SPRAGUE E 7103 Addition to Store (Showroom)
a5,7 7
BUILDING PERMIT APPLICATI4N WORKSHEET
.
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
~
(Please return this original and your building plans to the Department of Bulldfng and Safety)
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1 owner's Narr,e (last) (Itrst) (m) ■ pepartmenl use only
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2 Prqect Address (not Maillnp Addresa) ar Road Name Space Zip
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3 ~GWCommunity (J State SubdlvlsionlPlat Neme
4 Asseesor Parcel No Lot Block
* OEPARTMENT USE ONLY t t t
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5 Sic Oode Zone Act. M Zone Pro)ect No.
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6 Owell M No ot Buildings Sq Ft IAcre Depth I + Frontage
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7$et BaGc-Front ~ Cp (L)S-1 (R)S-2 Rsar Oensus Tract Module No Initialg ~ ~ `
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16 Architect Flrm Name Street Address *
ZIP qty State Phone
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Co^tact Perso^ Phone If different than above
( )
Cbntracior Firm Name Street Addreas
Zlp Gty State Phone
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Contact Person License No Phone If different than ebove
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8 Owner/Agent (!f dif(erent than #1 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check (YIN) Other (Y!N) SEPA Exempt (Y!N) Date
lV
15 Type Work -fi-,L Bldg O MH O New 0 Replace O Other
p Fire O Demo X-f- AddlAlter ❑ Move
14 pescrlbe Work
' To ~5f C, c' C!,f ~+o oi u (a rY) gZ- VN
10 App nt Name Street Address
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ZiP C(ly State Phone
lender~~ / f Street Address
ZiP City State Phone ,
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Contact Person Phone if difierent than above
Additional Information
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~ - h BUI'LDING PERMIT,►4PPLICATIOfwt WORKSHEE`~
~ PLEASE PRiNT AND COMPLETE OIVLY -1 HOSE PART-a OF THE FORM YOU l_1NDERSTAND
~Pleasa return thia orlgihal and your buifcjan~; plans ta the ❑epartment of Bu+ld4ng and 5afety)
I Ownw a Narr+e (Iast) {iirst) {rn} Dspartment use Oniy
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2 PrafW Addreeua (rra# Awlsrwlrp Addresa) ar Fioad hlarne
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3 ,2M*Carv;nun?ly I Stsia S'kabdivisianlPliai Name
4 Aa&&&w Parml No ~t ~lock -
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7 5et Eiedc~rpnl [~)S1 {F~)S-2 R~r ' Csnsue T►aCt Module No Initfals
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Zip cIty SlSte PhoRB
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I9 OwnarJAgent (if diFferejit than 01 atsove) Buslness Address
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f. 12 R~te+~ Haquired P#ar~ ~k (YIN) DtMer (YlN) SEPA Exernpt (Y1h~) Qate
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„ 15 TYPe VNork 81dg~ ~i MW f_J fVew C7 Replace Ca Other
4 C" Fffe Q Dgma ~ AddlAlter Q Move -
f4 pesCrlbeINork ~
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AdBltitknal Information
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VI. ULYQ Afreement :
1JTI, ,Fiel.d` Review; Preliinin<iry
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DEPARTMENT APPROVALS
This is not a Permit
Application Type '
(S!andard unless (Indicated approvals required in either ^release" or "release with conditfons"
otherwise indicated) space prior to permit Issuance
~ FasiTrack '
Eariy Start Release
Release w/cond 1 Hold 2
~ ✓
Environmentat Health tn Commercial; L-1 Residential
W 1101 College 0 New Construction, Cl Bldg alteration/addition
Room 200 C} Additional structure,
APPLICATION #
Conditions/Comments. .
- /
~ PlanninglZoning: E+1 Commercial, C] Cert of Exemption, O Frontage,
N 721 Jeflerson C) Setbacks; O lot wld, 0 tot size, O use/zone,
O CU, variance, zone change, shoreline, ❑ fence;
❑ Other • o ~
Cond(tions/Comments ~ ~'~~v~ ~ - ` - ~-_QA.~-~'`
~,U~ 60 • 9
W Enplneers: ~7Commercial, , F-44esfdential, O Flood Plafn;
N 811 Jefferson O drainage 0 new access/approach; O fence, y
O r d im rovements
Conditions/Comments. ~ 9~
,
n Utilities:
N. 811 Jefferson
ConditionsiComments: ~ otner:
❑ P1an Exam
Fire Prev.
Conditions/Comments,
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Project Representative Telephone
~
a Agencies Performing Special Inspection
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3.
1 Indtcate ebove or ettech conditions rslatlve to final as bullt approval
2 fndlcate above or attech reasona for hold
.
r - ' _ _4__°.~i%m~ `a:~1ti~X..,it ~ - . ,
DEPARTMENT APPROVALS
This is not a Permit
Application Type
(Standard unless (Indicated approvals required In either "release" or "release with conditlons" ~
otherwise Indicated) $pace prlor to permlt Issuance.)
Fast Track '
Early Start Release
Release wlcond 1 Hold 2 ~
L~ Environmentel Heelth Q Commercial; p Residentlal
W. 1101 College D New Constructlon; O Bldg alterationladdition
Room 200 0 Additional st cture;
APPLICATION + O ~
Conditions/ Com ments:
. r.
Planning,/Zoning: R' Commercial; O Cert of Exemption; ❑ Frontage;
N 721 Jefferon t k• I t w I i•
s O Se bac s, O o Id; O ots ze, O uselzone; 164f
O CU, variance, zone change; shorellne; O fence; j 2(O Other ~
ConditionslComments: k"P U
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~ Engineera: Commercial; O Residentlal; ❑ Flood Plain;
N. 811 Jefierson O draina9e O new accesslaPP ~ roach• O fence• ~
,
O road improvements '
Conditions/Comments•
~ Uttlltlea:
N. 811 Jefferson
Conditions/Comments: _ T ~ 14M
Other:
~ Plan Exam
Flre Prev.
Conditlons / Comments:
~
'D Project Representative Telephone
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i' Agencfes Performing Special Inspection•
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1 lndicate ebove or ettech conditlona reletive to iinal as bullt epproval
2 Indkete above or attach reasona tor hold
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No. 5 NOT 1(; E TO THE Pt1B L IC
/
KNOW ALL MEN BY THESE PRESENTS, That Erwin 0. Schubach, as his separate
propert,y
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
agree:
To autho rize the County to place their name(s) on a Detition 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
shall not prohibit the Owner(s) or Successor(s) from objection to any assess-
ment(s) on the property as a rpsult 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:
13534 - 9043
That portion of the West 264 feet of the Southeast Quarter (SE4~-')
of the 5outheast Quarter (SE4) of Section 13, Township 25 North.
Range 43 E• W•M. , lying South of U. W. R. & N Co. right of way and
North-of Sprague Avenue.
FfLEO* CRAEOMM
p En !;~ST C , ,ly_Engineer
Ku 8 3 s3 N'85
MIILLIAN E. DONAHUE
- - ~ - iSPOKANB ~QU1~f~Y,wAsH. •
DEPUTY
~ t'~
w
Req Court House xxx
V :J
These requirements are and shall run with the land and shall be binding unon the
Owner(s), their heirs, successors or assigns.
Dated this 8th day of March 1985
.
n ~
X ~
X
STATE OF WASHINGTON )
COUNTY OF SPOKANE ~ ss
On this 8th day of March 19 85 , before my personally appeared Erwin
0. Schubach
personally known to me to be the individual(s) described herein who executed the foregoing instrument and acknowledqed the said instrument to be the free and volun-
tary act and deed of said individual(s), for the uses and purposes herein mentioned.
IN WITNESS WHEREOF, I have set my hand and affixed y of ' ial seal th~nd year
fi rst above written.
` •
c7 ry„
ubl ic, I_ r~P@,State
NotV
G r
of nqton
, res= ' ~-n' hin~ton . ' • ~a!?, , ~
•
R/W 1 / 1 /85
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~ • ~ ~ V,-~ ~ No. 3 GO
5
NOTICE 'I'O THE PLIBLIC
KNOW ALL MEN BY THESE PRESENTS, That Erwin 0. Schubach, as his separate
propert,y
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
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
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:
13534 - 9043
That portion of the jdest 264 feet of the Southeast Quarter (SE-4;-)
of the Southeast Quarter (SE4) of Section 13, Township 25 North,
Range 43 E. W. M. , lying South of 0. W. R. & N Co. right of way and
North of Sprague Avenue.
:FlLFO- GR AECOM~
~~Q9=5T C-^ ..('Qu,~Er►gineer
3 ss PM '85
' WiLllAN E. OOHANUE
AUDIZOR
V-OKANE a0tft1.XY~wAs1L DEPUTY
Req Court House xxx
, L
These requirements are and shall run with the land and shall be binding unon the
Owner(s), their heirs, successors or assigns.
Dated this 8th day of March 1985
.
n
X
X
STATE OF WASHINGTON )
COUNTY OF SPOKANE ~ ss
On this 8th day of March 19 85 , before my personally appeared Erwin
0. Schubach
personally known to me to be the individual(s) described herein who executed the
foregoing instrument and acknowledqed the said instrument to be the free and volun-
tary act and deed of said individual(s), for the uses and purposes herein mentioned.
IN WITNESS WHEREOF, I have set my hand and affixed y of ' ial seal thi nd year
fi rst above wri tten. P "
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Notar ub1 i~
Y c, F r;:- h~, Sta te
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of Was i nqton, res-`f,~c-r i-ne'-
ashin~ton
n --R/W 1/1/85
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Vi ~►a AAIANM, AUUITOK • ~ ~a~ PA~ I.
sP0X1►ME
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St~fo~ W~t~r ~ed - i
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TH P- CK ANTOA ~aywond W. Crowley Kstb+erine L. Crawlel Cgowin,~~ a
Crowley~, Cha~r1es B,: ~Crowley, ~►na ,~oye g. Crowley ~sX t~, ess~~ aling
r i th h ! % so~le and /eps rs te p~rop~ert
~
for 3nd ~n ~~m~idrrxli~ ul' $er: dC~ll* a aiK.1 ~0t~eZ' valuablC ~~~ide~~tio
3 ~ _
Itt ~nil p'ail, toniffs ~ 0* Schu~~.' Sud Miidrod C. It
xhr fotkwi~g desCr;~ ~~ti t%ta~t~, Sii-Ated i~ COUftty oB Spoka11! , iitts ~
Umsh,nRtone Th~t portin~ of the Went 264 feet of tbe Soutles~~ ~rter a ,
t~~ ~outheaat quarter af Section 13, Tbwosbip 23 Nortb, Raft* 43 jss ;
of the MiX1ano#tat Meridfaa, i~ina SoMth *0X.R. & M. Coo sigbt of we
and Worth of Spragut Asenge
8xcept tssemrts, scstrictiana ssd coveaaats of rtcord aO fstwrs
sssessrents *f Spokane Yaliey Fise pretectiem Diatsict 1fo. i.
~I Eacift 'com an Red F.ft.
501YO)'tN Pef ='i'Wo-0-
Cior ..~r
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cea chis 3rd • day °f Pe ruary, 1964
(SLiLL)
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..~~....+,..:~sTATE aF WAsHi:vGrON,
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ct)unty of ~pokans
i On thit dxy pef""lty gppcared befort intRayw01sd N. ClOMlt~ , KathlZin!! 1': ~ CrowTt y
! Jane E. Cror.ley,R Criarles B. Cro~riey, sA4 ~o~e F. Crowley Rorio
~ to m* ~Cncxwa c~ ~e the ~ndiv:c~l de~r,E~d in an~i Khc~ execut rrit6_ ~n ~ f~c,i~c
' acknowkdged tlyt #he'!~ ~gned tte SAM a+ their tree and votunUcy► s,t.s~C', arr; ~ar io
wa ~d p+u'~ me~t~ed.
' ` a~d d~jislSa~1tbis ~y ~ ~G~''''~ ~ . LJ.' t • ~
~ GIYEN aade~ a~y ~d
~'etmryr ~ic jor t1~ ~l~c ~,~~~!~a~,
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Stat+9 OT Wa821111gtoZ1 .1 88
Ootinty OP 3pakau0
I, WIT1LIAM E. I?ONAHIIE, Aud2tor of Spoksne
Cou..-t9, L",ato cf Washin'&uvn, ro h-ersby cor'~~fy that the
farego2:,g '-n,trL:-Snt i& a ti7nao and cir2'mct cag-T of the
OPig1?^ial 1-hE31'E:'a3f C:,. :la ax.. j.'
' . 'TL' ..c S'✓NY 1W. o.~ ...R-O~'~ , 1 li9reunto icad 1M,
ha.nd 3nd aff3xed th.e a~'fic~ c; t.l oi r a;~ orffaa, ~,t
Wa8:1121gtOn, ti1f8 g ~h d,. Y Oi
.
NVILLII3M E. DO~e -LiM'i~, Atl~
Spokarrie Caunty, WashingteA
By ,C~ ~ ~ ,w.~•.~.
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COUNTY ENGINEER
~ • ' ROBERT S. TURNER
, ' ! ~ COUNTY ENGfNEER
- ..,~N .i~i . «~>>Y
r""------ '•-~°R-- SYoti s&..~r c .WA.*i I11 N lYT 4).v 9 9 2 6 0
• 1 't Y t
c- G . Z 71 / 9 9
RE : (,CJ 4FS T 440c-4.,eY W'4ZZP•V
GenC lemen :
A review of ttie roaci, drainage, and parking plans for the above-refer-
enced p] , emthrn building permit has been
accompliahed. Areas of concern to ue are Lndicated in red on the attached
prints. Please m:ike the corrections and resubmit them to thie office in order
thaC tht! review process may proceed. When the plans are resubmitted, mark all
chan$es on the revised prlnt in color.
IE you have any queations about this teview, please con[act us at '
456-3600.
Thank you.
Sincerely,
Robert S. Turner, P. E.
Spakane Cuu«ty Engineer
Gary S. Nelson, P. E.
Ylaniiirig Engineer
GSN/set
AttachQnerit
5/3U/4
Puh1w Wo7rks Rijildi►iq North 811 Jeffer5un Street Spokaiie. Washington 99260 (509) 456-3600
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