Sprague E 15220 Goodyear Tire Center
~
BUILD1NG PERMRT APPLICATION WORKSHEET ~
.
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
,
(Please return thia original and your building plans to ihe Department ot 8ullding end Sefety)
4f+ . r , ♦ ~~*,f +r ~ ~ .l , • .v~.i ~I / ~ . ~i`~ ~
t owner's Name peat) tf~.at) (m1 oewmeM tloe on1Y .
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2 P►olect Addnm (not Ntafllnp Addreae) a Roed Name SPW Zip
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. Asxeeeor Paraet No Lat s~ock
y* t DEPARTMENT USE ONLY ♦ t•
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12 RevteW Requlted P18n Chedt (Y1N) Other (Y/NI $EPA Exempi (Y/N) CatB
15 Type Work O 91dp 0 MN ❑ New O Feptace 0 Ottw
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DEP"ARTMENT APPROVALS
This is nat a Permit
App#lcatlnn Type
(StanOard untess (Indicated approvals requlred In either "re[aase" or "reiease wlth ranaitfone"
orherwise iredicated) 9paoe prior !o permil Issuance
E] Fast Tr$cx '
Farly Start Rel$ase wllc:und H%Id 2
FnvlronrrranlelHeatth e2e: mercial, ~ Ptesldentfal VII 1ip1 Calfege [;pngtruClIon, Ci gidg alieratlor►ladditian 1_z►-jS
Robm 200 ❑ AddltEpn81 StrtTCture,
APPLICATIOhI li
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~ Plannfng/Pon1Ag; ~Commercfal; ert ot EacemPtlon, 0 Ft'0• fta9@,
~ ~
N. ~1. 72t Jeffetson ❑ S$tba~s; !ot wld, LI lot alze; C] uselzone,
C~ CU, varianca, zone change; shoraline, t~ #ence,
V6 Qther
ConditionslCommen
~ - +L
~ Engfneers: W/Commerclalr ❑ Reaiden#ial; 0 FloaKi Plaln,
M 811 Jefierson O drainage 0 newaflcesslapproach, O fence,
O road impruvernenEa
CortdE#iansf Cornments
~
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N. 811 Jeiferson
Condi#Ior►slCamments•
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LETTER 4F TRANSMITTAL ADAMS & CLARK, INC.
W 1803Maxwell
SPOKANE, WASHINGTON 99201
To ~A446e.-ry (509) 328-5853
~ o ~ ~oUtn ~
Nor-tv► 811 jt-~r'ti~r► Date
~ • Project No
Attention
I .
Subject..s~fQod~c~ 'flr~ Gr~trrr - f • 15'27-p tiar, ~W. AAf.. •
1
No Description
• zii+e~ a1 t~~ ~ v~l ~''I'o~ •
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~ For Approval For Your Information
As Per Your Request
Remarks
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~
ADAMS & CLARK, INC. ,
L E T TE'R O F T,R'A NiS M I T TAL w 1803' Maxwell
p SPOKANE. WASHINGTON 99201 ,
TO ~ ~ . % _ (509) 328•5853
,
_ .1 I . ~ ~ , P~lPy01~ Date
W~ • ~ ~ Project No -
Atte,ntion'
Subject :
. ~
No. Description
.
Gd ~/~!I V4 ka'l vtP~ ' ~~1►~~~.~- _
.
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For Approval 'For Your Information
~
,
As Per Your Request ~ -
Remarks -
. ~ -
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~ JIMMENN_
' ~A~vl-~rE
. R011D E i O T
' $505100295 '1
'ARCEL N0. Z3~4 ~ - O Z ~
No. 5 -
NOTI(;E TO THE PUBLIC PURP09E Aetrf ~
~
KNOW ALL MEN BY THESE PRESENTS, That Anders B. Hultman, ae his eeparate property ~
and ftders B. Hultma.n a nersonal re2resentati-vp nf Estate of Elain H. Judy
being the owners of the following described lands in consideration of mutual benefits T
to be hereafter derived do for themselves, their heirs, qrantees and assiqns, hereby ~
agree:
To authorize the County to place their name(s ) on a oetition for the formation ~
of a ULID by petition method pursuant to RCW 36.94 which the petition includes
the Owners property and further not to obj ect by the signinq 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. PROVIDED, this condition
shall 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 conjunction
with the formation of a ULID by either petition or resolution method under RCW
Chapter 36.94. This statement involves the following described property:
23541 - Ptn of 0219
The North 224 feet of Lot 8; AND ALSO the Aorth 224 feet of the East
28.3 feet of Lot 7, Bloak l, HUZTMANS SUBDIVISION of Traat 66, VERA,
according to plat recorded in Volume "W" of Plats, Pag+e 3, in Spokane
County, Washington; EXCEPT Sprague Avenue, No. CRP 13169 by deed filed
in the County Audi tors Office, under File No. 730131002, dated 31,
January 1973.
In Sec 23, Twp 25 North, Range 44 E. W. M.
These requirements are and shall rvn with the land and shall be binding unon the
Owner(s), their heirs, successors or assigns.
.
Dated thi s 1Z day of {~2t t, 19~5.
fILEO-CK
~ ~,tV .,T nr CountY En&ineer C ^
~i 7~j L~ Cr~
°Inaers . man
MaY 0 3 53 PW ' 8q x Anders B. Hultman as personal
WILLIAM c OOhAHUE representative of Estate of
AUDITOR Elaine H. Judy.
SPOKANE CAUNTY. WASH.
fFP~~~r
STATE OF WASHINGTON
COUNTY OF SPOKANE ss
Req Court House xxx
. ~
On thi s 1'l- day of ArI~Zt L. 19,F,
,S,, before my personal ly appeared
Andere B. Hultman
fersonallyknown to me to be the individual(s) described herein who executpd the
"►'Vqlun_
oregoing instrument and acknowledqed the said instrument to be the frep?A
tary act and deed of said individual(s), for the uses and purposes herelyMnT~,ioned,
_ r.1;Lr t'~~ •
IN WITNESS WHEREOF, I have set my hand and affixed my official seal #fi'i~~ nif year ~
first above written. : 01 •
/t ; '
t • ~ ~ •N ~
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OIb'If~c, I and~• i~Ch' 1'1~ 7 .
Nota
ry u tate
of Washinqton, esiding insp kane,
{~agh=~ten •
w R/W 1 / 1 /85
/ ,
AMERICAN
WESTaEA.Tr, rMc.
' PROPOSm
C00]DYEAR TI RE CEMER
19290 EAST SPR14f11E
SPOIGA(1F-, WASHINGTON
OW1VEt: Anders 8, Hul tmn
AGENT: ~ Ke'ith A. L,otze
" American West Rea1tY, Inc~
Ilest 9Q1 BtRoodWrn/
Sookale, WA 99201
(509) 328-3566
LEGAL DESCRIPTION: 'lhe North 224 feet ofi lot 8: and the
North 224 feet of the Ea.st 28.3 feet
af, lot 7, Block l., Hultm 9ubdivisian
t fofi Trnct 66 ofi Ver~ acc~ordirg ~to pldt
~ ~N T
reoorded f n Volune "W" af Plats~ Ptue 3.
AW4-,,~ in Spo{aane Gocmtv. Washin9ton, less thot
portf on cornreyed to Spolacne Ga.mty► for
Sprague Avenue CFf No. 1316, bY deed f i led
under Auditor's Fi le Na. 73013].OQ2,, on
JmuorY 31., 1973,
SITE DIMENSIOi1S: 90' X 217.74'
SITE AREA: Appra►ximotely 19,685 sqoft,
&1ILDIIVG DIMSIONS: 401 X 128'
BUILDING AREA: 5,120 sq,ft,
TYPE 0F CMSTRIJCfION: Mo~nrY
FEAT: Gas forced ai r
W 901 BROAOWAY + SPOKANE, V10A 99201 0(5(39) 328-3866
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ENTER PARCEL. 23
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23541-0219 BLACK 635429R A H HULTMAN 04/01 /7? TAX UNP'D
FIRE IMPRO!!ED UNIMPROVED TtITAL LAND IMPfC. TOTAL
ACRES ACRES 1lALUE ACRES VALUE ACRES 1fALUE VALUE VALUE YR EX CODE
~ 204600 204600 85 140
204600 204600 140
; .00 .00 255900 255900
VERA HULTMt4NS B66 PT OF
L5THRUB B'f L5 EXC S~ ~6FT, L6 EXC Wi OFT QF S126FT, ALL L7&8
R
23541-0219 1 HULTMAN ANDERS Fs BOX 66
VEaADALE WA 99037
000000 LAND IMPS TOTAL C. F IRE G. WECD GERT. TAX U. F I ftE U. WEED UNPD. TAX
EX COD 204600 1204600 .00 1.00 2869.72 .00 1.00 ~869 . 72
140 204600 204600 .00 .00 .00 .00 .00 ,00
140U.FIRE U.WEED UMPD,TAX EX CODE YR ST U.FIRE U.WEED UNPD.TAX EX CQDE
YR ST
VEkA HULTMANS Bbb pT OF C 05
f L5TNRU8 B'i L5 EXC S'i ?bFT, L6 EXC WidFT OF Si 26FT, ALL L7&8
?354 i -0219
BLT kEM ST RMS BDRMS &THS BSMT CONS ARER COND FP i;0 DW GD WW RR BB SS PAT INT
C
AIFC SF'R Dtt CFT GAR SMf' USE UNTS LOT SIZ L.AREA ACRES S. DATE S.Rf{ICE i% AFF 0
SE 096 68000
BLD f YAL BLD 2 VAL BLD 3VAL
ZOAlE HEAT ROOF SIDE ►4PFFeAISE'R
43 25
CoAtelc:[ Nei x«it Naau•_, Ndiue
Addcese AdJrebb /
Phone 38 _6 phunp
County (:ontact~P~reon Phone Nn. 456-3bmi ~
CpMMKKCIAL !!t)[I.t)LNG PLwyi•r KLv[Ew
Thia bui lding pe[mit ceview is intended to xppcaiee you of the impruvemeti[to ( ruHCiway, ai de-
Yalk, curb, etormwatter, etc. ) which muat br cunstructed in aesociatiun with yuur builciing
pecmit. This checkliat will be fttled out hy [he Engineer'e steff and e cnpy vill be re-
tutnQd to you at the [ime that the permit ie lnitieled by the Engineering Department. AlI
requi rementa ebal l be completed prior to lesuence of the bui ld ing pecmi t. At 1 unchecked
boaes require additiooal research or informatian ta make e detecmioation.
1. Stormvater oreing$,e~ Coneideratione
1• f~er gvf~eT~nee _~or "Ttotmwater Menagecqent 1981" both on and off site.
1. 208 Consideretioes* M Yee ~ No
2. Flood hezacd zone coneiderarione** ~ Li Yee ~ No
3. Storm Draiaage Plen Yes ~ No
II. Planniai Action /
1. Resones Conditioaal Uee or Variance on property ~ Yes No
~
2. Are sequiremente of planning eetion incorporated ~ Yee No
ioto •ite plan
III. !"ht of Wat
1. Doe• pareit neceoeitate R.O.W. dedication ~ Yee ~ No►
Z• QLd soat chenge requite R.O.W. dedication a Yee ~ No
3. Aadius ot corner p Yee ~ No
IQ. Couotp 8osd Improvements 1. Roado need to ba impcoved. Etaa aride ~ Yee ~ I+1o
Z. Curb p Yes No
3. CRP/SID agreement (Copy of deed, cootrecc, or a Yee ~ No
title repa►rt required. ) 1
49 Plans gor improveoents provided Yee ~ No
P 'r e
s. siaewaik
Ye s a No
V. Parkin Plan i AeProech Location jR d"
l. Reviev and eign off by 1Yaffic ~ Yes a No
2. Approach Permit from Bngineer's Office ~ Yes ~ No
3. State or ci cy eign of f a Yes ~ NO
4. Is thie road on 6 Yeac Plan a Yes ~ Aio
~
VI. ULID Aireement: ~ Yes ~ No
VII. Field Review: Pre 1 imi nary Conwenta
* Alt t.tnd wlttiln che A+liiiter Sr~i-itttve Aret, wlirre deemeJ te.iKitolt- by tho C41111icv I11);1-
nerr. ehal l trtceirp„rait, %:Cormwirer tti••1tone+it Ee> >nlt igati. clle lk1t1'tlti iI toir ~~~smi,Iw+cei
degt:ift•it iiiii. (St-P Ni! d•• 1 1,se-, tor ,tormw it er M.te1.1j;omell[ 19111, 5l,oo1c ill, 114sird ot Gsitnt ►
Commt-4,t.mer'i Ite~#v l#it l-m N.). Nif-154,!, i~ .~~►~n~f~~f. )
1'ht• I►IitI)-,w It f IV•1,I 11 1 / I 1 01 i.111to i~ vt~-W t . tI miI I I Onli~• I,1-4 01a11• 1 ,1 t I•~,liat„ i~►
l'I t IP iil'ea It'I, f ;mtl I 1+, 11109111 Ha • 11'-I «-sIllldaf yl Itt Ilr• ot1 Ff It 11 f I1i• f t1fDi % fll) r'1i'v T' ' :i
rat f t~ 1o . I1 ►1 ilf U )lili t ~ (~11111T1 ~ S`i ~~sli!' f~ ti 1t11t/~ 11( ~fl~ %
l}. )
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~
.
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PR1NT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
(Please return thle origlnal and your bui►ding plane to'tAe Department of Bulldin8 and Safety)
1,Owner's Narne pe8t) (lirstl (m1 7:0~
me
rlt 119BOnty
O~. ~ C (1''~ 'A i~t Ocmm v ~
~
? w,oject aoaross (nrn ti+allinp aadrwe) or foao Name - space zip
3 ptyrQommuniry - ' gtate SubdivtetonlPrat Nmns
%,Na o-. ~1.._, C~
4 aBSBBaW P8fCg1 Np Pkw Blak ?4) Z ~ 4 ♦ w ~r MPAFITMENT USE ONLY s • o
oeooo 5 Zona Aet N Iaes ProJeat No
C..or**N " 1
-
8 Oweli M No oi 8l tdings Sq Ft,lAae Qeplh ~ Front~e
I Z .,'1.74' Gt o °
~ 1 S818ao1c Front (41 (R)S-2 Rear GWeus T►ect Mo0ute 1V0 ini -
~
• 16 Atclfitee! Rtm IVenie 8trexd Aadarose - s
C C..~~'~ Ti fLc.. ~..~~~~c♦ l.~ ►
ziP pty L 8t6tte Phone ~
'co^"M paw^ ` Phone H dlMer"ent than 'aDove
~ I
~ Oorttract~ Flnn Name 8ttae! ANress '
ZIp ~ GtY Stme pltom
1 1
Omim pare°^ -Vce^Be No PhoAe If dlftemt thartabove
r
8 OWneriAgNlt QI altferent than 01 abo") 8usM88eAdQresa
~ \~Cc• i t~-i C.~.. 1..[~ ~'z-~. r ~EC~~~`.ar~ : ' ~ . ~C~3.~ 320►`~
9 Ztp GtY State Phcne
~~~d ~ t t'o ~-C~.~ • ) J
~~2 Revl~w i~u!►ed ' Rlan Chedc (Yla) Other (Y/N) 8EPA EwmRf1(Y►IV) Date ,
-
18 Type WtyrIc O 81dg MH t3 New ❑ Replace O Otlar
a ❑ Fire Ei Demo L?i AddlAlter 13 Move
14 O@9tXlb6lNO/k
I11 c%r.. -%c : cx- Ca:e -TCrn ~ 1 zo,T'
t0 Apaitcant Nsnee Str+eel Address
~►~~a..~ t ~c ~ ~PL=
11 ZIP City 7 Stete Wrone ~
( a~
Lander Street Asldrese •
tiP l Clty l stete ' pnona
f 1
contact pemn Rhone il ditferent than ebove
l )
AddHiOna) Informallon
~ . ~
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b 141~' _ f(~ ~ I(PUC ujY N
.1900
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1 +~t FIN FLOdR ~~E .
0
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DEPARTMENfi APPpOVA.LS
~ - ~ This is nofi a Perrni#
Apptica1ion 7ypv
(Siandard unleae (Indtcated approvals required in ai#her 'release' or wrelease with conOftiQns'
Olha1`vlrltta indiCateJ) spsce Rriar tv perrnlt isauance
Fast Tracis
Releaue
Early Start Release wlcAnd 1 Hold 2
Environmental HeaItA ~ Gammerclal, L' ReSIdeCltial
1N 1101 Gallege hlew Canstructton, ri 81dg aIteretlanfaddlttan
FtWm 200 0 Additional structure, -AAPLICATIOIV N
COndlt14n81Comrnenla ~
~
~ R1$rrnlrtglZonlng• u(Cammerclat, ❑ Cert of Exemptian; 0 Frvntage;
N. 721 Jetferspn 0 S$ib8cks. 0 lot wld, 13 lot slze, Q elsefzione, _
~ Cd1, aarWae, aonechange, shoreline, U fence;
~ OMer t V l'5t OlV
ConWtton9fComments
V21/Cammercial, 0 Resldential, Q Flood Pialn,
N$'1y Jeiter$an CI drelnage rtew accMlappraach, Ci fence, '
f+ r 0 road tmprovamante
CanditionslComnnente °
N 811 Jefterscn CoridltivnelComment$ WAM
~ w
,
e
Pfan fxam
Fire PreY
Canditlanal Gcm ments- .
~
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ProJect aapresentative .Tatephcne
~ Agartcies Pertarming Spaciaf InapMiorr
ic o 1 .
'a l
i~ E
2 -
U. ~
3 .
i Indkete ahove or aliacA candfttone rs4stive to flrtal ae bullt epproval
2 Indkate ebove ar attatA rwsono for hald
A
s
- i , ~ ; ~g .e.. , ~
I ~ ' OFY'ZaE AF
COUMTY ENGINEER
" . ROBERT S. TURNER
COUNTY ENGINEER
, { F•- SipomuLwz 9WAmmxxwe►roN 99260
SPOKANC COUN1t COURR KOUSC
A,
xE: .~.s-
-
Gentlemen: s~r c, t~ wA
A review of the road, drainage, and parking plaae for the above-refer-
enced plat, short plat, biadiag site plan, aad%or building permit hae been
accomplished. Areae of concern to us are indicated in red on the attached
prints. Please make the corrections and resubmit theID to this office in order
that the review process may proceed. When the plaae are resubmitted, mark all
changea on the revised print in color.
If you have any questions about this review, please contact us at
456-3600.
Thank you.
Sinceiely,
Robert S. 'hirner, P.E.
~ Spokaae County Engineer
~
h.6-148--on, P.E.
Planning Engineer
GSN/set
Attachmen[
5/30/4
V
Public Works Building North 811 Jefferson Str¢et Spokane, Washington 99260 ~(509) 456•3600
w
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNOERSTAND
(Please return this original and your building plana to the Department ot 8ullding and Safety)
T =
1s Neme ast (Hrnl) (n►) Fkn Oapartr►sent tJse Onty ~
1%~ • Comm
2 Ro~f Umt MaiN !AQdress Q ~ 8pace 2iv
L~IZ c.~~ ~LSTL~~f" c. I~~ D fs ~~`~2 p+C+C.~I~
3 Clty! State SubdivisionlPlat Naane
~
4 Percel No ~
23 542 ~ D Q~ DEPARTMENT USE ONLY
76D.*-4e e Zone Act N Zone y-7Yt *e 93 -74 C Pro)ect No
r"v
~ No ot BuIIdIRgs 8q FI /Acre Oepth Frorltape
7 Set 8ack-Front (L)S-1 (R)8-2 Rear Oasue Traat Module No 1 Iel~, ~
* 16 Archited Firn► Name SirW Addresa ~
zi city e ~
94?hz
Pe ~ Ptlone If dlNetent tlyn eDove
Qontrar.tor Name 8treqt Addtesa
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Zip pty ~ Stete Phone
iff ~ ~ Q07
uc-ow NO~~ Phone n aitremnt ensn abave
At.
8 ow+ierl Agent r arrrerero then n above) eueineas Aaa►ese
9 Zip City 8late Phone
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12 FlB+risw Requued Pian Checlc (YIN) Other (YfN) 8EPA Exempt (Y/N) ~Dale ~
16 TyReWork El Bldo 13 MH p New M Repface Other~►:~, ~
❑ Flre p parnp "7 AddlAller CD Move
14 n ►k
and&&
AppNcanf N Street re~
/ ~aa✓ ~st
11 ZIp -fti Uza aHy ~ SPhone
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I ~ f
Lender 8t►eet Addrssa
Zip City Stafe Ptorte
Cant= Persnn Phone II dlfferer+t thanabave
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Addltbrtal Infomration C.91-O& Pon # 3
DEPARTMLNT A,PPROVALS
.w This is not a Permit ~
a~~~ loatian Type ~
tStandard unless (Indtcated appravais requ4red In e4ther "reteas,a" or "release with conditions"
otherwise indir,afed) spaca pcJor ta permit fsauanr.e f
j ~ Faa# Track
L~arly Start Aelease
R~te"e wrcond t Hata 2
~ t I
Envlronmentai Hesl1h U CommercFal, C7 Res2dentiat
IM 1101 Cq1lege C] IVew ConstructioR, Q Bidg al4erationfadditlon
Raom 240 0 Addltional structure;
APPLlGATIaN 11
Cehditions t Ca mm ent$-
PlannlnglZoning. ❑ Cammercial, 0 Cert. of Exemption, 0 Frantage~ ~ I
~ ~
N 721 Jaffersfln ❑ Setbacks. p Iot wld; ❑ lat aIze; 13 uselzane,
,
❑CU, varlance+ zone change, Shorellne; Q fence,
vil t her •r` a ~
C~tditions/Gomments: ~ ~`e c'~ ~ • ~ ~ ~ ~--e ~
~ t ~~c ~ +~~..-c, i ~ ~ .
~ Enginesrs: 13 Commerclal, Cl Resldentlsl' 0 Ftoad Pta1n, 97
M 811 Jetferson O draiRage Ct new accesslapproach, O fence;
❑ raaod Improvernents
Candltlon9l Gommenls
~ UUiitias:
N 811 Jefferscn
Condjt~~~~/ CV~mants a
Other:
.
Rlan Exam
Ffrs Proni
Gor+ditfons! Camman#s
~
~
~ Projecl Representa#tae Telephane
~ Agerrcias PeMormine Speda! Inspeclton
.~c a
ca m
E 2
~ Q -
3
1Indlcate above ar aNwh corrditforta relatlve i+o 1lnal es bulft apprroval
2 lndkate ebove or ettnch reasons for hold ~
a
~
St. No. CitY Date 9-WI-495
OP,L Location _
.
LeQal
Owne r 5 - 49 /eoi4y . Addres 8
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I, cation Class Trafff c
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. R0J10 NAME aNO~xrc -s"Z
t 8505100295 ; PARMI N0. Z3b' QZ r j/
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NOT1(:E TO THE Pt1BLIC PURPOSE
~
,
KNOW ALL MEN BY THESE PRESENTS, That Andera e. Hultman, as hia eepBTate proPerty C
a.nd ArjLders BI Hultman a"PrsQnal regresentative of Estate af Elain H. Judv -
being the owners of the following described lands in consideration of mutual benefits ~
to be hereafter derived do for themselves, their heirs, qrantees and assiqns, hereby iINA
agree:
To authorize the County to place their name(s) on a 4etition for the formation ~
of a ULID by petition method pursuant to RCW 36.94 which the petition includes
the Owners property and further not to object by the signinq 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. PROVIDED, this condition
shal l not prohi bi t the Owner(s ) or Successor(s ) from objection to any assess-
ment(s) on the property as a result of impr:►vements called for in conjunction
wi th the formati on of a ULID by ei ther peti tion or resol ution method under RCW
Chapter 36.94. This statement involves the following described property:
23541 - Ptn of 0219
The North 224 feet of Lot 8; AND ALSO the North 224 feet of the East
28e3 feet of Lot 7, Blook 1, HULTMANS SUBDIVISIDN of Tract 66, VERA,
acoording to plat recorded in Volume "W" of Flate, Page 3, in Spokane
County, Waehington; EXCEPT Sprague Avenue, No. CRP 13169 by deed filed
in the County Auditore Office, under File No. 730131002, dated 319
January 1973•
In Sec 23, Txp 25 North, Range 44 E.W.M.
These requirements are and sha11 run with the land and shall be binding unon the
Owner(s), their heirs, successors or assigns.
.
Dated thi s tday of
F ILEV LPw RErrQaM
CountY Engineer r ~
Vt,-
~ L~~ ~
- ers . ~
An
MaY 0 353 PN'85 X 'r 1--, e5 ' ~7 ol -Anders B. Hultman as personal
WILI.IAH c 00hAHtlE representative of Estate of
AuuiraR Elaine H. Judy.
SPOKANE COUNTY. WASM.
c-1:0rTY
STATE OF WASNINGTON ~
COUNTY OF SPOKANE ss
Req Court House xxx
. ~
On thi sk-,11- day of (~t L 19_8a, before my personal ly appeared
Anders B. Hultman
personally known to me to be the individual(s) described herein who executPd.the
foregoing instrument and acknowledqed the said instrument to be the frek-~fil
act and deed of said individual(s), for the uses and purposes herej4MnW~ioned,
. •y r
- : bJ
IN WITNESS WHEREOF, I have set my hand and affixed my official se ~11fi'i~ `'dn~ yea,r ~
fi rst above wri tten. : • ~~l
. : ,
:
/ _ f- ~
~ • ~ , ~
Notary PTA &c,, an :o 't ate
St
of Washinqton, esiding in spokane,
WA9_hif'fgtnl'f •
R/W 1/1/85
BUILDING PERMIT IAPPLICATION 1NORKSHEET
PLEASE PRINT AND COIVIPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTANO
(Please return thla original and your buliding ptansto the Department of 8ullding and Satety)
~ ~
1 Own sme pest) (Nreq (m) psQBrtmeM ubo Only
~ t...1 ' `'"4:..[.r.C995 &iL • Camm
2 Pro)ect Adsfrese (rtot Malllnp IWdresal' ar Road Nsme s0we Zip
I ~ • ' ~•~i-~i.•~
3 pty/Community 8tat SubdlvtsionlPlat Nams
G~
' sAssomm Paroal No Lot Blocic
_ a A-7 0, r a * • OEPARTMENT USSONLY ~ f rt
5 Sk code rteAct N Zoto PrOjed No
8 Owell • No of 86fldinpe Sq Fl /Aaro Depth prontaU6
7 Sei Baolc-Fronl (L1S-1 (R)S-2 ReOr CO8u8 Tract l Moduls MO ~n~tata
~`u m
* 18 Arohitecl Flrm Narrte girMqddrm d AIA ,
; !QAIJ
D Gfy ~te Phone
~ . ~S{~ • "~Z.
- Oonwi Perwn Plana If dlflarent than aDave
~ PAIIJ 11 11
Qorttrector Flrtn Name ~ Strnaet Add -
vp a J s~ v~,a
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Izo~ . 45) qzZ. 0&0
Oont~t Peraon ~ Uoanse1ft PhOne If d tften eb~ra
~ ~ l I
e cwrteriAgent (H airrerent tnan Ot above) euafnasa Adke9s -
9 zip - Ctry 8tate Phone
( 1
- -
i~ i uh+ect Plan Ch tv) O~tre~ N~N) sEPa ExemPi nIN) oace
,
15 Type Work Bldg ❑ MH NOw Replaae= O Otfter
0 Fire C3 Qemo D AOdlAltO O M4va
1e oesqtbe wcrk
~
1P Aao+lcant Name st Aadrees
` • ~ S •
11 Zlp CI Stste Phmte
~ i ' . ~5 ~ • 2
~ Unaer sIreet Aft►esa :
Zip w1y State PAa+e
1 1
cor,taa Person ' PhOne if dtNerene than aboare
Addltional Intorrr►a11on
- - 1 . 1
DEPARTMENT APPROVALS
- This is not a Permit
Appiicatton Type
~ (Standard unless (Indlrated epprovals requlred In'either •relesse" or °release wlth conditlons' '
otherwlse Indicated) space prlor to permit fesuance )
Faet Track - - ,
❑ Es►Iy start , Re~ease
Release w/cond 1 Hold 2
't
~ Envlronmental Mealfh Commerclal. p Residentlal
W 1101 College O New Constructlan. C] Bldg alteretlanladdltlon '
Aoom 200 O Add{tlonal structure,
~ APPLICATION 0
CondltlonalComments
Plenning/Zoning: D Commercial, 'O Cert ot Exemptlon, O Fronte8e,
N 721 Jefferson ❑ Setbadcs. D lat wld. O lot elze, 0 usslzone,
0 CU, varfence, zone change, ahoreline, O fence,
❑ Other
Condltlons/Comments _
4N Englneem: 0 Commercial, C] ~ qeaident181; O Flood Plein,
N 811 Jefferson O drainage Onmacceselappraach, 0 fenae,
❑ road Improvements
Conditlons/Comments
UNliflee.
N 811 Jefferson ConditlonalComments
~
Q Olher _
i 0 Plen Exam 5
FIre?Prev
CondltlanslComments
a - -
a~ -
L
Project Aepresentative Telephone
~
' ~n Agencies Periorminp Special,lnapectlon
Y O - - - -
~
2 -
~ J0
LL c
3
1 Irtdlcate above or ettaah conditlons retstive tn tlnal as bullt epprovel
2 Indkate above or attech raesons tor hold
l.iill si 1 N.ct a~itl i:.W14__-__,~..~Cf Bueiness NalA@ -~Z` /V ~ 4__/~f'~`(~ ,`.4
Ad~icer~e ~..t~ 2-
t~t~.,~~._.~.~..._ 5.• ~ _ _ 1 ; ~ Phone
C Phvtte No. 456-3600
CUMMEItCIAL !SU[LU1NG PEKMIT KEVILW
'l'tii 5 btii lri itig NN rini t rev lew is intended tu appraiae you of [he improvements (roadway, side-
walk, eucb, btorniwatrc, rrc. ) which must be cuns[ructed in aesociation with your builciing
pecuiit. This checklist will be filled out hy the Engineer's etaff and a copy will be rr-
tucned to you at thz time cll.it the pecmit id ini[ialed by the Engineering Drpartment. All
reyuirernents stiall be completed pcior to tesuance of the building permit. All unchecked
boxes reyuire ddditional researeh or informa[ion to make a determination.
1. Stormwater Draina ~ Considecations
~er gutaTineor 'Stormwater Management 1981" both oa and off site.
1. 208 Cunsidecatione* ki- Yes ti No
~
2. Flood hazard zone coneiderations** ~ Yes 0- No
3. S[orm Drainage Plan ~ Yes Li NQ
It. Planniao Action #
l. Rezone. Coaditional Use or Variance on property ~ Yes Li No
2. Are requirements of plaaning action incorporated ~ Yes ti No
into eite plan
I L I. R1ght of Way
1. Does permit neceseitate R.O.W. dedication a Yes ti No
2. Qid aone chenge require R.O.W. dedicetioa ~ Yes Li No
3. Rediue at corner a Yes Li No
IV. County Road Improvements
1. Roada need [o be improved. Huw wide ~ Yes tj No
~
2. Curb ~ Yes ri N°
3. CItE'/RID agreement (Copy of deed, contract, or p Yes Li No
title report required.)
4. Plans for improvements provided p Yes Li No
5. Sidewalk p Yes Li No
Y. Parking Plan 6 Approach Location
1. Review and sign of f by 1raf f ic ~ Yes ~ No
2. Approach Pe rmi t f rom Eng inee c' s Of f ice Yes ~ Nu
3. State or City sign off ~ Yes ~ No
4. Is tliia rnad on 6 Year Plan ~ Yes ~ Nu
V I. WU A#reement: UL Yes ~ Nr+
t,' I l. Field Review: Ncelimindry Commente
" 11l I►ritl wiCiiiii tho Atluitic Sens[tive Are,i, wherc! deemed feasible by tlie (:ounCY hllili-
iit-, r, 0h.i 1 I Iitroirporit-ap StOt'mWAteC tre.1tmt•nt t<) ini c igace tlie lwtent ia1 for gtumisiw +t , i
►!6•a'r L I I r il,fi ~wo t.i, rcIoI i ne-, toc Storniw.ttrr MaitaKement 1981, ,5pokane gatcd ut Cuuiil•
4,011ilfit , , f -,ist ke. )1 io i f►n Ni►. Ko-1 S9', a% amvnded. )
~.I t I ►)d h!t lCd /m1l- 1eVl(W!•• r(1 mtiiiinlzi- IwI'sos 41114, L) ~ 11lo,11llg, itl ~In'
1 1 1 11 ► I 1-#1 1t( m!(1(1 11rl! 11 -i l;s)Illliiarv I1Ta)ti 11n ti 11• it I lIt ~11111~ y('tl)* 1 111'1 •,,mmtr►stt) 11 c' ClS KI' y~.)li1ti~ 11 ~I~ ',1-~1) I.~.
~t~ i, 11 1'i
. a in+ ~ti,~~,1 ~,r c~~~~,~~ t. ~
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