Sullivan N 716 Washington Trust bank (2)
13Sy3 0420
,it .
Cootact Pereon Name_~~~~ lQ Busitit•-o; Naiut•~~I~~.S~,f~
Add re s e /l 4 ~ ~ Ad d r e5 s
Phone t'tiarlP
County Contact Persun Cg S~A, Nhonc No. 456-36(I0
(;UMMERCIAL liUIL.UING t'N:ItMI'f lttVlt:W
Thie building permit ceview is intended to bppraist! yuu uf the impruvementb ( coadway, eide-
walk, curb, etormwater, etc.) which muet be cotebtruc:ted Iii bsxocibtiUn with yuur building
permit. This checkliet will be filled out by tlie Lnbinrer'e staff and a cc►py will be
returned [o you et the time that the permic is iiji[taled by the Eoigtnrrring Department.
All requirements ahall be completed pcior to isbuance of the buildinb Nermit. All un-
checked boxee require additional research or infurmation to make a determinatiUn.
1. Stormwater Draina ge, Considerationa
Per gueT~nes ror "Stormwater hlanagement 1981" both on and off site.
1. 208 Coneiderations~ I 'o ti Yes No
~
2. Flood hazard zone considerations** ~ ti Yes ~ No
3. Stocm brainage Plan ~ Yes ~ No
II. Planning Action #
1. Rezone, Conditional Use ur Varianee on property ~ Yes ~ No
2. Are cequirementd of planning action incorporated ti Yes Li No
into eite plan
III. !Ight of Wey
1. Does pecmit aecessitete R.O.W. dedication ti Yes 81 No
2. Did zone change require R.O.W. dedication ti Yes tj No
3. Etadiue at corner ti Yes No
IV. CountY Road ImQrovemente
l. Roads need to be improved. How wide p Yes No
2. Curb p Yes No
3. CRP/RID agreement ~ Yes ~ No
.
4. Plans for improvemente provided p Yes ,h0
5. Sidewalk ~ Yes No
V. parking Plan b Apyroach Location
1. Beview end sign of f by TtaEfic Yes ~ No
2. ApQroech Pecmit from Engineer's Office /Yes a/No
3. State or City sign oEf ti Yes 5/ po
4. Is this road on 6 Year Plan Yes ~ No
a
VI. Field Review. Preliminary Cnmraentb
* All land wi[Iitn the Aqui Eec Sensitive Area, wliere cieernod teas I hle hy tlle CoutiLy bngi-
neer, ehalt incurpncate sturmwatet treatmer§t ta nittiYatc, tt~e poteiitial for Krouudwater
deRrada[ion. (See GuiJrl inea foc Stormwater Maiia);emviit 1981, Spul.aitp Kc>drd of County
Comomiasioner's Resollitiou No. 80-1592, ae amen(iecl.)
The purpose of f 1ood hazard zone rrv iew is tu mininii ze lutses dut! to f 1ooJ irig iu sNr-
cific ereas desi};ridted by Flood llaiard Hauridacy ma{i5 u►i file it thr Counly M~iginerr's
Off[ce. (See Spakane 8obcd of C;uunty Commtssinitt•r'b Iteholut i.-iti Mi. ~1-t~11~►, v,
amended.)
YLAIVNUMtltM ArP'LIVA O IVM / rtPi9Y116 PERMITNUMBER
- SPOICAHE C4UNTY - DEPARTIIIIENT OF BUILDING & SAFETY
NORTH 811,IEFFERSON / 9POKANE, WA8HINQTON 992801(5109)488-W5
APPLICANT: COMPLETE NUM9ERED SPACES - PRESS HAROTO MAKE 3 COPIES
PARCEL NO
~ &.7JL SutLI VAN RroAtD 13543 - a*2.a
2 LoT eLocic sueolv~on LEQAL DESCRIPTION:
OWNEti PNONE PHONE ~
r4ff!~-M0?
3. W ns141 N2-rON -r99,0- ggd.k
MAllINO ADDfiESS ZIP Adue! &at Bao- in feet to -
-7L7 5eAWG4UE North 51'-jjsouM 35' [EM /0"wow 7Y ~
CONTRACTOR LtCENSEEXPIREB PHONE SIxACIPooel Lonepesslllcatbn RniftvtW~p
a l~4. Z~ .~a. ~ss
ADDRES9 ZIP Typ90Drof Ocwpm~r
-N g-Z. OYm ~CNO GReO'd
~
OESIONEA PFIONE New CaM Vetuauon Aenmdele0 Valuattan Tolal Btdg FioM arsa
*lCfJ'~~ , 0 z
5. AOORES3 21P Mmn Ftoor llpper Ffoor~ GarepelSto~ape Gr ~
_ 2,1B _ 31ft-s*~ .
6 CMANGE OF USE FROM TO Qmar Oeqi tAx.v Oadc Fln Bmemenl Umin 8a~en~enl
TYPE ~EVV p ALT 0 AD' N 11 RPL 0 MVE - m ~ ~ ~ Fin ~ ~ ~ii~
7• OF 0 OTHER
WORK &-<O C3 PLMB, O MECH 0 M H ❑ POOL ar+ aequtree veSo Noo Nuwdw
waomvee reeQ Non
8 OESCRIBE WORK Slwd(nelFlooO Mleiurd Plaro Requlred II -
EAhgn. I ' C roso rmt ~lit a AoWveo 0
VALUATION 50UPiCE 6AS ELECTAIC WATEFI SEWAOE
9 un~mEs ivA~~ o ~R o ~r~ ~ FEE8 COLLECTED
I hereby certlfy thet I heve read and examined thla applicatlon end have read the'NOTICE' provleione included on
reverse side, and know the same to be true and correct All provis(ona of laws and orolnances governing ihls lype ot ~ikono
work will be complle0 with whether specifled henln or not TRe granting o1 a permit doea not preeume to give au-
thority to vlolate or cancel the provisiane af any ofher atate or focal law reguleting oonetructton or the performence
of conetn,ctlon 8EE REIIERSE SIDE FOR REGUIREO INSPECTIONS Plumanp
SIGNATUAE OF APPLICATION
OWNER OR AGENT DATE mwn
SPECIAI APPROVALS SPECIAL CONDITIOMS: (SEE REVERSE SIDE FOR NOTICE) o~.
PRELlAA FINAL DATE &jn~ S ~ (I #I ~ 50 #60.50 X~Q4 ='~56 8``l ~n ~t r_ 01 _kx
~ 0 56, g7 x 24 ? = OW /03►7G sEPA
Pienning CANqPY $lS.2,o ~ J6-Zo x, 94f = 1-F z( 'Y -
j 1*.28 X 37 a= 397 ~P~f
~ ~
pnr#wn 14, 763 t6 #.5397. 8y =I q~ 50 I,6 o FkRW 4/1MtT 00
Er,qineer ou+er 44edb) _11J~db
UIIIi}tee ~f • ~ 71 c'' -
ce.-A6-&~ TOTAL $
SEPA
'P ~ PERMIT IS NONTRAN9FERA8LE THH8 ECOMES A PERM~TTED IN TH18 SPACE,
PERMIT IS NUII AND V010 IF WORK HAS NOT COMMENCEO
~'l"g
IN 180DAYS
0 d1?FIMED P01MR NO TpTAI
~
• ~ ~ - - 1.~ ~ .
_
,
. ~
~
' t ~ ' ►
° , • ~ ~
~ . -~•4 ~ '9 ~n~
, ~ P~..,,~~s~?~ ~ ► ~ ~
° t ~ r" `~L a.~~.► ~:.~~,{~~1f~. ~ ~ ~ " ~ ~ t ~
~ Pi TG i'~ ~ , ~ ~ ° ~
O
: . ro,
. 3
° o ~..1~ ~ ~ ~ t i ~ '3~% ~i~s"~1C ~ • ` ~ h
~
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~
~ , ~ r ~ ~ ~ ~ ! ~ ~ ~ 1 ~ ~ ! ~ a ~ t
t •
~
4 ` e ~ ~ • ~ ~ ~ 0-1
t ~Jh ' ~ r _ - _
i ~ ~ ~ ` ~ .t a A b
F I i i o ~ ♦ ~ ~ ~ • ~ ~ f ■ ~ ~ ~ ~ d Q • ~ ~
•
t . ~ ~ a~ = v ~ `1 ~ • ' , ~ w `
d~>
} • ~ ~
-40 t' e e ~ p r cS i
~R~ r~ 4 • o ~ ~r ~ i ~ 1 5J~~"Oi
~ i ~ • . ~
~ • f ~ I
.
•
g o~. ✓ ~ i~ 1~ L~fr ~ :
G J AtS °
~ ~ o
E ~ ~ ~ i • ~ ~ a
~ ° j~J ~Q ~'rt1 A►~ J ~
• 1 r ~ ~ ~ i
L
a ~ w _ ~ ~ - ~T ^ ~ ~ V l(A
~►itJ~ ~z ,
~ • _ _ • r+
. ~ • ~ ~ ~
c~>
to• l 1 tlL.lilv
3.
a. rcwpl!-in h- ? ca erid ab4t►8 grM
-A,, b C; t . Le3L) ,
b. fir ? i +m,%tcLion
BBa~jnjr-";wtE.a R
~ . C! J
~ • ~t ~7" oT. ~ ~ y ~ ~4 ~r088{~0 Yd~~
b. tl,+l izispcation
B. ALL -J 14-0 (Oil. C081p SLO•), ~
18• r0w- 1 r, `i
b. fin_A j :Mpeation "
6. Finsllnsn:c:ar:: (OversllL
PRIaR D GC^ :?eUiCY
.
~
{ ~ +
~ . -
II !
~
. ~
04.
. ~
. 'a y O •
• ' 9
• ~ :
a ~ }f
` ~ ~ r~~"~~ •
A" ~
.~4 ~~e~~ 1 ~ CxIS e ~
a ° ~ ~1 ~ 1~ ~~A►t~ ~ ~ • ~ ~
~
~ ►
~ ~ e tiR
~ ( o ~ , • s~ a
i ~
~ vs~ ItNif .
, ~y~, ~ ~ ~g ~ ~ ~P~~. T~~~ ~ }
p~ ~ _ i ~Rr~•y~~~-i~
~ t
~ t3 ~ ~ •
~
z ri
~
~ ~ ~ ~ s ~ . ~ P~,,•,~ r
~ ~ ~ ,r.- / '
~T• ~ ~ e , ~ (
hl ~p
w t*~
~s.D
4t'
t
• t ~ ~ ~ ~.~,.'~I~1;~ ~ ~
S ~a ( T► ~ t 1""~ C.
.
-S~t,o'` ~ I 3 c;;' 4p
~ ~ ~ , j . ~ _ ~ p _ _ + 1 At
rLANNUMtltN ArrL1%;A I IVIV / rtRMIT PEAMITNUMBER
SPOKANE COUNTY - DEPARTMENT OF BuILDING & SAFETY
NORTH 111 JEFFER80N ! SROKANE, WABHINQTON 99260 11508) 456-3816
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
SYFZUAWREW PARCEI 140.
-o~
~ 1354
LLi dA R~oD 3 Zt)
~-71b su ~
2 LoT ei.oc+c susavIMON LEGAL DESCRIPTION-
OWNER PMONE PF10NE
4 - 808
W&ra'f&-MN ~7 B$&k
3.
MAILINO AOORESS 21P AAW Sd Bocb In Feel to
v 7/ 7 S ct Vrc. NoNh 5 V- ;buM 3 5' FM - Weet !Y
/o
CONTRACTOR LICEN9EEXPIRES PNOWE SImolRral 2omqmllkxtbn p~IlW:3
ao~
4 .,c r
ADORESS ZIP 1Vpe0iord Ooeupllincy SpinNlered
v DYu CNo CRep'd
OE9IGNER PF40NE NorOam Velwtton RemodebdVdwlfon Tate1810p FloorAree
* / ,60 2
5.
AOORESS zIP Mrn Floor uvWIFloom cww/Stmp areenhoLm
2.4
piMIGE OF USE FROM TO Covw Deok Unn► Dedk Fln 8een+ent Un1in Bmament
8 _ r-
Nb BoIAt No Flooro No Fln Fiaorro No Owellinp
TYPE "EW 0 ALT 0 AD`N D RPL 0 MVE I I -
7. OF ~ OTHER ~
F~ACD Cl PLMB 0 MECM M H D POOL aenin aEurnpt Reoulno raet7 t~o_ Numbw
WOAK a varlanae
Readred Yedt] Noi ;
OESCAIBE WORK SAorellneelFiooO Miard Plaro ReOulrod C
8
bmt~FiLl I LCI fAN reen Na ~p~k a Peoewed 0
VALUATION SOUACE (iELECTRIC WATER SEWAGE Ownerehlp FEEB COLIECTEO
9 oF ~ueuc - s~nc ~ ~,a~ a~e o
UTILITIEB PiIVATE 0 SE1NER ~
I hereby certify lhat I have read and examined thle applicatlon and have read Ihe 'NOTICE' provlatane included on
nveres side, and know the eame fc De true and correct All provlaiona of laws and ordinances governinq thle type of
IIed with whether spec!fied herein or not The granting of a permit does not pr~ume to give au-
work will be camp
thority to vlolate or cancel the pravision9 at any otAer stete or laal taw rpuleting constructlon a the pertormance
of conatruct(on SEE pEVERBE SIDE FOR REOUIRED INSPEC710NS Plunmnro ~ SIGNATURE OF APPLICATION
OWNER OR AGENT OATE Meeh
SPECIAL APPROVALS SPECIAI CONOITION8: (SEE REVERSE SIDE FOR NOTICE) °M
PRE11M FINAL OATE &ak$';ufj 4L (005b 960.rj0 )1'aQ* _ 6.8 wW cttwk LStL vc
5
Ern FWlh ~
o 6, r 3 ~l/0
~
87 X Z~f 3,7G
S~A
~ (llo PY 017 -20 X - : 1
`f. 2
~9 Is.zo ¢ 8
ModWwr
~
Flre 37 = 317. y4~ MM. ~
WSW► ~ l~ 163 # , - 1~60 oa ~
~ .s~t-r a a ~o a
~r
Erqrneer och, MpwN) 3
W
~
lltllllfq
TOTAL =
seaa
M WHEN MACHINE VALIOATEO IN THIS SPACE,
q~ PERMIT i8 NONTRANBFERABIE
Exwn TMIS BECOMES A PERMIT.
.
, PEAMIT IS NULL AND V010 IF WORK HAS NOT COMMENCEO
ai"g IN 180 DAYS
' oATERMm aERMIT No
TOTAL
PtAN NUMBER APPL ICAT IV N/ PER All IT PERMIT NU,MBER
SPOKANE COUNTY - DEPARTMEHT 4F BUIIDINQ & SAFETY ,
NOATH 811 JEFFER80M I 8POKANE, tlVASMINGTON 99260 1 (609) 458-38T6
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
SMEETADDRES6 1. ~ ~ ,2Sf~LLlVI~~I R~J~D PARCELNO,'~,J~''3 '0~'Z~
LoT 9LOd( SUBDIVlSION LECAL.pE RIPTION~ ~yo wsyr 2og,50 B~ Tl~fi=
2• So~rfN ~1.F ~ WP ~o~OWNEA ;K4
PNONH PHONE '7~'~ N~RTr'~I ~tJAsNt
tJG-r~N ~il~ 5/'lvA~ f~t co~r~ o~` sPO~0 r5tArrs o
3• MAlUNO AQDRE8S ZIP Aetual8et Beft In feel tor ~ / r i
V 7~ ~ 5 I -~s~ 3 5 [Em 16 6~6 ( Was+ '79
CdWMCTOR LICEN8EEXPIRE3 PMONE Sim d PtiroN Loneqeafllketton
4. ~ np 1o~~Z~ , a~ °~a
~ $,.Z oree ON* aam'a
oE9rGNER PFlONE NewOonet Ihduatbn RwnadeWVetuaUan Total BIOg FIoa Arsa
$,C(
~-~o Z`~,
5. ADDRESS ZIP Mdnfloa tJpperF'loore GmopslStarW Greennou~e
. _ 31&'•~ CHANGE Of USE FROM T0 dNer OeaM Urm Dedt Fln 8memenl Un}in Basen►enl
n'PE "EW ❑ ALT 0 AD' N, 0 RPL 0 MVE ML BWN ~ ~ ~ ~n ~ ~ ~ll~°
7. OF Q OTHER ~ ~
WORK ~ 0 PLMB Q MECM 0 M H ❑ POOL ~ . ~d ymp Nop r~nr~r
- Reaelae reeo Won
8. DESCRIBE WORK SNor~ltnslFbood Merord Rmm Requfte0 D
~~L 1 C ree❑ Not Appl+c Q Reoetwad ❑
VAIUATIQN ~E Gas aECrAic ~td ic ~p FEEB COLIECTED
I 56 9• uriLrnEs wnvATE Q aic (3 pnvare o
I hereby certlfy tAet I heve read and examined this appllcatton and have the ' T1CE• provfelone Incluaed on
reverse side, and knaw the eame to be true end ccrrect All pravletons of lawe d ordlnancea governing thla type ol
work will be oomplied with whether apec(Ned heretn or not The granting o permlt doe9 no1 presume to pive au- -
ttiaity b violate or cartcel the provislona of eny otAer atate o► locel la ulating canatructlon or the perfarmanoe
of conetructlon SEE REVERBE SIDE FOR REDUIRED INSPE wumang
SiGNATURE OF ~ APPLICATION
OWNER OR AOENT ~ 'DATE Med,
SPECIAL APPROVAIS SPEC~AL CONDITIOPI8: (SEE REVERSE 810E FOR NOTICE) a
Flw Healih PRELIM FIN ~ &,^k S/ Uf1 9 60.50 060.50 X.Q4 =-VS(,- 87 F49n a+ek _LQ~jr
~
~ ~0 56, $"j' x 24 ~lq 1031 7( SEPa
~~lng CANoPY O/S.zo ~1'5-Z0x.9f: 11f 2j Ax
J I#,Za x 378= 397.Flf ~ ~
PMKrt ~141163 76# 5337,8~f = l9~50160 EA&YSTACT 00 117 onftr csvwfr) --lLib
~
,411,77: d~ !►'1 G ~ ~
uuuueo .4. Q
, TOTAL $
EPA
S
~ .
Aaro - OiMRs NOMTRAPl~~A9LE~ 5 HEN ~IIACNINE VALIDATED IN THIS SPACE,
I THIB BECOMEB A PERMIT.
Exam PERMIT IS NULL AND VOlO IF WORK HAS NOT COMMENCED
~ ~ IN 180 OAYS
OATE tS8UB0 PmMR NO
• ~ ~MIMUr G' ~~~101tCu f"~~ ~ ~ ~ tlj• 1
~
•
~ ~ ~ ~ • ~ • •
~ ~ •
s
bL,aJEt,`T ~~S~E~T _ ~D12 _ af'f'!~'Vc:•l: . =
40
fOcsT'I"G,.S' M°F: ~ _
r y ~
,?w6jAEAERfNW: WAsN1 NUZW 'r1ri'E: ttm PmlcY
l....~ tl'diSt'RmTdtTtOH
~ -&L EvuJI&I _
.
.
w~~~• t ~ ~
1 ~ar~ [ _ n( R4~.7 :
As ssriy *tart apr--~o~r4t tor vort to be dooe prtor to lesu,aace ot the aatusl Du[tdtaR
tir.tt ..ay be obtalnfd 6r reQoo•tioa lr.cty Stnct Appcovat .ft•c tha pian• •[e datlvared
r►.-''~~ [oc p]ao e1►eclt. Atl r"ese•t• mrst be la vtitthg. Thte •NpKOVat a.iLt anly %0 gtootsA '
•
~ dotlaQ ad~r•~rmw ~roathe[ oc •o ar.tetina ~t32ney, '
~i,~
t••
:?'he Rwelr Statt Approvnt Qay ba lsoced oc+tq .ftor obtwli•' ^p: ~
~rt
" a. Apprewt ot thQ pireetoc.
b. Apprarrat of to.ndattoos by w Pla►a Cl%octc. '
e. I•.wnc• of . Dacl•r.tton oC MSaNP7I0M or V0k:•SXCNIPIC.MC2. tf c+"tVQel ~saa'sr na ~
~ 1E?A. (i4.r tv.Zutrt 15-ray wi¢tag pd: tod. ) a. Ap7row~t of the o[te plaa .kdor tho caq"Lc•noate oC E1sa Gtmipwotwoetwe :.ewln6
Ocd(ncnce. Z1 propw-ty Le dest6ooted Qo •p-iccui .,t 1-otqd <un: c. 1.vt•an3 We►:k) .
• A CBK?tYlCll?E Of XREMPTtQi1 at A! .1?l10M StiCAT Pt.IT k•ts: ccc7upcmy eM: MYait
.
,PPlicatlon toc.s.
Approval of Spotiwna Courz:T pealth Aiatcict.
~ C. AppMY.i ot Ftra Kar•hwl. ~
Approvat of Spnl.nuo County anaiatwr:.
.
~~-3l.S„ A copt of tbe Rocly 6ta.tt t.ppL•oval letrar oHW 4a palsCec' -,.d o%r.111=olo6d 's R14 bY tne propr,n.mc. This totta: im,ot hrve+ a otc :Q n^;+; o: :1:snotur: ot cha
i dutidxaq Cosaa Di~r~c~o-.
~ .
~ ~ • e .p c ~ . • APPROVED AS NOTED APPROVEQ As NOTED
SFO'riANE COUNTY HEaLTH OISTRICT I ,w►m• Comaiy Bide Ca& DW.
,
Date 11 Daft I.1 - +14~
1, ~
~I- fmsa2d-
66 K 1,0 G 50--clAL. IIVSMMNs R*-autW
25 E wc-I E -s-~S~E,~, ag cwcwt-
APPROVED AS NOTED appROVED AS NOTEO APPROVED AS NOTED
SPOKANE CO. ~c ~WPIf~ICw OFFtCE
commIsstoN gpokane CousiSY 1200neer~ , SPOKANE VA F T•
RA
Dats
P ~r • ! M s
w 0 y i ' w
By A
e 1 7 ) « jYtY~a~~~~
r ~ ~P ]I ~ r~ ~ _
f {y ?a., a,J ~le ~t+►~t . k,{ ; 4 ~ ~ •
~
' ! ~ , ' ' C ' ~ I • i N! 9C~ ~pZ 54 T,iq ~ YY F ti~ 1~4r~~.rL'r~
0 L
H r ~ ~ . t . 4~. .~c . 9
~ ~ o ~ * ~ • 1+~,L~Z Yt ~ ~ ~ ~ isYi SI~~
r • ° 'f ° ~ ~ r • c~ a _ ~ , I : ♦ . '
EARLY START/'FAST TRACK PERMIT gPPtICATION
laas submitted to Spokane County, ~
plans for constructioa of their facility, located at .
Agplicattaa ie being made for an "Eerly StartfFast Track Fermit" which wou1d ~
allQw caastruGtfon of that fac3lity.
The praperty owaer should be advised rhat as part af this constructi4n program, Spokane County map 1e requiring certain roadway imprQVements to '
and speci#3c on- and ofE-site drainage plaaa, mare par-
tlculaFly de$cribed in Bvard of County Commissioner's Reealutian No. 82-1592. ,
The property owner herebp aeknow2edges by their signature to the "Early Start,/
Fa~t Track Permit" that they are aware af the conditione on this property for
roadwag iauproQemeats and assflciated stormwgter dr8inage facilities $nd that
those impravements aaad faellitiea must be COnsrZuCted and/or bonded prior to
the ieeuance of an occupsncy pecmit far thelr fecility. ~
Ttie undersigried awc:ers, the3r heirs, succes$ora or assigne herebp reXesse .
Spokan+e County, and a1I its officere, emplopees and agente from any respousf.. ~
bility or liability whatsoever ta the h+ereinabove described lands and imprave- F
ments thexenn as a result of allowing an Early Start/Fa~t Trect Permit ta be
iesued on the prnperty.
w
Theee requirements are and eha11 run with the land and sllall be binding upan '
the awnere# tbeir heirs, successors nr assigns.
r
Dated this day vf 9~ i
- ~
x
8iguature af property own Date !c~
STA1'E QF WASHINGTON )
COi1NTY 4,F SPQKANE ~ e e
N,
On tbiLs y of , A.D. 19A"-k before me pecsonslly
aggeared persQnally knawn to mre to be
the indtv s rrrh xeeuted tae farego#.ng instrumaent and a+cknovledged the seid
inatrument ta be t~ free artd valuatary acC and deed af said individuals, #ar
the usee and puxposea herein mentioned.
In Witness Whereof I have hereunta set my haad and ef f ixed my 4ff 1etat seal the
day end year firet above wr#.tten.
.
'tar Fuh r In ac~id fc~r the Stat*
of W hingtan, residing at $pokaae,
washtngton.
~