sole expense of the undersigned owner, their heirs,
grantees and assigns.
These conditions and statements apply to the following described property:
Iot 1, B1ocb y, ~j~LIZSH~,'fA?S n13DII."IOr1, as reoorded in Volume 3 of Platio,
Yage 77, recorde of Spokane 4:ounty, Washington;
xNI) b.I S4, that portion of the Southwest Quarter (Sj~s } of the rlorthweat
Quarter(N'iFi) of Seotion 20, Townahip 25 North, Plange 44 E.W.M. described
aS folloWe►I
Beginr,ing at the Southwest corner of said Lot 1. Block 9, NEST DIS~°,1
ADD1 T'ION; thence South 27057' 30" East along the Eaeterly right of Wsy
lize of 3?3.shman 'Road, a distanee of 100 feet; thenae North 6200213011
East, a distance of 86.63 feet to the Weaterly line of the IInion Pacifia
Ra3.1road Rzght of i3a,y; thence ntorth 2103210011 Weat along esid Westerly
,line, a dletanoe of 50.41 feet to the 3outh line of said Lot 1; thpnQe
North 69°j3004" idest, a dietar.oe of 144.;'0 feet to the Point of Beginniug. "
,
These requirements are and shall run with the land and shall be binding upon the
owners, their heirs, successors or assigns.
~ ~
4
Dated . - r
/
~
i- `
X
STATE OF WASHINCTON )
) ss
COUNTY OF SPOKANE )
On this day of A D. 19 before m~ personally
apc~eared ~ i-k.,.~ ~f ~ . ,i ~ .1- . (i~u~~ ' _ ~ _ 1. a
known to me to be the ~..TI v►,~i7 s who executec~ th~ forend~ na i n~ ~rur:ten~
and acknowl ednpd the sa 1 d i nstrument toe the free and vol untarv act an~t:~~~~'4f
p I a n0: 84A-26 32
• THKE5NUl.U OETEktM I NaT I ON
PkUPUSED/FINAL DECLARA7IUN UF SIGNIFICANCEiNUNSIGNIFICANCE
~ i. Proponet : Richard C. Behm, Jr., dba Diva Sales, E. 9405 Sprague
Contact Person : Armand Wallis ( Contr ) phone : 924-8010
'l. County's Actian Iteyuested: Buildiny permit/Land use permit
Pursuant to WAC 197-10-203, the Spokane County Oepartment of Buildiny and
Satety, a division ot Spokane County, has determined that the county, as an
ACTING AGENCY, is the LEAD AGENCY for the followiny project:
New 60 X 90 feet warehouse
~
This proposal nas been determined to not have a siyinificant adverse impact
on the environment. An EIS is not required under RCW 43.21C.030 (2)(c).
7his decision is made after review by the county ot a completed environmental
thecklist ana other information on file with the lead ayency.
~#~~~~***,~**~~t**~~~**#********~*******************************~~**~********
lf y ou wish to exercise y our option to review and comment as provide in WAC
197-10-203(3)/197-10-340, please respond, if appropriate, at y our earliest
opportunity, notiny particularly the due date for written comments.
t)ue Date for Wrt tten Comments : April 11, 1984
Proposed Uec 1 arati on of Nonsiynificance I ssued : March 27, 1984
*~*~~**#****~***,~**~*#**~~*~*~*~~*~********~~~~~**~*****t#*~*****~*#~****~***~
~ Contact: Spokane County Uepartment of Building and Saloety
North 811 Jefferson Street
Spokane, WA 9926U (5U9) 456-3575
Attention Kenneth E. Jeftrey
PRUPOSED DECIAKATIUN FINAL DECLARATIDN
Name: James L. Manson Name: James L. Manson
St ynature : dm-alc,41~ Si ynature:
7itle: Director Title: Director
Oepartment: Building and Safety ~ Dep'~artment: 8uilding and Safety
Date : March 27, 1984 Date :
MAILING L1ST
~
TU County Planning Department
County Engineering Department
~ County 8ealth District
~ County Prosecuting Attorney
Air Pollution Control
County Utility Department
, WA State Department of Social & Health Services
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7
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Q01
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~A
ENV IR4NM ENTAL CHECKLI ST
.
T :
~ '~t. ~ ~ ~ • ` FILE i:
,
t~~•~~[ COrwr• GOY~~ ~~Y~i
SEC/TWN/RNG 5N_ R E_. W. M.
Introduction• The State Environmental Policy Act of 1971, Chapter 43.21C, RCW, requires all state and local
governmentai agencies to consider environmentat values both for their own actions and when licensing private
proposals. The Act also requires that an Fnvironmental Impact Statement be prepared for a11 major actions
stqniflcantly (and "adversely", as per WAC 197-10) affecting the quality of the physical envlronment. The
purpose of this thetkiSst is to help the agencies involved determine whether or not a proposal is such a
ma3or actton.
Please answer the follawing questions as campletely as you can with the information presentty avallable to
you. Please answer questiens as "yes" or "maybe" if9 in your opinion, even only sliqht impacts will result.
The reviowers of the checkiist wtll be aware of and concern themselves with tfie ~de ree of impact, asking you
for more information, if necessary. Where explanations of yaur answers are requTred, or where you believe
an explanation wou14 be helpful to 9cvernment decision-matcers, include yaur explanation in the space provided,
or use addltional pa es, if necessary. You should tnclude references to any reports or studies of which you
are aware and which are relevant to the answers you provide. Complete answers to these questions now will
help atl agencies involved with your proposal ta undertake the required environmental review withaut unnec-
essary delay
The following questions apply to your total proposal, not just to the license for which you are currently
aDDlying or the proposal for which approval 1s sought. Your answers should 1nclude the Impacts which will be
cavsed by your proposal ahen it is tompteted, even thouqh completion may not octur until sometime in the
future. This will ailow all of the agencies which will be involved to complete their enviranmental review
now, withovt duplicating paperwork in the future.
No applicatton shall be processe0 unt11 the checklist has been completed and returned to the appropriate
County department. State law re0uires explanations for every "yes" and "rteaybe" answer on the checklist.
The person ccmpleting the 1`onn may be requireQ to praviae expianatlon for "nQ" answers, and in some cases,
more detailed infornw tion to atd in a threshold determination.
HOTE• This is a standard form being used by all state and local agencies in the State of Uashington for
various types of proposals. Many of the questions may not apply to your proposal. if a question
does not apply. just anSwer 1t "no" and continue on to the next question.
ENYIRONMENTAL CHECKLIST FQRM
1. 6ACKGROUND
1. Name of Proponent: Richard C. 8ehm JT* dba Diva 381@Phone Number: 924 9800
2. Address of Proponent: Es 9405 Sprague
3. Date Checlcl ist Submitted: Mareb 21# 1984
4. Agency Reqvi r1 ng Checkll st: Planning Dept County )
5 Hame of Proposa{. i f Appl iJable: New Warehouse (Diva SSleB Co t)
6. Nature and @rief Oescrlption of the Proposal (including but not limlted to tts size, qeneral design
elements,, and other factors that w111 give an accurate understanding of its scope and nature):
New 60' x 90' concrete t:Llt-up- wareh'ause.
7. locatian of proposal (describe the physical setting of the Proposat. as well as the extent of the land
area affected by any environmental impacts,^including any other information needed to qive an accurate
understanding of the environmental setting of the proposal):
South 400 block Dishman Road
8 Estimated Oate for Completion of Propasal • Summer 1984
9 L 1 s t o f a 11 Penn9ts , l i cense BuiJoajrnmen~ e ppr9~a 1i Require for th Rroposa 1 federa 1, s ta Le , and
local - includin rezones) g rTr11 Sept~e tan~t permi
10a. Oo you, or the owner in the event you do not awn the subject land, have any plans for future additians,
expancion, or furLher activity related to or connected with this proposal? If yes, explain.
15'x 30' oFfice on Prant of warehouse
,
t
AUgust. 1981
• •
l ~ ~ 1
~ lOb. Oo you own or have options on land nearby or adjacent to this proposal's location? If yes, explain:
NO ' •
d 11 Do you know of any plans by others including the owner which may affect the property covered by your
proposal or 1and adjacent or nearby3 If yes, explain:
NO
k"42. Attach any other application form that has been completed regarding the proposal; 1f none has been
completed, but is expected to tre filed at some future date, describe the nature of such application
form:
NONE
11. ENVIRONMENTAL IMPACTS
(Explanations of all "yes" and "maybe" answers are required)
1. Earth. Will the proposal result in: Yes Ma,ybe No
(a) Unstable earth condltions or in changes in geotogic substructures?. ~
(b) Oisruptions, displacements, campaction or overcovering of the soi11. ...,Yix_
• .
(c) Change in topography or ground surface relief features? . . . . . . . . . . ~
(d) The destruction. covering or modification of any unique geologlc or X
phystcal features? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1%
(e) Any increase in wind or water erosion or soils, etther on or off the s1te?. ~
(f) Changes in deposttion of erosion of beach sands, or changes 1n siltation,
deposltion or eroslon whtch may modify the channel of a river or stream ~
or the bed of the ocean or any bay, inlet or lake? .
ExDlanation: ('bi) Digging Por footings & drain Pield & concrete floor
2. Atr. Vill the proposal result in: Yes Maybe No
(a) Air emissions or deterioration of ambient atr qualltyT. . . . . . . . . . . . Yd
(D) The creatlon of objectionable odors? . . . . . . . . . . . . . . . . . . . . . ~c
(c) Alteration of air movement, moisture or temperature, or nny change in
cl imate, et ther local ly or regtonal ly? . . . . . . . . . . . . . . . . . . . . xr
Explanation: -
3. Water. Will the proposal result in: Yes Maybe No
(a) Change in,currents, or the course or dlrectlon of water movements,
i n ei ther mari ne or fresh waters? . . . . . . . . . . . . . . . . . . . . . . X,,
(b) Changes in absorption rates, drainage patterns, or the rate and X
amount of surface water runoff? . . . . . . . . ~ . . . . . . . . . . . . .
. . ~
(c) Alterations to the course or flow of flood waters? . . . . . . . . . . . . .
(d) Change in the amount of sucface water in any- water hody? . . . . . . . . . . -J x
(e) Discharge into surface r+ater, or in any alteration of surface water
quality, lncluding but notlimited to temperature, dissolved oxygen ~
or turbi di ty? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(f) Alteration of the direction or rate of flow of ground waters7 ~
(g) Change in the quantity of ground waters, either through direct
additions or withdrawais, or through interception of an X
aqui fer by cuts or excavati ons? . . . . . . . . . . . . . . . . . . . . . . . .4
(h) Deterioration in ground water quality, either through direct
inJections or Lhrough the seepage of lenchate. phosphates,
detergents,waterborne virus or bacteria, or other substances ~
into the ground waters? . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Reduction in the aaaunt of water otherwise available for
publlc water supplies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . =
2
.
"
~ • Expta~ation:~ ~ Q~~~~ W1L''
~
4. Ftora. Will the proposal result tn: Yes MaXbe Ho
(a) Change in the diverslty of species, or number of any specles ot
flora (1ncluding treess shrubs, grass, crops. mlcroflora, and X
aquatit plants)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Reductlon of the numbers ot any unlqve. rare or endangered X
species ot flora? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Introduction of new specles ot tlora lnto an area, or in a X
barrler to the norn~al replenishment ot existing speciest. . . . . . . . . . .
(d) Reductlon tn acreage of aay agricultural crop? . . . . . . . . . . . . . . . . X
w •
Exvlanation:
S. Fauna. Will the proposal result in: Yes Ma-vbe No
(a) Changes 1n the dlverstty ot species, or number ot any species
of tauna (blyds, land animals includtng reptlles, fish and X
shellfish, benthic organisms,jnsects or microtaune)? . . . . . . . . . . . . .
(b) Reductton of the numbers of any uniqve, rare, or endangered X
species of faunat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Introduction of new species ot fauna tnto an area, or result X
tn a barrier to the migration or movement of tauna? . . . . . . . . . . . . .
(d) Deterioratton ot extsting flsh or wildllte habttat?. . . . . . . . . . . . . X
Exvlanatlon: 6. No1se. Yes Ma be No
(a) 1ii11 the proposal lncrease existing nolse levels? . . . . . . . . . . . . . . X
Explanation: 19G _ d"MP 13?d9L G*
7. li4ht and Glare. Yes Maybe No
(a) W111 the proposal produce new ltght or,9lare? . . . . . . . . . . : . . . x
.
Exptanation: b11Q1"b onTY
a
Yes blaybe _ No
8. Land Use.
(a) Will the proposal result 1n the alteration of the present or ~ X
planned land use of an areat . . . . . . . . . . . . . . . . . . . . . . . . .
Explanation:
9. Katural Resources. W111 the proposal result in: Yes Mey!be No
(a) increase in the rate of use of any natural resources? . . . . . . . . . . . . X
(b) Depletian of any nonrenewable natural resource? . . . . . . . . . . . . . . . X
Explanation: A=,,,_I►1
Qr'*'W
.
a ~ ~ . .
10. Risk of Uaset. Ooes the proposal lnvolve a rlsk of an explosion or the Yes Maybe No
elease of hazarQous substances (including, but not limited to, oil,
pesticldes, chemlcals, or radlatlon) in the event of a►n accident or •
upset condttions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
Explanation:
11. Populatlon. W111 the proposal alter the location, distribution, density. Yes Ma1!be No
or growth rate of the human population of an area? . . . . . . . . . . . . . . . . X
Explanation: $2. Housin9. W111 the proposal affect existing housing, or create a demand for Yes taybe No
addPt~onal housing? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
Explanatton:
- a .
13. Transaortation/Clrculation. Will the proposal result 1n: lfes WK& be No
(a) Generation of addlttonal vehicular movementt . . . . . . . . . . . . . . . . X
(b) Effects on exlsting parking facilities, or dgnand for new parking? X
(c) Iopact upon existing transportatton systems?. . . . . . . . . . . . . . . . X
(d) alteretlons to present patterns of circulation ar movement
of peopl e andior goods?. . . . . . . . . . . . . . . . . . . . . . . . . . . X
(e) Alterations to waterborne, ra11 or air trafflcl . . . . . . . . . . . . . . . X
(f) Increase tn traffic hazards to mator vehlcles. X
bicycl i sts. or pedestri ans? . . . . . . . . . . . . . . . . . . . . . . . . .
Explanation: (a) Vehichels delivering & picking up materials,,
(b) Area For vehiclea to park when loading & unloading
14. Public Servlces. Wi11 the proposel have an effect upon, or result Yes Maybe No
*In a need-#or new or altered governmental servlces tn any of the
foltowing areas:
(a) Fire protection7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
(b) Police protection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
.
(c) Schools? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
(d) Parks or other recreational facllities? . . . . . . . . . . . . . . . . . . . X
(e) Maintenance of public faci11t1es, Including reads2.,,. . . . . . . . . . . . . „x
, . `
(f) Other governmental services? . . . . . . . . . . . . . . . . . . . . . . . . X
Exalanation: •
15. EnerqX. W111 the proposal result tn: Yes Maybe No
(a) Use of substantfal amounts of fuel or energy? . . . . . . . . . . . . . . . . X
(b) Oemand upon existing sources of energy, or requtre X
the development of new sources of energy? . . . . . . . . . . . . . . . . . .
ExDlanation:
4
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lb. Utilities. Will the proposal result in a need for new systems. Yes Ma,Lbe No
or a-itErattons to the folloatng utillties:
(a) Power or natural gast. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
(b) Communication systems? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X .
(c) Water? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . y_
(d) Sewer or septic tanks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
(e) Storm water dratnage? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
(t) Solid xaste and disposalt . . . . . . . . . . . . . . . . . . . . . . . . X
. . . . '
Explanation: (a) Heat
(b) Telephone
(c ) Cleaning & watering lawns (d) For office in future
res MaXbe No
17. Hunan Health. Yill the proposal result in the creation of any health ha=ards ~
or potentt`aT health hazard (including mental health)?. . . . . . . . . . . . . . . . X
ExDlanatlon: .
. aybe No
18. Aesthetlcs. Wtll the proposal resutt in the obstructiort of any scenic vista or ~es M
vtew open to the publlc. or r111 the proposal result in the creation of an
nesthetically otfenslve site open to public view?. . . . . . . . . . . . . . . . . . X
ExAlartation:
Mbe No
19. Recreation: W111 the proposal result in an iarpact upon the quallty ar 'fes
qvantttyr of existing recreatlonal oppartunitiesl . . . . . . . . . . . . . . . . . . X
ExQlanation: ,
'res Maybe No
20. Arc_heol_o4ical Hlstoricnl. Vill the proposal result in an alteration of a
stgnificant ar eolog~1 or historical stte, structure, object or buitding? X
Explanation;
ItI. SIGNaTURE
Is tl►e undersignede swear under the penalty of per3ury that the above responses are made
truthtully and to the best of ny knowledqe. I also understand thato should there be any wi11-
ful misrepresentatlon or willful lack of fuil d1s4losure on rty part, Spokane County may with-
draw any declaration of nonstgniflcance=tha't it might issue-in reliance upon this checklist.
Date: MarCh 21 f 1984 Proponent: Diva Sales Co.
(Please Print or Type)
Proponieet: Richaz`d C. Behm Jr. .Addres s: E. 9405 Sprague
Phone: 924 9800
Person completing torm: Arma.nd 1(alls Phone: 924 8010 Oate:V21/84
-benera.[Tontractor
FOR STAFF USE ONLY
Staft Mecnber(s)•Reviewing Checklist: nlaff an: Ang
Based on thls staft revie+v of the environmental checklist and oLher pertlment lnformatian, the staff:
A•VX Concludes that there are no potentlally signitlcant adverse impacts and recomnends/issues
a procosed declaration of nonslqnificance.
8• Concludes that potentlally significant adverse lmpacts do exist and recomnends/tssues a
final declaration of slqnifitance.
C. Concludes that there are no potentially significant adverse impacts and, because of the
nature of the proposal, recommends/issues a f1na1 declaratlan of nonsignltlcance.
04ied: Augus t, 1981 5
PLAa NuMeER APPLICAT ION /PERM IT PERMITNUMBER
-94A SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY .
NORI'H 811 JBFFERSON ! SPOKANE, WASHINQTON 85280 1 (508) 45"875
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES y
STqEETADORES9
PARCEL N0.
,
~i L~ is fl iV~A~v Rb, g, 3,Lt
LoT eLqre suW ~I~ s HMQIV ~.~►t S LEOAL OE8CRIPTION• k o+ 1. ►~t~b~ k 9, y~l~~~
2• 1 NtrA~►I P1.Ats~ 1-'Np7 PbR+1a~Ja~tNE Wes~
PHO
OWNER VgtE
NE 1 p ~1/y~ ION jD •'~-25 • NR y1 E NM
3 oiyA cao) ck Nrn -1~~~
MAlLIN O A d O A E S S A a ka l S e t 8 a ocs I n F e e t ro
.Z. -9-q05 g p~~~0,19- 1,9?- 0c. 1' Isooh 38' IEm Iwast so'
cormu►croR 10-,m-74 AEs v o es~~ v~oezonsaul ~u ~O 13 3 4~ 0 0
4. AAA xIvnus'~RI~S 5010 219a0 ~.1 ~
nocpps OP a~, ow,vanay WnWeree * 3 3 &0 06
9Solo E- 1~- o~ rrQ 99d0l~ e4 ar~ ~o aaovlo
oEsioNEa ~ PHONE Newc~ ve~u~ion a~noaeiaaveiuaua, TatelBlCp floorluea R * Q 0 4 ~
Sa,.y, 59~oD qFt
~ 2 6 3 2~
AD~E88 DP Malnfbor
~4~oaQ~• 0 3 - 2 ? - 8 4
6. p1ANtiE OF lSE FRdM To ~ 2 4~ u~c+► oea► Fln emn~~t u~►nn e~t ~ 6 4 7 9,
ea~e No Ftae I~F1 oona No.owelanpe
7, FPE 1~ NEW ❑ ALT. 0 AD'N. 0 RPL 0 MVE 0 O T H E R t~b I ~
WORK O B L D. C] P L M B. O M E C N. O M. H O P O OL o~ m a~ r mqu► rea r e 9a r ro o ~ '
~Variance 29-rd•~A PMdwd Yeso Noo .
8. DESCAIBE WORK 6o x~o WQ 13 E~10 ~SE ~~~~1- ~P s~r~t~rood ~a ~aro aoqulrea a
YeeO NotAgplle. D Reoehnd 0 .
vaLuaTIoN soURCE Gas ELECTaiC WA 21. S~Epw~Aa~ OwroreniD FEES COLLECTED
9. url°TIES W~-P PANATE 0 SEWER 0 "is 0 Prlvate 0
I hereDy certlfy fhet I have read end exemined fhls appllcetton and heve read !he "NOTICE" provlslona Included on
reverse alde, and know the eame to be true and correol All provielona of lawa and ordinances governinp Ihla type of Bulidlng
work will be complled with whether apeclfied Aereln or not The pranting of a permlt doea not preeume to give au-
thority to violete or cencel the provlslans of eny other atete or local law regulating conetructlon or the per(ormance
ot conalructlon 8EE REVER8E 81DE FOR RECUIREO INSPECTIONS Plumbinp
31GNATURE OF ~:t'~ APPLICATION
OWNER OR AGENT J--Z-Zh DA TE ' 5/ Z~ $ Mech
8PECIAI APPROVALS SPECIALCONOITIGN8: (SEE REVERSE SIDE FOR NOTICE) Plan Check 0.0-
PAELIM FINAL DAT#/I,, ~ rj ~ 00
, L?y . + , _I , ✓ BEPA
~15~~y4.an~4
n, 35
~
~ z' sf~.~or ,~cn s40o w~~.✓ ~"'is~re
6,01 PA, A,~
0
odw Opedbl W
Et,p[Mneer
J
~
AM
Ulllltles ~
TOTAL =
SEPA
PERMIT IS NONTRANSFERABLE WMEN MACHINE VAIIDATEO IN THIS BPACE,
vIaro THI8 BECOMES A PERMIT.
Exa"' PERMIT IS NULL AND V010 IF WORK HAS NOT COMMENCED
4 IdI^o IN1800AY3
DATE iSBUHD PEpMR NO IOTAI
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