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SPRAGUE E 5019 WESTERN JUNIOR COLLEGE ~ Cat° I do Ave Alo 1712 ~10:30: ya"~' 145 -2022 L Comm Bldg. `f #J ':FF. p►r 1 Vul _ ) ~ r:E l~~o r. ~ NOTICE TO TNE PUQLIC . KNOW aLL MEN SY TNESE PRES',~`tJTS, That JameB S. ml.ack and Marjori,e E. I31aek, being the owners of the folowing described lands in considerat'on of mutua"l benefits to be hereafter derived do~for themselves, their heirs, grante and assigns, hereby . agree: ~ To authori ze the County to pl ace the i r name(s) on a peti ti on for the formati on - . of a ULID by petition 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 which includes the Owner(s) prop-erty. 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 conjunc.tion • with the formation o-f a ULID by either petition or resolution method under RCW Chapter 36.94. This'statement involves the following described property: a,. Lots 22, 23, & 2411 89 TO'dA7 OF YARDLEY, according to Plat recorded in Plat Book E. Pa 68, Spokanecourity, irTashington. I H E Q U-- ~T ~?P Count"ngineer MaR 9 Z 28 PN'04 WILLIAH E. bGNANUC '~0 , . 4P@9AN ~~lldl- ~Y,WAIKi , - . . . DEPUTY , • Req Court House xxx . These requirements are and shall run with the land and shall be binding upon the owners, their heirs, successors or assigns. . i~ STATE OF WASNINGTON ) ) ss COUNTY OF SPOKANE ) . , On thi s day,of before me pers nally appear-ed ~ _ i. y ~ ~ ve,sc ~ _ ~per nknown to me to be the i ndi vi duari be~ere"i n who e.xecuted the~ foregoing instrument and acknowledged the said inst ument to be the free and vol'un- tary act and deed of said individual(s), for the uses and purposes herein mention . ed. , . ~ ~ . . ~,Gi ven under my hand and seal thi s l day of '<<' , 19`~'`- . , i 1.....- -Jota~'y uln and tor the State of Washi nlton, resi di ng i n Spokane, . ' , Washington. , ~ . ` ` . - , ~ No 1712' ; • : ~ .4. Cataldo Ave ~ .t.~J b•1 03 090172 14531-2022 Cow.: Bldg 4 - . 1 • ~ , rt . `'i~. ~ . ~ ff F. °A~E -I C~: 1-J 1l1E ~'UE~L ! C Yfi1. 681 }:NUW At MF.'; fs°i f:ic ~E Pkc 5ENf S, Ttia t ame~ C._ Black and Pnar~orie E. Black . - ~ ~ . fi . • • bc-irigtheMoNnersof the~ followiriy describc-d lands in consideration of mutual benefi'ts= to be hereafcer derivc-d do for thenisElves, their heirs, Qrantees and aSSiqnS, hereby" ayree to the followinq: , Join and participate in the for„idtion of a County Road Improvement Qis- ' ° trict (RID) pursuant to RCW 36.88, at such time as a district may be .11 ' formed or any Road Improvernent 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 legal assessments for said Road Improvement District (RID) established pursuant to RCbJ 36.88. , , . . . . , - . , w.. :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 existinq 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: , ,y. . a . , • ' . y - Lots 22,23,, & 24 $1 ock 8, TOWN OF YARDLEY, accordin.g to Plat record.ed . in Plat Book E Page 68, Spokane Countyf Washington. ' . y` . . . 1 t 4 ~t LEQ'OP pECOMI . , ` . . ` , ry'' RM: $Y County Engineer " r - , . MaR 9 12 29 PM 984 . :,s ~ • , G• x , ~ WILtIAM E. OoaaNUE • _ • " •a :,.f. Auo«oa . - ' $POKANE COUNTY. WASH.': . 'DEPUrY- c • . s • ' ~ • . Req Court House xacx These requirements are and shall run with the land and shall be binding upon the, -Y. owners, their heirs, successors or assigns. 4' T~ . . Dated `-1 ~ ~ X + ' STATE OF WASHINCTON ) ) ss COUNTY OF SPOKANE ty~~ tht, o. ' - , . • , D. 19ho -1;e nu= 1)ersonally . ' . . • _ • ~ t` - ~ _ , ~..y.~~ _ • _ kno~ tca reL:ta be the f-t who execud the forectoi_nq instrinnenC,,. ,;j, . and arknowledqed ttie said ir►strurr~ent to~be the free a d voluntary act and`,deed,of.' ~•f .;ir, ~aid A t-t r )k t1. i. , f or the uses and purposes herein mentioned. 4=`' ~~y . •1,' -t'v~,~' . • 'i\y 3 ~In Witriess Whereof I have hereunto set my hand and affixed my official seal `he' day and year first above wri tten. . . , • Nota~y P c In and i the State of Washinaton, , . . , . ' , residing at Spokane, Washinoton. ~ ' r. , I ' • Ki 1 ~ ~ I.~~• ~r•.1•I . I`. . • ~ ~ 1 a~` 1 `~'~l ' . . . . r . ~ ' ~ DEPARTMENT APPROVALS This is not a Permit • Application Type (Standard unless (Indicated approvals requlred in either "release" or "release with conditions" otherwise indicated) gpace prior to permit issuance.) ~ Fast Track ~ - ~ Earl y Start Release / Reletse ~ w/cond 1 Hold 2 Environmentei Health ❑ Commerc(al; O Resldentlal W. 1101 College p New Construction; Q Bldg alteration/addltion Room 200 O Additional ructure ~ ~ V C ' APP ATION ~i f -b Conditionsl Comments: ~ !1 _ 2' Planning/Zoning: O Commercial; O Cert. of Exemption; O Frontage; N. 721 Jefferson O Setbacks; O lot w/d; O lot size; O use/zone; O CU, variance, zone change; shoreline; O fence; 0 Conditions mments: O ef - ~ ~ Englrteers• ❑ Commercial; ❑ Residential; O Flood Plain; S ~ . ~ N. 811 Jefferson O drainage O new accesslapproach; O fence, O road improvements Conditions/Comments: Utilities: N. 811 Jefferson Condittons/Comments: r Othet: • ❑ Plen Exam 'Fire Prev. ConditionslComments: 4WL NoMIL R" ~ A&-EPL (44k. S~'~'1oK ' -EgF-."'-S"Co9AC~ Or- AUY IC1ND. But . P~ur►,ar~ , ~ ►,M . ~ . ~ ProJect Representative Telephone ; aAgencies Performing Special Inspectlon: co • C 1. Y O f- E ` E 2. 1 o - ~ c ~ 3. ° 1 Indkate above or attach condltiona reletive to flnel aa built approvel 2 Indkste ebove or attach rsesons for hold I \ . r BUILDING PERMIT APPiLiCi4TtON WORKSHEET PLEASE PRINT AND COMPLETE ONLY TNUSE PARTS OF THE FORM YOD UNOERSTAND (Please return this original and your buitding ptans to the Oepartment of Bufldirig and Safety) i Owner's Neme (last) ~t~rst) (m) pepartment Uee Only 7606~~ pas. Comm 2 PtoJect Address (not Mailing Address) o- Road Name Space Z1p x~~t d rk, r= 't_- . 3 GtylCoWuMty 1 State ~_SubdivisionlPlat Name Y' 1 I ' a Assessor Pa I No. Lot Biock ~ _ / ♦ w w OEPARTMENT USE ONLY t * { S Slc Coae 2one ~4ct. M Zone Project No. 6 DweII M No of Buildings Sq Ft./Acre Depih Frontage C) `Z 1 2-9 0 ~ 7 Set Back-Front (L)S-1 ~ (R)S-2 ~ Rear (bnsus Tr~t Module No. Inltisls 2- 60 o' . J U 1~ M- 16 Architect Firm Name Street Address * Zip Gty State Phone f 1 CD^tact Porson Phone If diiferent than above ( ) Cont or Firm Name Street ddreas Zip City Sta e Phone ~ ~~J Contact Person License No. Phone If different than above ( 1 8 OwnerlAgent (if diiferer,i than 81 above) Business Address 9 Zip City State Phone 12 Review RBquired Plan Check (YIN) Other (Y!N) SEPA Exempt (Y!N) Date 15 Type Wark Bldg 0 MH C► New CJ Replace ❑ Other e~ Fire 11 pemo f~ AddfAlter C] Move 14 Describe Work ~ ~ S'~b~1iAC~ ~ Zo P~~~ ~ 10 Applicanf Neme Street Address 11 Zip Ctty State Phone ~ . Lender Street Address * Zip City State Phone ( 1 Contacs Person Phone if dlfferent than above ' 1 ) ~ Additfonal Intormation ~ I~ DEPARTMENT APPROVALS This is not a Permit Application Type r (Standerd unless (Indicated approvals requlred in either "release" or "release with conditlons" otherwiso indicateci) space prior to permit issuance.) ~ ~ Fast Track Relegse , Early Start Release w/cond 1 Hold 2 _ ~ . ~ Environmental Ne►alth p Commerclal; O Residential . W. 1101 College Q New Constructlon; p Bidg alteratlonladditlon Room 200 O Additlona4 structure; . APPLIGATION # ~ 4 Conditlons! Comments: . ~ Plennln9/Zoning: ❑ Commercial; 0 Cert. of Exemption; O Frontage; N. 721 Jeffersan O Setbacks; O lot wld; O lot size; O useizone; ❑ CU, variance, zone change; shoretine; O fence; O Other Condit(onslComments: ' Q~ ~ yt Enplneers: O Commercial; O Residentlal; O Flood Plaln; N. 811 Jetterson O drainage O new accesslapproach; O fence; -77 O road improvements - CondltionslComments: ~ , . : • M , o Utilitiss: N. fl11 Jetferson .F Conditions/Comments: ~ . ~ Other: , ❑ Plan Exam Fire Prev. Condit(ons/Comments: a~ c c° Project Representative Telephone a; Agencies Performing Special Inspection: ~c o ~ E 2' ~ u- c 3. ' 1 IncSicate above or attach condltions relative to linal aa bulit epprovai 2 Indkate above or attach roeaons for hold ~ i;u~~t 1 i'► i t~.~ • e P/r ~'I ~ ~ ~ ~ !s„ . i . ' ~J~r'~ /~1~ ' f~/ ~i~i J ~ ~ • ~ . . * Ic r I , ~ ~ , . 5 S" ~ / °l . 7 S ~~1Utlt• LI 30 1't~~,t1,• ~ J ~ V r~ ~.Vt. S 3 q ' . ~.U13t1(,y 7" (.,,Itliwl f'F'1 .;,)!i ~ C ~ • - . . . 1►,„~o• Ni, '11,: Sh;►~~ ~ 1'()MM1•.K(: 1Aj. rsis 1 j.j)1 ~ti(, pp.kMt t kLV 1 i:W 'X'his bu1 ld 1iig pcc m I I r-t,v i,•w i:; hil.r:iic1~-d 0) ,-ijqjr j1se y"Li Ut l tIe tin}~r„vetia~: i►t ti( t'uadway, side- j#alk, curb, Sturwwat cr , <-t 1• whirhi tuust bt• L0►i;t rtic: c.vd in xsP,()c it►c ion with yUUr building pero,ic. 'I'tii5 c:hec•kl ist wi 1 I he FLllyd utit by the Ecigiiieer's sf.aff gnd a copy w111 be re[urned t.u yo►u aC thc, t Iiur that Lr~e perinit ls inic lal«f by the Eribineerlrig pepertwent. All requirc:tnen[s stfall ht• c>>mpleted Nrfor tu tybualJc:e of the bui.lding Nermit. All un- checked boxrs reyi,lrt~ i+dciit it,nal researc•i► ur ti,turmstion tu make a deCermination. 1. St(:)r.wwatec I.1raiiiabe Cuiibiderationb X. -7er guideT~nE~s fi~r -'Sturmweter tlanagrment 1981" both on and of /eite. . 1. 208 t:onstderdt ionb* Yes [j No . / 'l. Fluod ha2ard z:,ne runsidera[tuns** ~ Yes No 3. Sturm OratnagE Pldn ~ Yes ~ Ab . I I. Planni cis Ac:[ ion N 1. Rexone, Cand i t i onal. Use ur Variance on property fj Yes ~ Nb 2. Are requiremente of planning action incorporated ~ Yes ~ No . in[o aite plan III. Right of Way. , 1. Doee permit neceaeitate R.O.W. dedication ~ yeo ~ so 4 2. Did zone chenge require R.O.W. dedication ~ Yes ~ Np c. r 3. RadiuB d[ corner ~ Yes ~ Np ~ xV. County Road Improvemente '.r 1. Roade need to be Improved. HoW wide fj Yes E] No : ~ 2. Cu r b ~ Yes D No 3. CRP/RID agreement E] Yes n No 4. Plana for improvemente provfded 0 Yes [j tb ; 5. Sidewal k ~ Yes ~ No • ~ V. Parking plan b Appruach Location 1, Review and s.ign of f by lraf f tc Yes El. No , 2. Approach pec-mlt frum Engineer'8 Office 1-1 Yes M, 3. State ur City 51gn off ~ Yes No V1. Field Revi ew: Pre I ioii tiary Commen[s __A/~ Ay/L (A/ * A] 1. ,tand wi t t,in tiiE- i1y„ i fer 5eiisi c i~,v Ai ,•,i, where clecrued t e:jh f btt, hy tlte (;utlnty Engi- neer, ehall i.nvurpnr.itN stormwater Grr~+t,nent Lo mitigat.e ll~~~ ~~(I,teiit.tal for gruuiidwater degradeti c~ti. (See (,li hieI i iterc fcfr S[+)c mwit er hLjna);eioent 198j, 5pok,+ne Ho.+rd of County ComnolsstOnt f'b F~es~,liit I~~i► Nu. 80- 1`)y?, .+r. .3w-_,iided. ) Tf1e pltC (it)hls 4lf I1.1l,.ll J 'l.0111t' I t'V ( l'W 1`, t-) ml i)i lnt /_N ~~1`•`.~'ti c~11~' 1 j.).3.tiIlg i11 Rpe` cif tc dre,js dt•-.1r;1: otI-k" t,v Fl.)ud li.ir.,~r~,1 tt~~~~~~rl.~i m.i~,ti ~,ii t i i~• ~+t i~.~ c;~►~►~ity Htt?,iiieer't Of f f. f'. ~ tr<'~' ~~i>ti~.~ i• ~~ei~ll ~ 1 0tltil~ l 1 .:Iti:ttl .~`.lc)tl~~l h~•~I l1 Ni~. .~:i ' _ , I ~ BUILDING PERMtT APPLtCATiON WORKSNEET . PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM Y4U UNDERSTAND (Please return this original and your building ptans to the Department of 8uilding and Safety) ~ t ow 's Name p t) . (fir9t) Iml ` ~rt R,e„i use pnI y ~ ~w~~.G~ F~s• ~ Comm ? Pra~ Addr~ (not !ng AdCress) ar Rnad Name Zip ~ ~ ~►?Iq ~)~'r~~0//~' ~ ll~ ( # /IV 3 GrylCornmunity " Y Stste ~ Su iJ~ it~lsionlPlat Name ~ ~ k~ 4 Assessor ParCel No. ~ Lot 61ock 145~3_ f~ DEPARTtv1ENT USE ONLY (i 5 Sic Code Zono Art. M Zone , ProJect No. L\ 6 Dweli N No. ot Buildings Sq: Ft.lACre Depth Frontage 7 Set Back-Front MS-1 (R)S-2 Rear Cbnsus Tract Module No. Ii"iais ArChltect Flrm Name Sireet Address , • . /l~i.~~" ~h_ Zip U City ~ State Phane ~ ( ~ Phone If dittererrt than above 2 Co~tractor Flrm Srf861 AfSOf83.S ~ L~~i~,C) ZiP qty State Phone Ulfl ~c~.~ , Conted Lioense No. " PRons lf ditferent than above 1-~f` ~ ~ ~ ~ y~~~ 1~ i ~ 13 { , - 8 Ownor/A¢ent (if different than 01 ebove) Business Address 9 Zip City State Phone 12 Review Requirecl Plan Gheck (Y/N) ~ Oirter (Y/N) SEPA Exempi (Y/Ni pate i . . , t 15 Type Wark G Bldg ~ MFi ` New ~ Replace C Fire ~ pemo ~ AddlAlter Move ~ cribe W~ 1 ~ A-;), ~'Sf 10 Applicant Name Street Address 11 Zip Gty Staie pnbrse ( ) • • . Lender Street Address ~ Zip City Stais Phone ( ) rAdd!Clion'al act Person Phone it ditferent ihan ab~ve Information AA . , . , , r ~ ~ • DEPARTMENT APPROVALS , jThis is not a Permit - Apptication Type (Standard unless (Indicated approvals required in either "release' or 'release with conditions' o4herwise indicated) space prior to permit issuance.) , 0 Fast Track Release E] Early Start Release wlcond 1 Hold 2 ' 4 t ~ EnvrroRmental Heelth ❑ Commercial; 0 Residentiai W. 1101 College p New Construction; 0 Bldg alterationladdition • Room 200 D Additlonal structure; ' APPLICATION # - - Conditions/ Comments: . ❑ Planning/Zoning: C Commercial; 0 Ceri. of Exemption; 0 Frontage; I-C`j~`'~ N. 721 Jetferson ❑ Setbacks; C~ !ot w/d; 0 lot size: J uselzone; ~ O CU, variance, Zone change; shoreline; O fence; O Other ~ Conditions/Comments: ~ t ~c. / 4, ~ ~ Engineers: r Commercia{; G Residential; ❑ Flood Piain; ~ N. 811 Jefferson ❑ drainage ^ new access/approach; C,.", fence; ~ C road improvements Conditions / Comments: .44 - 4 ~.•C ~ ~ e12 ' ) r Q Utilittes: N.811 Jetterson Gonditlons 1 Comments: Q Other: ❑ P(an Exam Ffre Prev. Conditions/Comments: ~ a ' ~ Project Representative Telephone U a Agencies Performing Special Inspection: N C 1. Y O v - c~ ~ F- E 2 ; o - LL 3. t Indicate above or attach cond(tions relative to linal as bullt approvei 2 Indkate above or attsch reasons for hold ~ . r 11 ~ ~,,~te , ~ 1~~~' ' T,~~ ~C c~ ty j _ ~ , - ~ f~~~.- _ ~ ...r ~ r ~ No • _ ' , / ~~L._ Z''"'. _ : ~ j . c,~ y'r . , 1~ ~ 1. , . ~ation~". ~ , - _ ~jC~~f`~~ - _ y ~ ~ ' ) l ~ ~ . r ' pddx~ss ~ ~ , 1 . ^ ~ r y- ~ " _ ~ ~S~' - ~ ' r - f i ~ r ~e x f - ~ ~ r' ~ . /1 ~ 1~~~ ~ ~ ~ ~ / ~ ~c~,tion Class / , tJ t . . / ~ ~ / , . . i ~ t iy! ~ tc~~~~~~.~ 1 \ 4 J 1.Y ~ t /J ~ l ~t 1 ► ~~v~ ~~~1~~"' ~ ~ , , - ~ ~ 'r' ~ _ C~ 1C'~ - ~J~ ~G`t--~ 1 r r / ' ~ _ t~ ~ _ . ~ ~ - ~ , ~ ~ ~p ~ f~`-~ ~~.'C~~ ~ r ~ ~~~:,t~~T . w ~ 7FW13 iS NC?T A PFRMIT) Bl.liLDtNG ~~RMtT APPl..i ;ATi~.~N WO~~~~SIHEETi' PLEASE PRINT AND GOMPLETE ON(_Y i HJSE PARl-S Of= i HE FORM vOD UNuERSTAfvD . CUMPLF_TC !td lv!< ' (PlGase return this o: igina( iind ynur budding plana ;o ;t-e D::pnrlm`rI af E3uilcJing and Srlfety1 SHADED AREAS ARE FOR I~EP,:.Fil'~..tENTAI, USE - ~ • ' Project Number Owner's Namv LAST ;=1 FiS i M I 3`pok!~ Pro,ect Address (Street Name K NumUer ) ZiP .S. 0~51 b 1~1~/.~I~~ ~;~~~~i/ r~ t~ ~~1~df~/l Applicant ~ Mdress C~.~ TT~L1/C City •~ll~/~~~~ -P . 5tate Ziu Phone _ SAxgz1::f 3 8usincs5 Phone f ) Contractor/Agont Acicfress ,&I'Eg r/ky f CNy ate ~ 2ip Phone ' 1~411 ~ lC~11.~ 2e ~ ~'y ► Co act ~ license Number (FlequireKf) f3usiness Phonc a. 2d r f L~31214 t-.~Archft 914 En er ~ Address . C1ty Stale Zip Phone ( 1 ~ Contact eusiness Phone . ( 1 Lender Address City State Zip Phone i . k~,,.+~-Kkr~~ , . ~ ~ . . RCS. COmm. . . . 'bit3~ ^4.35:~' S' • _ . . . ~ . _Subd 011-t'7110, N /Shori Plat Number. • ,c S ' ' • , , , , - . . . .~~1~ J . 19 ~ ~ ~ - ' t ~ ~ ~ ° ~ , ' ~ lot ~ , . Block - • Plat Number • NUR1~f' ~'I}~ 'l~~;.` '4i~ q .«,:=;L;a. ~c;= .s;..• r • " ~~r~ x_ ,a~~.!"r,' . . - . " ' • , _ . . : , ~M + p , ~'ir.~ . - ' ~ ' . ' ^ • i . ~ ` _ . . . . , • . Zone , Comp.Plan CensusTract ~ rg r • ^ ~ j ,~~~~~.4~; ~ , iw . . ' s ~1~1w'~~' X . •+:.f".~ttYr'L f_ . . , . . . " . . ;Numberat8uildings••_ lotSize(Sq.Ft.lAcre) • Oepth Frontage . r•. a;F~IRK_ . • i, ~ ~ y. ..i . • ' • ' 'rl, , ' rp~'~5~' ~',.ti.~.' . , n~~ ~ v.'> ~•t . ~ ' ; . J3, : > s~f' t.84tb ~ ~ Y ''~~;+,~s'~ `'LeftSetbaClc,,,.~,`~~t;;~,T,~3~ Rlght Setback . . * ,.,,;;~.,•.5. R03f SetbeCkrah A/ W Widlh »c~y"o~ .i ~w t•~.-~ . ' ~~l ~ I rti ` ~ P ~A i . Z ` ~ ♦ _ ~ ~ j a~ / f , 1 ~ J..1'~ `..w. ty. t~ ~1• I t . c~ . aI pj ~ ~ iJ~r-,t~~ . , In~~.~vt~,^~~~y.o...~ryal.:at= ,~QUBt.@F001d~9'a!fwr;4~;9tsiy.v~~ks.~ot+G~" ~ w s+~ 1~j~✓ ~ ~ . .C}.F,~ ~ . M ~ • , . ' ' ~ • • ~ . . - `,,a.~ 'f, r~~ ~ ~ ,+i : ~ ` , ~ , • , . . ` > 3' ~ ' ` a :rw va r ic ~ ~.i.ay;~.~;;:q;;.. ~~~.r~y;ti .P',~"~ t•'. _t~',,yt`i'i~.~''•~ s ' .w:•rt'!R'7''o:~. A~.1 ~.:3r;p1• ~/51. 'I~► P.`:~V' ~Y s4 JL'al'~: ?~F.~4~c~ ~^1'S•T'tMh,-/~ o" . • . ~ . , , 1 • ~ Lt `~!i i ~r~~#•, '^~t ~..~C' *'~7r1.. I_ _ : ' h'~'`~F!~+~; ~'7~'yxev 1' r t(is`a'J ~ . ~ ~ ' ~ • ' - i. . ~ ' , '+:~a¢e•~' r • ~S, '•~~~.s"• .~'•9~ . ..~.7jt, ' y'~ ',~'C'j @.:~.' r~;' rr I''::1. ' . ` t , _5•, . . _ , . ,b, ~7~~'+~~~}s~E .'-'~'t~ ; t.Lu? r~R. • ~ . ~ •C ` .~'j :Y Z • • ' . J~ ~~ri . • _ . ~ _Y~. 'e .0.'. '~`iw " `v •a y . , i„ ~ . O a y.a}. x :'.c a~,~ ~,~4,~~~4.`.4}~,r~!!,~~40 ~[¢'.^J•aw . . , ~ . = ~ ; ;a l~ = .t. ~ ,i w. ~ I..~.4~~,) ;~^Fa~~, if K q~:}~ ~ ~ t- S~_,~}• i• - . T .r~~ 4.~ = ~ / , ~Y}~„J'`~"krill•'~~£`~'~~:~2~%' •M~ r~ t~~s'• e~• `i " . ' • ~i', ' Q ' . - ~ ' ' ~ st.La r~" '~'i'~':,~Ftf:~.~'~}~~~~`'x~ €;~~•`m;~'S~YY~cy~,r,~A •'iMY- • yMt , ' . ' „ _ . ro G • t+.. w~ .N.4: a •e J. •'~':'ff G~.';'~''', i~:Z~K{.r -;a5 ~t+.'~ ~8.- p'1~ ~~c v ~ ~ : ~ , j • ' . ~ i r~ M ~ ' ~ I~ y~ ~ ~.$,'~~~Z„f'~. , ..2.ti.' r'- - ,Q° , ~ r , '.Y• . .ti~ : • ~ „'t" 't"'9`, ~~'y3'~`~ LL , ~~V4:~~R ,S ~r. 1•~.5in. ~ ~t4~ . ~ . . • . r. O i~ • t n . 1 ~ ~ f v ` . W. . . - • r,--. • 3, ' ' , , _ ~ Z . . • • - : ~ = .iv ~y , '~2~~ ;Mi~ ~';tf' ~F ~ ' ti 'r . ~ .,t ' ~ ~''•o,.~ 1.~ . f ~►~,.,.j,i'y, ~Y;,r~.~~'~~~i.~.' ,n'.,~;e,4 ~ j:. ~ _ _ ~ ~ . e. ' , +`~f 'r• eP, ..4.~ c~~ k ry{ 75,• r } , y4~,.°~• i,~~~'7+~ ~ . ~ ~Y ~i .l~ C • . ' • ' . ( . • n~~~, r ~ y~i~~~~9;a ' ,~I'~~M~t~'i~[~~"`'~..~.af'J~'rt'~"p~`o1{~~T . • ~ ' 1 ~ ~ , .s.t, Q ~.~Jf'~•'~~ i ♦ ~ :-«^1! Fl~~b'G~ ~f~"~ ~ .~tt! f~. fr'. ' y~lr,"•~', ~ ~ 1~' • , ^ . J . . , . . . . ,r~~+ ' zih3i . ~+q,• . C . i . ~ . .rF' . ~ _ „ ? . r. ' w wS; : i,er,, e4F':C?', ~"S-rv0•~~~riyR y1? ~ t p: t SY '7 . . m NWmberLI WY(oQms . ~1: ! • . ' 4 ~a ~i,'~a 9t'p;,}y.,'~t,~ ? ` ! ` 1 ` •..~1Y ~ ~r` ` Ya ~~,,s~ r».. f ~ . ~ rl~'r ~ ( ; t ~ ~'a ~ ...i~.'~.a~~ act 41°~.. ~ 4.!i~ %;f'!h"7~ ~ ~.ww~~..r'.'~:~?~1~7s~",".,l~E"r'(,l`J► . , ,~J a: • r1..l..i K . tti= . , , ' . ~ „ . . t « • ~ ` ~p~a~,t^`•'~ ),r+shw, .►~fs..~-s,~N:~' I••. _ ~~i•. .a~.:~«..« . . . ~i. ~ ~.r~ ' ~ ~ 47`r ~ ~ ; ~I ~'4 e ~ . . .~-~r.;.'i*Ya• . -.~~=n•~.~. . ~~~Y. ~T•SY• ~tiS„ ~~r '1-±' s •~H18 Y j:;"7' <."+0 . • j~ . GfQ110'- `TYpe ~SY: f, ~,5~~{~rIy~t,rti~e.1~ ~ `~y~,~ 18 ~'~i • ~ V • , • • ~ , - ~ q . ~ ~ i• . ~ .j~:.~~i.;~we ~ • ~ • . ~ ' . . ' . . . . , . • . . ~ ~ DEPARTMENTAL REVIEW Approved Cond. Approval Hoid Envlronmental Heelth Application M ❑ W. 1101 College Room 200 • Plenning/Zoning f ❑ N. 721 Jefferson Englneera ❑ N. 811 Jefferson Utiiitles ❑ N. 811 Jefferson Plan Revlew/Fire Preventlon ❑ N. 811 Jefferson , ~ Other (SEPA/Critlcal MateNal/etc.) I a Faet Track/Speclal Inipsctlon Information ProJect Representatlve Phone Address I certi(y that 1 have examined this applicatlon and state that the Information contained In It and submitted by me or my agent to compile sald applicatlon la true and correct. ' Sipnature Oate . , -r ' i~ - - , -LZ G J, N 3'-e- 56 ; ~ . -IRQAD_W~~ N cIE, _ v~?o/~l-y_. ~ ~ ~ ~ S G~^✓ SCAZF 7'0 U ~ ~ ~ ~ . ~ ~ fl • ~ i ~ ~ ~ ~ ~ ~ p It~ t 1~~ ~ r (THIS IS NOT A PERMIT) ~ BUILDING PERMlT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND p COMPLETE IN INK - - (Please return this original and your building plans to the Department of Building and Safety) SHADEO AREAS ARE FOR DEPARTMENTAL USE Owner'a Neme LAST FIRST MI ' : 7+19 FC^ C.W ~ ' ~ Pro)ect Addreas (Street Name 8 Number ~ Zip , ~L~.oRl~ f ~ A°"can~ a~~~ LaYo 0()Q-b ~ 6311 pr~rItR68-D ~ C~_J 1 U F~. e State~ Z,~ Pnone C?C __a 12, { )5 3q Busfness Phona • ( ) 4 Oont ractof I Agent Add ress . E39e,21 /~'!~'T`rar~'~.<.✓ City State Zip Phone 4JAS.54wc: rrr~ ~9n2o -7 471? 41 351:~' 6' i Contact , License Number (Required) Business Phone ~ r Archi tect ! Eng i rteer Add ress 111- / tty State Zip Phone >vG ra~ 99~ a 7 ContaCt Business Phone A Lender Address ~ Ciry State Lip Phone , ! 1 j ~ m. R~: ; . ~ , - p , r ' ' - - ~ ~ - ~ . . . t Subdfviston/Plat slS~t ~fai umber` e - a _ , -d . ;,..,,'~"'~r:.:~~:,; • ~ . . . ~ ~ j y~~~ r .y.`~~-. o:t"u~ ' . ' , . aZ'~ty:`+~"{~~~ '~7f'L[~~}'~'K`.1~',rt~ Yv ~ _ , . M - .N R -v+i,a.' . . ' ' ~r~`"' 'zy~,.~•) - • ' . • i~ Parce! Number~~~~ Lot L-8 ~Q ~ _ • Block ~ ' ~ : ' • Plat Number ~ z ,r. H'~^'~ r' • - - - • . : 35- ;F~Artl~ieni f1le umber's `;~'~q";~:~, ~.9 « s..;` Zone Cotnp; PiarkE,c ' . Census Tract . . ~~~~7~~ C l'iFr~'.K:'A ~ _ _ ' ~ • . 1 ~L! ' ~ ~ ' Y~ I . • . + ~id' Oi Dwel{i Numberrat Buildings Lot Size (Sq. Ft.lAcre) , Oepthz l Fronia9e ~ _ r.. ~ . V"_ _ t 8elbadt.,f Setback-`y. _ . Rlght Setback . . - R~' Setback - R/W Width L W~ . `^'.t • ~ . ti, ~ .».s f -~r , • ' ' • - ' • ' . , . ' : _ - • ' ` _ ' . e ~dltlondlntormation;¢».°~~_~rG-• ~,~~?~-.,~~y ~ . : ~ • ` ~ ' ;t' ~,-c.~. Square ~ tage /~d - ~ . - ~ ' AC Ne'11% ~i -.4wd~ ~ ~ a • ~ ~ ~ ~ j ~ o` ~ i.iy K'. yu.s,. r•4„~ E.~ 1 4.,_~~:°rac~s~• ~iY:r~ ' a..acM . . . • ~ ' ~ a ~ • _ ~ ~?c~~« ~ . y~~t~~c .i e~,~'+1::~4w: ~ . _ • , • 1 ~ rTS l C~ R s~~ , . . • ~ 1 ~ . ~ ~ u „i - • , . . , . Z . s • ~ i - . . _ _ • . . - 0 ~ • . - ~ ;~'~.i f~..~ _ ,+~•4~'.~,+i~" ~ - - . _ - _ - : ~ Q . . : ~r~.tr.' 4~:. ' • _ `~i.» ~0 . ' : ~ . . ~~✓..~a~*..~~ ~'~Kt: ' - '~•-'~~"7; S'.:• ° O L`w^i1.t ~i i~A t.~ ~ •v~ ,y'r~"' . ' . . - ' ' ' ' - - : ~ S ~ U. ~ ".ffiA, ~ ~Z . .'tC~-~,~.Y~Jw~. • e ' Z ~ Vj . . , ` = ' . . • ' g~ .t~ ~'~t~vs'~= ~ r.'+r y ~ 7~%i. - - . ' • Q , i••..,.~~ r o.~ ~ - , J ~ .T-'s~l ...r , ► S~-" Ja ` ~:t, . < r ~a . , . _ ? ~ ,r ~ ' . ;w .s.•- i L ~ . ~ m NllmbQf 0f BE.'d(OOfT1S ~i?~+. . _ .,i,~ • . ~h ; a. i~ . - • ' E~ .r. ~-~'-"'7~4tiS: ~ :it j ~ • - . r. y ~ ti . . ' _ - w £ ~~y, ~ yyi~+i ~ ~'X«~'.a!«'~ ~ ~ . . . . ~ ~ a < . . . _ . ~ • Ida~TedtnfCC~u~'" Date..-,. Group 7ype ' ~ I.•`'~_ .TJ ~ • J V N . ~ ' . . _ . - - • ~ ~ , . . _ y • 1 . DEPARTMENTAL REVIEW ` . ~ Approved Cond. Hold I ~ Approval Emironmentsl Heetth Appticatton t ~J W. 1101 College " . Room 200 ° . ~ ~ . ~ ~ Planning/Zoning . fiLv7 ~Q51 N. 721 Jefferson U Englneers ~ N. 811 Jefferson _ v utnities !J N. 811 Jefferson r J~L~1.r~ _sr~r-~.~~s~- _ , ~ _ Plan Revlew/Firs Prevention 'I/~91~ ' . ~ N. 811 Jefferson ' P i ❑ Other (SEPA/Critlcel Material/etc.) ~ ! ~ i f f ~ Fast Tncbc/Speclel Inspectlon Informatfon ~ ( Pro)ect Representatlve Phone ~ i Address ! I certify that 1 have examined this application and state that the information contained in it and submitted ~ by me or my agent to compile said application is true and correct. ~ Aqk - Slgnat re ~C , Date v / - ~ I ~ (THiS IS NOT A PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND COMPLETE IN INK (Piease return this original and your building plans to the Department of Building and Safety) . SHADED AREAS ARE FOR OEPARTMENTAL USE , ' PrOjeCt Number Owner's Name LAST FIFiST MI Project AdCress (Street Name 8, Number) C1C12~2- Applicant Adaress City State Z p- Phone - ~ ~ ~ Business Phone ( 1 Contracrorl Agent,i Address '~/=fr'-~✓, ~^P~ `3 City State Phone -0~ ( ) Comact ~ License Nu er (Required) Business Phone Architect! Engineer ~ Address \ Ciry State Zip Phone I c ► Contact Business Pnor+e c ) Lender ~ Adaress City , State Zip Phone ( ) Oescri , ~ . . • . : Res. • Comm/. - ...~-`y~ ~ , k ~ ~✓L'~r' AV L..-~G.~/ • 1260F ' SySTr-" • a.' _ . . _ ~_.,-.-c...:.._.. . ✓ _ SubslivtsionlPlatName/Short Ptat Number ° ~ • ~ • - • • . - ~ - ~ P.;-_.__. . . _ _u...r,,.•.~__ i . _ i=..~Kti . „ : ~ ' • _ - . ~ ~:.-1•-- - 'w'.. .'1,~.~v-~ °•;<~VW O~ ,~,r I ` - . • ~s.,,! ,`c • - ~ ~ a . ~ , . • ' ' ' ' a'~ •a•.~,. ..-o'., i~ t' ~ •S ia' - . j: • ' . . , • .r ' - r i. - ~3 Assessor Parcel Number - " ~ • ' . ' `Lot . . 81odc Plat Number ' • -.a6~: y`r' ~~c•:.~T;'4x?~' i ~ ~ . , ' _ _ ..:.~=~~",.r .'Jr .e~. +r" . ~ ~ , . ~ . . . , . ~ ~ ` .r .:"e,:.i t-'~_`s' r ..d8`/tC . `~t:.. ~ • _ ' v`7 Pertlnent File Number8 ~~:-r~,..~ •~:.r. ,_-..~:~a ~,••~~•,y~~:ti-....~:~-, - . Zone Com Plan - , _ ~d. . ; • . ~ 1-f . _ .r ' ~ 4' ~Y - ° r . . - _ P.•. _ Census Tract . . ~~.L`:','.'.~~'..~,"~ 1r' - : ~ 1 . ~ .r n'-u ~ " ' . . - . . - ' _ . ' ' . ..,.~.-a~ -S : ~ ~fi . f ~,t ~ . . . _ . ♦ . •lj - • • _ • Nu~mber ~~bOwell~i,nfl.Units.' Numberof Buildings . ?4 Lot SI=e (Sq. Ft./Acre) r. } °....._7~-.- Depth. ~-r~J:-aa~..•~i*✓: .%'~z'','F`d~.'t'~ ~"c "4•~~'~!-~~.-~y r aly-~ "~a3'~Q'Y.J } •:e.,~w ~'r-,~'.r_ _ t~'' - •~p ~'s.-.•• _ ..'.~4~~-`r~.~~„~a~.,.~ . +•9~ Y-. ~ _ .~ti~+b,: -;..s'J - . _ +.s . _ - 1.." ~ ~ .s.•_ ~LI ~OT~ ''=s -Y j~ ` f Front Setback':~t.'`~a:%~~._kir~., i • . t.eft Seibadc , ' • "s - _ ~ - Rlght Seibadc • - J _ _ Roar SEt~lti~ ~,,~,l, . - . . -~?y-• - lc_. . ,Z>.s:,~.~~'ti`♦.~. w~w~r*~-~.~~': ~.y~•'x3 s•1?~ ~ .,~.,..'7~° ~ ~v?44 ~~„~'~~~~/i y~J• ~fl. ~:~~~,t ,,~!.y' ~'y'aa~.~s .A-1 y ~ , ' ''!"~~^,:-~,}/'~~~'4~r~~yv~«i1'~~~`` . i+. ' . ~ . .r . T~ _ . ~h. C ~~G" ~+i~ -i., _ sYr•~;s~r~ ccv.~rfV'i t!`ta~ ,r•~~~~r'7•~.nr. - . . _ , ~ G.. 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' M' ~'li t'~ 4 . n R ,~~4r, 'S tc,~ ~ al~ ti< ~ ~i'.~; -b Jt.}~ i s~f;j'~+Kr~:~•^aL~ ti ~ ~ ~;,s ~ - Q GI ~f+ 7+ .r i ~ .Aae' `jV~'~ r •:p y .b ~fY, • ~ ~ • r. ;sh~ -F,+- ~ ~ ~ ;~'S ~`#r.~' ~'mA.;~,P' t ~^n'~y ^:f,t,.,`,`~~: ~ -co~.".rn y' a ~iiii~.1~''i:.'r....l«~yi~l.~ ~ }'y ~ • " ' .,t,_.~ i~ 7- it a ^=h~~•• ~ai.+. y, 1~ ,Y :7+'~,+~: ~ ~~1~'~!• ~t-,a 'r.!^ ryy~~ y~},,~,~,~,~-~ •-4..~',~.ry `1'S ~6:~ ~a . ~`1'3j ~ [ • ~ d:1` '•'.j: ~2~• ',,~iyt .~',r~t,i`rF"'j W • '~`-~.,'r~~y,,~S~'y'i~.'2 •"1~~.+~:r ,e~ v.~ a~I' e Y' zL' ~~sr~C~~i r.~ ti' -ir~ ~15~-.•+' ~'y i' f•C ~~r 1~..6i '~4~~''~w:1?~'~~~"~~~"'::t'Y`d''1.'~'~~~ ,*.~:7.`t'''~',, ' ~ .~iL~ -"~~..~~=;.t. _~i''r,Qn=~~r'~' i~a=ixi1`•"'~e . ~ ?-~'"s • ~ ry ~Ji`. ~~~1'.r+l~i1-+ ~ :~'S:i: • ~ ~f``~' .d ..i: ~xy~'~. iN` :2 1!.j~ ,sw "vt`s's.~Fa.' ~ y~'` -s,~,f,ti1• '~-t,~r,'r ~ o.+y~.+' .~,.2~+„~.' ,lx n'f^„~•~~~~i. . o fx~u r~-0 `~t ~ : ~T~,..~p i~ .ti~p+~•Yi►'~.a'R ce E7, ~,/'4~<F ,tr~~,r~ee~~.~~'i ~ ~ ta h syr~~c. , tA ~ Fipa ~ r r ^~a~r - . ~ i c s ~ DEPARTMENTAL REVIEW ' Cond. Approved qpproval Hoid Environmental Health Permit Number ❑ W. 1101 College Room 200 J Planning/Zoning rJ N. 721 Jefferson Permit Number ,'j -t y -ts. r~ Engineers r L! N. 811 Jefferson . , Utilities ' ❑ N. 811 Jefferson yY '/Plan Review/Ftre Prevention ~ N. 811 Jefferson Other (SEPAlCritical Material/etc.) ❑ ~ Fast Treck/Speclal Inspection iniormatlon ProJect Representative Phone Address I certify that I have examined this application and state that the information contained in it and submitted by me or my agent is true, correct, legal, and bindtng. Owner's Slgnature Date „~.r~~~~ .i . . , . . • i r / y t cr , - ; . - ~t _ lfl , 1 • ~ ~ ~~M :L ' ' ` ' ~ 1 L b1, , i ~ ~ O ► ~ 1 1 ~ ~ ' ..9~` • r . ~ f • ~ ~ 1 - , 1 ~ ~ - ~ n,~ ''~~i,k~ ~~r y~ , . , • ~ ~ _ - ~ ~ . - ~ . ' _ ~ ~G p 5~=4 t! . " ~ u s . - ~ } - ~ ! "i i7s`.?~~°~ : . _ r" ~ ✓ _ ~ ~ ~ • ' , ~r : . • :t : ; ,.~~~~.fL.~-" ' ~ ~1 ~ . 663 - ~ • _ ,Q ~ ~ ~A1\, - di•^'j,~y~„t-'r_ ' • _ J • ~IY'_` ' . M~:;~; +t • ~ • ~ ~ ~ , ' ~ ~ ~ . M ~ < • . . . . ~ C ~ / ~ ~ . ~ 2'~J ; "l/ ~ . W . y*~i, i , i; : rW,-• t ~t.; - C.0~. ~ " 1 . i f "Y.~~, ~ r ~ , r , z , ~ q~ ~o « ! • r•~~~ ` • 4 ~ 8 • ~ ~ ' , t3L."'".i ~g• ~ K•'t. ~ •4 ~ . . e_,~-s ~ 7 ' . . . , ~ ~ . . (THIS IS NOT A PERMIT) : . , - • : . 6UlLDING PERMtTAPPLlCATION WORKSHEET-.. . PLEASE PRINT AND COMPLETE ONLY THOSE•PARTS OF THE FORM YOD UNDERSTAND,~~. ~ - COMPLETE IN INK ' (Piease return this original and your building plans to the Departmenl of Building and Safety) , SHAOED AREAS ARE FOR DEPARTMENTAL USE ~ai~f~~~:.. . ~ . . . . . ~ Owner's Name LAST FIRtiT ti11 D o n R o h r e r ~ - Project Address (Streel Name 3 Number) East 4823 Spraque Applicant City S1ate Z+p Phone SuSinuSS PhOott! ContractorlAgent AAdress Baldwin Siqns & Displays, Inc. North 3502 Market Street G+ty State Zip Phone Spokane Wa. 99207 489-9191 Contact Licensc Number (Requ;red) Eiusiness Pnone Dianna Linouist BA-LD-WS-D166D1 ArchitecU EnBineer Address City State 2ip Phone ( ) Contact ~ Business Phone , ( 1 Lender Address qty State 2ip Phone t 1 Res~ Comm. b6 NVorIC,~'~~~"~~~'s ~ ' ~ ~ • ~ . . ~ s - ~1Y _v+<<► ,+Y : : _ , . . _ ' ' " " ',~'~syy st»'}.~saF►, c. s~~ ~7 r,•-''•''Z " . , D / F 9 ' 6 " x 8 ' o 01 e s .i q n ~ , • . . _ . _ . Subdi sionlP~at ameiat Number. ' , _ • • • . ~ . . _ . .~•L: ' • . . -•s.'<W~a''-!.'~a` ~ ~!{~.y.;Lai~'Iyi`~~ _...-7 ' .=~Y • • . . . . . . . .Asses.sor;Paroel Numberj.:,`a ;Lp;-Y;_ ~ • lot • Block Plat Number . - -4 • , .~.~~:~~~"':~Es~~a£~~h'~'"~,'s~''~:~ . . . _ • ~ •Aertlnent Flle Number's sF ;v.*-:-,•• . ~ Zone Comp. Plan Census Tratt ~ yi ~'~+.y.~..~~'~ i~.:i;c~li t'{'+~..' • - f~ 1 • . : : L. ~ ^.,;,y. ie-i '1~u ~l't:'. ~ . ~ • ~ • ~ iu Number of Bulldings , Lot Size (Sq. Ft./Acr2) Dea1h Frontage Jd Dwell n tts~~-",~ . . ' 't•~,;: _ . .5 . . . -k A~ ' ~r,~.wr e . . . _ „ ,.tyC,- .r•~.:.._ ,n~ c~~s . , , . F t.8etbeck ~ '.Left Sutback.: Right Setback Rear Setback.. . . R! W Width _ ~F~~r~~. : ~ _+~;i~r,Kt~`• :'~J~.:' Ia.: ~ ~ • ~ ' ~ . • Addltlonaf tnlorn~satl n~•.-'*; ' _ ` ` ~ - • . . : ' ..x Sauar,e Footage , • . . . ° 4r?" ~~r"~;i" ~L • ~ ` • - ' / . , • . , • ~ . . ^s, . ~ . t' ~Y~',.~~i~~„o4J ;0~'~~ ~ • • ^ . . , ' ` _ . . . _ . . . . . . :~M-A :7~►'~~'pr~.~y:'wt• ; ~ tr • ~~~~~~~ZtC~~2:w~.~.~ . . . ' ' • ~ ' Z ; . - ' S~7NnF5~~~~~~:i;;`~-"•~:'si~..ti•'i•. • ' ~ O _ 601- ' 4 y .~J ~a.~W+~'.'!~ i7:i: _ ^ , . - ~ ./~t - ~ ' , ~ ~ ' I ~ . ~ . . • ~ % tr- ~ an,,,, y • ~ ' / ~ ~'•~~s!9~-~,~' i- z~ y~+'~ y ~ , . _ • [L i .t ^S:r~'iDL~ ~~.1~ V 'l. . ~.Y . ` ' . . . ~Y ~ • O " ~ . . ~ • ' fi. vi ~ ~Y~'~-~'.. i ' . . ' • y x . • • ' ' . :v~~l,~~~T~t• • • . t . t~,i• . ~ ~ ' v ~~Y . ' •l~` K r~.._~ r,:l. t . . . .~C ~ . , ` - ~ 'Q ~a.'~ ' ~ ' - # p~ ~ . . . • . 3Sr ~.r~y.i .~v .s~ ~ j ~ , ' , ♦a:~ ~ . • ' . • i~P~C ~ - --s.. "f ~ , ' • ~ ' ' LD NuTb9f df BAdfO0ft4S ,,+3'u~'~~~+y•~•+y{. • ~ , . i • . . . • ~ ~ ~ - i ~,,+'~~:~F•~vz'° N r • ~ ~.~~.~.L ~i43f~.' t:' ~Lw4~ •t;~K: .5:.1_, ar~~l-.3. ' . ~ • ~ . ' ' ' . ~ . a • . _t . Y~Y: 1~:~.~ :i w ~ ~i`~ . . ~'~.r.,,..:.t..::%~: .i . ~:i r.r~ r,;I.~... ~ .~.-.-.++~a.~.~. - ~ ;Dete: - . - _ , ~ . . Cp . Type - , . ~~~~'ii~ yT~ ~ . . ~ ' . . , . - ' • : . ~ L . t . ~ • . • • . , . . ' , . . , - . ~ , ' . , • : DEPARTMENTAL REVIEW • . ' . • • - Approved COnd. , - Approval Hold Environmentel Health Appficatlon M ❑ W. 1101 Cpllege Room 200 ~ PlannlnQ/Zontng ❑ N. 721 Jefferson ~ Ertglneers ❑ N. 811 Jefferson S~ L' 1e7l:Lr 0~~ . ~ ~~l•71 ~(~or t.Et [ A! Th ~4~ I ~ . • , Utllities ❑ N. 811 Jefferson Plan Revlew/ Flre Prevention ❑ N. 811 Jefferson Other (SEPA/CrItical Materiai/etc.) ~ ❑ . Fast 7rsck/Speciel Intpectlon lnformatlon ' PrvJect Representative ' y Phone Address I certiiy that 1 have examined this appltcatlon and state that the information contained in It and submltted by me or my agent to compile said application is true and correct. . Li Signature .N-) ~.d~L.~,~~-~• ( ` ll ~ ~ ~ Date . , i , _ lJ ~ ' . :ui.~a . . _ _,.~,..4.~ . _ _ . . . . . . . . o~ ,,..t~.~.a._ . . . , ~Q•` t!J 3og--~-+~~ . ~ ► , 0 ~ I~•i-;~U L•S N,~►o~ K~NoO ~ . c ' ~p~ fr6* , ~ . ~ Z~o 00 ~ . ~ ~ M , M " 8lT ~o ; . k, ! L . . C • P t I~ ' • ~ I t I ~ l ~ . ~ ~ . , ♦ - ~i ~ ~ . ~ ~ ` r~~~ ` ' • 1 . 1 w 1 . ~ ' o \ F-k QL ~ ~ C~ CUL D ~ ~ l D fl ~ t , l ~ ~ - i 1 ~ ,1 i~ _ ~ ! • , ki ^ ' • ~ J` ^ L • ~ ~ i • ~ y~{ R 4~ t . l ' ~ . ~ . ~ ~ ~ . ~ ~ _ 1~ . . ~ 24 ~ ~ ~ - , . " +S~p~L` . X . ' (TFi1S IS IdOTA PERMIT) BUILDING PERMIT APPLICATiOId WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND COMPLETE IN INK (Please return this original and your building plans to the Departmenl oi Building and Safety) SHADED AREAS ARE FOR DEPARTMENTAL USE Number Owner' Ae 'AST ~ FIRST MI Project dress (5lreet Name 8, Number) / ` • Zip Z'!:: f'9'7.~1 Applicanl ~ Address City State 2ip Phone (~N`), C5 3 J" ~ t, I Business PhOQ~~/ , ~ V Contractor I Agent ~ Address 1-4? ~ . City , State ~ Zip Phone Cnntact License Number (Required) Business Phone Architect! Engineer Address City State Zip Phone ( 1 Contact • 8usiness Phone ' ( 1 lender Address Clty State ZPp • Phone i ) 4 pescribe Work , , . Res. Comm. ( . 1~ . ' fj,A~ Subdivision/Plat NamelShor~ Plat Number ~ . • , . • " ~ ~ ~ ' a 17)w0 cir- Assessor Parcel Number Lot Block Plat Number 31 - v~J o r'1 1 I- ~ L ~ Pertlnent Fiie Numbers . Zone Comp. Pian Censua Tract " M~ ~ Number of Dwelling Units Number of Bufldings , Lot Stze (Sq. Ft./Acro) Depth Frontage - / . . Front Setback letl Setback Right Setbacic Ftear Setback RI W Width Addittanal In(ormatson , . Square Footage • 2 O H ' Q ~ CC O . U. Z 2 ~ ~ ~ . fD Nixnberot Bedrooms Bullding 7mhni 'an Ctite Y Group Type ?G~-- ' \ DEPARTIVOENTAL REVIEVI/ Cond. ' Approveci Approval Hold ~ Envlronmental Health Appllcatfon W. 1101 College Room 200 ~ Plenning/Zoning N. 721 Jefferson Englneera ~ N. 811 Jefferson Utillties ❑ N. 811 Jefferson /Plan Revlew/Flre Preventlon N. 811 Jefferson Other (SEPA/Crlticel Materlalletc.) ❑ ~ Feat Treck/Speclel Inspection Inlormallon ProJect Representative Phone ' Address I certify I have e~x'ned this application and state that the information coniained in it and submitted by m or my agent to compi~ said appY tion is true and correct. Signature Date . ~ (THIS IS NOTA PERMIT) ~ ~ BU1LDiNG PERMiT APPLICATION WORKSHEET . l . PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND COMPLETE IN INK (Please return this original and your building plans to the Department of Building and Safety) SHADED AREAS ARE FOR DEPARTMENTAL USE _ i Pro(ect Number • Owner's Name LAST FIRST MI BUD BROWPI TlRF CENTER Project Address (Street Name & Number) Zip EAST 5610 BROADWAY Applicarit Address Clty State Zip Phone ( 1 Bu9iness Phone Contractor! Agent Address BALOWIN $IGNS & DISPLAYS, INC. NORTH 3502 MARKET SrREET City State Zip Phone SPOKANE WA. 99207 ~ ► 489-9191 Contact Ltcense Number (Required) Business Phone D IANNA LtNOU tsT BA-LD41S-0166D1 Architect! Engineer Address Ciry State 2ip Phone ( ) Contact Business Phone ( ) lender Address City State Zip Phone ( ) , Desa'ibe Woric . " . Ras. ; - Comm.. ' . RELOCATE S ItiNAGE FROM N. 328 FANCHER RD. TO ABOVE S 1TE ' SubdlvtsionlPlat NamelSharl Plat Number Asssssor Parcel Number ' Lot Block Plat Number • 14534-9062 ' . ' . Perlinent File Numbera , : Zone Comp. Plen Canaus Tract ~ MAAIUFACTUR INO ' . Number of Dwetling Units . Number of 8uifdings _ lot Slze (Sq. Ft.lAcre) Depth ' Frontage , ~ , . • ' , ' F.ront Setback Left Setbedc: ' . Right Setback . RearSetback ' R!W Width • . . . Addltlonal Informatlon Squara Foolage • . + ti , _ . , . P7N OF NE4 OF SE4 DAF:•BEC AT E4COR TH S30' TH W770' TO TRUE r''• PO8 TH CONT W210.18 1 TN S450. 53' TH E210.60 ' TH N450 ' TO POB - • . z „ . s. at , . 0 - , ' . . .~'w ; ' 1 • • . - Q . . ' ' , • gx , . , . O . • " , ta. z o . , . . , m Number ot Bedroorts 8ulldlnp TecMlcfan . , . Date . ' Group Type : '~~'4yI,<~k : , . .T , . ' . • • , ' . • - . , ~ . . ' ~ .r,._ - ~ i' h~ ti ` • , ."ai.'•'•" ' + . ~ ♦ '.s. r . I , `J t~.'; ..'1• ~ - . , • ' . ,ir " ~ . , r•~'" ~•j,• . 'Zt ~ ~ . . - . . . . • - ' . : DEPARTMENTAL REVIEW Approved Cond. Hold Approval Environmental Hea{th Application ❑ W. 1101 CoUege Room 200 Planning/Zontng ❑ N. 721 Jefferson Engineers ❑ N. 811 Jefferson Utllifies ❑ N. 811 Jefferson . . Pian ReviewlFire Preventlon ~ N. 811 Jefferson ~ Other (SEPA/Critical Materlal/etc.) ❑ Faat TracklSpeclal lnspectton Informetion . ❑ Project Representative Phone Address I certify that 1 have examined this application and state that the information contained in it and submitted by me or my agent to compile safd applicat(on is true and correct. , Signature Date s ~ ' ~ . J~ , b Ob i 7 , • ~ . , ~ . a. . . y • . • r~ u~c~. " . s'' . . ~ . • . ;L ro.►~ ~ . . • I } 5t . C i~ } 00 1 . ' I Sc~;Of.F1Gt . d ~ - ~ ~ . . ` ?*3< ~ 1 ~ ~ ti Q h . 4 E . . ~ ' « . , • , v~.- ~ ~ • ~ ~ • , - J . ~ ~ . ~ . ~ . ~ l , y..~,y st ♦ 1 ♦ ~ , t1, T ♦ .y'}f . 1 , ~ • ,c- , ~S y-,, ~.,'~q'" G~ . . ~~IAP`"~ z . ~ _ f . _ - , . . ~ , , ~ • . . , X x_ _ ~ • , ` . ~ ' . a ~ ; , . . ' , ' . . . ~ ~ _ . k'~ • ~ - , ~ ^ ~S • . ~ r ~ . , , . . J • N . • ,j , ~ ; . • ~ • ' . ~ ~ ~ ~ • _ . , . , l._ ! ~ ~ ~ • ~ ~ ~ ~ 9 t . . ~ ~.~..~t ~.~n. ' , . . ' • ' • ' . ' ~ - ~1 , ~ . ~ ' . ♦ 0~ a, ~ . ' f • ~ • 1 . ~ i . -2 Zi ! ~ . ~ t . . A C . . 0 ~ 'w ~ z ~ - ~ ~ ~ ~ . . . a , . , . V ~ ' ~ ~ ~ + I . , - • - Y ~ . . , . ~ - • . . + ~ . f •3 • - . • , . , , I • ~ . • ' I N i~ . - . • - r•.~-- -•-~•~s' - * • , t` ~ N ~ - - Z 4 REYISIQMS ~ - ~ ~ . N 0. CHIIK6E D 11 T E DUALITE, IMC.•IMilli) . ~ . . rAErAAED FOR . S cn ~7 . N ~ MIODEI g~ . .:r ~ . 113 ";x ~ . J ~ . ~A . . . . o . _ $CAIE T01 ~ Spokane County $m " Department of Building & Safety ; . ~ , , JAMES L. MANSON, DIRECTOR RECEIVED TO . Bob McCann, Engineer's Office John Pederson, Planning Department APR `y87 Marty Robinson, Building and Safety i Daryl Way, Health District Courty Engineering ' FROM: Tom Davis, Code Compliance Coordinator Department of Building and Safety DATE: April 16, 1987 RE . April 15, 1987 Pre-Construction Conference Thermoguard Addition - North 5303 Desmet Enclosed is your copy of the minutes to the referenced meeting. . Should you have any questions or need additional information, please feel free to contact me. TLD:mas cc: Ron Kelling, Garco Construction Jim Legat, Utilities Department Dennis Scott, Public Works Director NORTH 811 JEFFERSON • SPOKANE, WASHIIVGTON 9926000050 • TELEPHONE (509) 456-3675 h 3 MINUTES PRE-COIdSTRUCTION CONFERENCE MANUFACTLTRING ADDITION - EAST 5303 DESMET APRIL 15, 1987 CALL TO ORDER: The meeting was called to order at approximately 10:00 a.m. by Building and Safety's Code Compliance Coordinator Tom Davis, with the following in attendance. PERMIT REVIEW PARTICIPANTS: Tom Davis, Building and Safety Bob McCann, Engineers Off ice John Pederson, Planning Department Marty Robinson, Building and Safety Marla Stach, Building and Safety Daryl Way, Health District APPLICANT: Ron Kelling, Garco Construction SCOPE/PROJECT DESCRIPTION: The applicant, Thermoguard Equipment, is proposing a 43 x 200 feet, 8600 square foot metal buildinq addition to the existing manufacturing structure. The addition will be used for assembly of machinery and equipment. The occupancy rating is B-2 and will be using materials not highly f lammable or combustible. SUMMARY OF DEPARTNENTAL REQUIP:ENENTS : l. Building and Safety (456-3675) A. Comments 1. A plan review letter was sent to Garco Constructian. 2. Fire District No. 1 is to contact Marty Robinson af ter inspecting the location for fire hydrant requirements. 3. A Determination of Nonsignificance was issued on March 6, 1987 for the propodal after review of the environmental checklist by Building and Safety. i ~ B. Required actions l. Compliance with the plan review is required. 2. Heat loss calculations are to be revised in order to comply with Section 404 of the Energy Cade. 2. Engineers Office (456-3600) A. Comments 11 A copy of comments was given to the applicant and Building and Safety By Bob McCann. 2. Drainage plans were reviewed and comments noted on the site plan. This plan was given to the applicant for further revisions. B. Required Actions 1. The applicant is to sign and record Spokane County Notice to the Public No 6. This document specifies that the owners, heirs, grantees and assigns agree to join in and not oppose or protest a Road improvement District created by Spokane County for the purpose of improving Desmet Avenue, Yardley Street and Boone Avenue. 2. A copy of the deed is required to be submitted in order to prepare the Spokane County Notice to the Public No. 6. 3. Engineer's comments regarding the drainage plan are to be addressed and revisions submitted. 3. Health District (456-6040) A. Comments 1. It was noted that no critical materials will be used or stored on the property. 2. An application for a new sewer system has been submitted. The proposed septic tank size is 1,000 gallons with a f low af 450 gallons per day, this is sized adequately for the use. ~ 3. The drainfield must be located a minimum of 4 feet away from the septic tank before perforated pipe begins. This should be noted on the plan. 4. No distribution box is needed for this use. 5. Arrangements are to be made to pump the existing septic tank and fill it with an approved material. 6. The installation of the new system and the abandonment of the old may occur prior to the release of the building permit. 7. Vehicular barriers must be installed in order to protect the drainfield from vehicles crushing the drainfield pipes. Curb stops or railroad ties may be used for this purpose. 8. A question was raised as to whether double plumbing will be required. Should double plumbing be required by the Utilities Department, the design shall be indicated on the site plan. 4. Planning Department (456-2205) A. Comments l. An Administrative Determination to allow the proposed building addition to setback a distance of 25 feet from Yardley Street has been made by the Planning Department. A letter is being proposed detailing the nature of the Administrative Determination. 2. Since the Administrative Determination requires a Public Notice, a ten day appeal period will be in effect. The building permit can be released after the appeal period has ended provided that no appeal has been filed. 3. Farking is adequate. 5. Utilities (456-3604) A. Comments 1. Utilities was not present and no comments were submitted. REQUIRED ACTIONS: (County): l. Mary Robinson is to meet with Fire District No. l.concerning the fire hydrant requirements. 2. After receipt of the deed by Engineering, a Spokane County Notice to the Public No. 6 will be prepared. 3. An Administrative Determination letter is to be completed by the Planning Department. ADJO s There being no further business, Tom Davis thanked the applicant and the departments for their participation and reminded all that he should be contacted if there are any unforeseen problems which may arise. The meeting was adjourned at approximately 10:20 a.m. Copies of Minutes to: All participants • File - Thermoguard Equipment East 5303 Desmet Z, 0 !..N ::'401.'~ 770 Pi cE ~CV REVENEJE SfAM1s THIS SPACE RESERVEO fOR RECOROER'S USE PIONEER NATIONAITITiIE iNSURANCE JS.~tJ.r q ~q Qe ~ - ~4i~,. 54 a ATICOR COMPANY Filed for Record at R.equest of RE QUES TO%~ Mon a L C r al.if ord Au Z-3 al hm c 'Y'O , WILt.4 AUD1i'Q~{t~MIt1C zSPQKANE QflUNTY, !#ASH;F ~ KPO'f Y L c~~LJNG •y•~o~ Ft s E 8617 Rockwell 99212 / ~ FORM L59 Statufory Warran$y Deed , (CORPORATE FORM ) THE GRAl\7TOR EI.ip I:': _'.S10,I::_"ES, ~.i;kj., a -`-asl1in~;ton corporG- ion for and in consideration of Ten doZ1ars and otlier -ooel and valuable eonssc'e=at:.on - ` - - - _ = - in band paid, conveys and warrants to _.i "'AE C ~'id "1A L• v:'~i:~`OT; j~ ~7USbc:iZC~ c,1iZCi i?lf c1T: the following described real estate, situaced in the County ot State uf Washington:_ _ - ° Lots. ~ to 12) Incluc.ive, :1oc'-_ 17, iO;~~: 0= Yi'ti~~-zY, accordir~;, *o pl2t recorclee in ~ ~ ~~~s:zir~^fion; s~3olu:ne- ~r Jtt- ~~~lats, pa;e v:~, in Spo:.ar:e r~ ~ounty, , a- St1'DJE- CT T4: Jase~ents, restrictions and reserva~~ons of record and provisions co::aaor, to the c?isrrict; _ Al I io : I:ortga~e dated 7ecerr.bex 1, 19762 recorded ~'ecei:~ber 31 1976, uncler yudi.tor's ~'ile ~`:o: 7512030137 ~3iliclz the srantees herein as-,ree to assu:ue and gay under its terYns and cor.dit ions; IN WITNESS WHEREOF, said corporation has caused this instrument o be executed by its proper officers nd its coTporate seal to be hereunta affixed this j' •~~l day of 9 a EndsZ' Tax aYL RC.-J `i.xtati 7.1T n n ~ t~ n(~ ~ j + ~ H p y+~'1 {l~l ~l ,)r'1 . .`::..:►._..:r?~'Y'.eo-...=: t.~.o?% ••-~-l::.!f. . r r ~ aal.° ffit. d L rl D3te, .-KO. J_ ~l/!• ~ ~ bc ..............p,esident. ~Li~~ CId, Cfl. T~'= BY- Ylr•,_ e..... ~ ~re jFY' By................................................................................................ Secsetary. 51'ATE Or WASHINGTON, ss. County of ~:p o1:::nc e 14 ~ ` On this day of before me, the undersigned, a Notary Fublic in and for the State of Washington, duly commissioned and sworn, personally appeared ~:oi. 13reen and= . itflr to me known to be tb"e,~,~, . President an~i: -rSecretar.~;:respectively., of :_.~.f ire ::ssacJL_t°s, _rc- the corpbratifynl fehat 'eXecuited the foregoing instrument, and aclinowledged the said instrument to be the free and voluntarv;act~~~nd~d~Qc~• bi said corporation, for the uses and purposes therein mentioned, and on oath stated that :Ze i 5 c. ra~ to execute the said instrument and that the seal aftixed is the corpurate seal of said corpoz2tio`ri. ' ti. Wiidlv~~,,mythau~d~ inci cfficial seal hereto affixed the day and yeaf first,above written. j~ ~ • v¢ L~~ . ' f' - I ; GGf~ ~ ~ r['. • l.~ v r:....................................... • • ~ ~ ~ T - otQr, , sd for - t %se State of ti3'ashington, '1~ -~ri►'~ residircb . ~ QUIT CLAIM DEED SAFECO TITLE INSURANCE COMPANY 6508290,80 .~7~1 P~.CE ~07 _ SMFEyO THIS SPACE RESERVED FOR RECORDER'S USE . • ~.~L F ~_C R": P ~=~C~~~~ Filed for Record at Request of ;IErLl~ST Cc' Mona L Crawford Hamble ; Gilbert & Brooke, P . S . Aw Z-1. '31 ADDRESS . wii.LIA~4 E, ~iDl~~►tlliE NAM E 1215 Washington'Mutual Bldg . - ✓ ~ ~SPOK~tNE OU~If~~Y. WASH.4 CITY AND 5TATF~ Spo7cane, WA 99201 DEPU7Y 1s YOUNG E 8617 Rockwell 99212 r, uo ~ ~ . THEGRANTORS FRED L. HANSON and EDWIN L. HANSON for and in consideration of ten dollars ($10 . 00 ) and other good and valuable consideration conveys and quit claims to G. ROGER CRAWFORD and MONA L. CR.AWFORD, husband and wi f e, the following described real estate, situated in the County of Spokane State of Washington, including any after acquired title: Lots 8 to 12, inclusive, Block 17, TOWN OF YARDLEY, according to plat recorded in Volume "E" of Plats, page 68, in Spokane, Washington; .5 ~7..5 ~xc:se- Tax Exempt. - Date Spokane C,aunty, `.kea3a ~ - r Dated Augus t, 19 78 i ~{•'Ind' 'duaN gy . (Individual) • (President) By (Secretary) r - STATE OF WASHINGTON I STATE OF WASHINGTON ss. ss. COUNTY OF COUNTY OF On this day personally appeared before me On this day of . FRED L. HANSON and EDWIN L. HLA.NSON 19-, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, to me known to be the individual described in and who personally appeared executed ihe within and foregoing instrument, and acknowl- ' edged that thPV and signed the same as ~ th P i r to me known to be the , President free and voluntary act and deed, for the uses and purposes and Secretary, respectively, of therein mentioned. ' the corporation that executed the foregoing instrument, and GIVENj1.nder my hand and official seal this acknowledged the said instrument to be the free and volun- Z2 S day of AUi.Gt tary act and deed of said corporation, for the uses and pur- 1 ` poses therein mentioned, and on oath stated that authorized to execute the said instrument and that the seal affixed is the corporate seal of Notary Public,i+ ~4Wt{~~'t~l~, State of Washington, residing said corporation. ~ ` , . . ~ at ~'~~R`~'~_~ -r~ = c~.f Witness my hand and offici2l seal hereto affixed the d-,Y and year first above written. L c ~~i Notary Public in and for the State of Washington, residinc ~ 2t TL-5 R3 2/76 Z1S~ 7 ' " ~'.~1 O ~ p ~ M Y =daho ' ~irtJ °'~I L rf ~ . ~ ~ ~c3i~ ~ . j ~ M u ~ V ~ S~te ~ ter the ~'rrs ~ ~ N6s F• thax a ~bT ~,t orQ ;,~,►v st ~rt1f ~ ~ lg 7 6 . ~ a°~~ ~~'pM1 ~ , boa+ c o s po rat i aA . Cany°n a[ Mi=~b AQt~~ 23td ~ =MC., • Ma~h~ rife ea~psny ~ ~ ' I~ s ~S$t~ =~lEi i 1 ! M p *0446- t+e U. ozst vot '•a . 00 = t g Jxt~ d ~ ~ ~ • , . S P~x; e t t3si~'i . ~ ~ ~,ot ~ j ~ ~l vaii. aa Ga*" o ~u rzo f ~ bo ~°~e p~5 ~to~t~ ~ ~ ~~its a~,~ n~n+~ t0 d~7 °~t t„~,a,ed 6 0 4 p 1 ~ D. lq ~ 6. ~ c~~ 3r d to F~ ~~w+~uI tk p r f 1 ~~f,irst 4~' , e vs nt g' d i~~ T~i,sct+o~•. ;a 0a ' ,F► ~T'he 4~''y ~ts'~p~,md ~ ~ostd FE COMPl►NY ~ ~ tp be sW~by ~o~a+aOpMd bl ID..,--- ~ tw ' • V? U J► L.. L I xvA b~~► s t t,~ s t~~ G RA~ G t M . ~ , 0 a~ 8 , . • - - ~ . ~r~'~i~►* . to a ~1utav~► . ~~,,~,r~►-, ~ ti.., 94 L if~ 9kKZ i ~ ..M, . . . . ~ _ , - !J _ `r I ~i~ " . . ~ ti ~ ^f ~ J. ~ -M` ' • • . _ - Z.t r. l_. ; iS. ♦ Y ~7* ltkis Jf1bratu1't, w.a. w. 23rd a.r nt U_r . • h. y.w d ar troW, on. t1au..Aa ru n. 1►unerwa .,,a e v e n t 1t - aI. x -lipIRE ASSOCIATES, INC.,, a Waehington Corporatiop ~ N w Oowftr or Sg„Qkane and 8taa ot 4iAnh i nF~tn_n osn__y ot the brN Nrt, an0 GUMQL MVTUAL UR COIrIPAMl, oI Nampa, Countr ot Gnyon, Bftto o( Idaho, parcy o[ ctu s•cvnd That the seid pert Y oI the tirst patt, Eor and in conslderauon ot the ~I11 'D ED r Q f' N) and Naj,I-O.: tn haM paid by tAo sald party of the aecond CMNTtD, MJN['.A1MtD AND SOLD, and by ch•se preaenta ao_U GRANT, BARGAIN, r/ GONRUM, rnw the "id party o[ the second part, srd to tt• succtssors or asalans FOREVER, all ot i..w+bw i.rr.. prom... ~yinv .nd .itu.t.a ►n the c«...cY oc Spokene , statoot Wash i n£tf '~T• g tn 12, inclueive, Block 17, TOWN OF ` (-nr,!r+el in Vn1i~~,r"T,'" nF p1a*S .,q .,p ,q j,, _)pokane County, Weehin. FILEO OR AECOROEt. RECl U E S T OF . -f1B~I.6i: . kR 21 PH `i ~RNON W.OHLANp.AU01TOR ~PQI(ANE COUNTI'.10ASM. nEpurY : _ . , . , • , . , • cxs, incluainy boi►ois, tanks, kuraps, motocs end ettacheC mechtnery, alao inCludinq ell plumbrnp, plusniany laxt,iies, turt,a :&teAete, coolsnp, ventilstinp, cuculatinq, au-conditioruny, and weter heatinQ fixtures; all water end electric apparet.. ,.r*tpa, ootar• •nd eQuipa»nt now in snd upon a which mey hereeiter be pleced in and upon seid prertuaes, fncludinq °(oaltit sopuub riQhts ot mortQepor tAerein and fncludynq any and all weter, watw rlahts, dltches, ditch riphts, cana„ •pprvOriauona, trapchlsies, enC yrivilspes awnsd by selcf mortqeQors, belonpsnq to or usually hed and en)oyed in connec! . with thq "id prevsos, or ar.y pert thereof, toqether with any shnres oi stock representinq such weter riqht lnclud;..y ~ Irriqation Dtrulct ot AND - - - - - - County. - As An -•tif!• in the . ~ ?Hl& GiIANT in Intendsd as a rnortqepe tu 2.&cL.ra the paympnt oI 011f certain prorrusscxy note ,.f own dat• l+erewtth, •xocuteC and deliversd by the sald rnorl-gazorS to the •eid party of the second pect, ~ a -opy ot wtuch is etteched hereco end mede a part hereof, to-wlt: TM nota tQ~ wtuch tiua eaortqaye hes been qiven as aecurity ehell, by the terma thereof, meture on the 21 , unless sooner determ,ned by non-paymer,c ot s.iid note o: day pf Arri I. , 19n debult Ln any ol the covenancs of this mortQave. TFUs prent shell (urther secure the payment to the rtwrtqeqee ot all sums which shell haroefter be pa►d ou► b~ advance or ~ loan to the mortQeQa or the then owntrs ct the utle to the ebove reel property by way ot aAdluonel loan, topether with fnter- u st at such rote ss shell be ayreed upon, provided that the emounr so edvenced as addiuonal loenc, plus the balence of prln - ` pel due on the oripinal note abave set forth shaU not exceed the sum of the or,p►nel note, unless se.d advances are 1or .•poap of payinv ►r,surence, texes, weter aasessmenta, Iiens and incumbrences, end repe,ra on the mottgaged property W . ,t be limtted by the ernount of the oriqinal not&. ^ ot the ttrst pert elso aqreeA to pay ell texei end asresrmer,te imposed uGoor, tt,e reelestets here . desuiDeci: oiru l,ens nnC jncumbrnnces on saiC pcemises, end ell chatpea tor uae of water theroon, and any and ellconstrur n charoes ior frrlpeuon and dreinaqe and cherpes for the operaupn and rtuintenence, and ineurancy pranuuma far the iniur- L-v hen►naher mentionsd, when th* same shall reepecuvely becorne due end payable, •nd it not •o pa►d, tM party of th~ s,-cond psrt, its successora or aasfpns, may pal, •'la ba...r or nny part theroat, and the •tnount so paid, with interest thKoo, ec the rate ot elqht'percent per annum, shall be e 11en upon the pnintaes e'arssatd end he secured by thl• owttqaqe, end Col- ;ected in tne seme, m"nner es :he F~rinclpal debt fiereby aecured. That in the evene the i:rse ~arty shall pernut any such taxes, dwa, essesaments, opereiion or malntenenc• charpes : conauucuon cher0es Ics u-ripatlon •nd dreineQ* to Gocome dolinQuont, tAen at ahall bs oyuanel with the s*cond pacty, 1ts -ccessors a[ asalans, to consider the whole sum •xpreastd ln aatd not• a• inunodistely due and payable and the . ~ perty ! cho second pert msy procNd to toreclose ln tM ame meanu ss upon detault of paynrnt ot p►nclp+l or intorest. tho partY ot the tirst pwt also eRoe__f co ksep all buildinps, hnces •nd otMr ta►proven+ents upon sald ;xem:sea in ss pood ripatr es U* same •r• naw in, snd oomnut no waste, and to kNp the Duiidtngs, now a ho►eahK or*ceb on Mld pro1111Ns, tnsurod tn soae •otwnt lnauranc• company, appoved Dy the pxty of the socond part, tt• •YCCesoOfs vr essfQns, to the anaunt ot not 1ose than eh• •mount oI indobtednoss hWeby secured, loss It any, payabl• to the o►ortqaON. a• i+s 1nterest aisy app"t and delivor such po:lctss of insurance to the party ot the second part, as collate►aJ •rtd additioMl ,.-curtty tar the prynwnt ot •aid debt. in cas• ot tail.u• to keep the prernua• so inswe0, the pwty ol tht socond Mrt. its ' .odbssors ar •ssipns. ii hereby aucMwrisod to procur* suGl► tnauraney In the Minr ot the tMn ownw of the p(ealses. a•t tt• _;UOn nn inewsn-e r•t tne r. w•,n.)eR's inc.r*bt .4ne*r the mc+tpagv, tiut shall not oe :isb:e fd n":6c7tinQ a offuttlnQ lo prorut• ~ ~ A►• vil: •i,) a..-i !.~ti.. .~::.n..t..: tL L,r F,4..1 49 :t!,s: .i.ia:a urtAA nt0,r sa 'ke fh, dua •nd paraDla, c,r in any Oss• of dt4ult, :u the yo+lkilmAnc:e af any wvon4nt hN+e.1n ucM►la►r-ad, the MrAol• ut t" prin..li+at aw hm•by aocwed •Aall. •t the opuom ot tM i*"l fw1der ot lAi• wor%qe" lroaw *w •nd /r1raW• 40nrd►Saly MntAout notice. and the p+rty uf the wcowd N+rt, ita ~...:~~sur• cr assigns. •hdil Mw puvwr 10 sell Uw 01141MA606 IOSil► ; i doeenlW. seoardiey te lOw. 1a two MywoAC d the •lad5.+r.ta wnarn nry 00 404 ftM`0w+aw. T/b• eov46tiM shail MO a 0004144Aut0141 ► f une Wwd apply ro "cA aW"o06#iw MYU11. MW UOUVW ►,t •wy 4.ta,,.t wh..n .n.,. -a 61"3.: rWA w• c+s# 1" tf►e aypl,. &U0r, ot . ch1• poveAso M M/ R• Mft1moIrM Mr . My awMoNrem dtlawlt ¢ • . • Y-~-- - - ' m~cQ+g. ' "`.y .r---- M ~'e`~ c!► ~ 1 tt ►n un, a~ tl,~ D~~aN m~c~ced ~o tocsi~° t!►~h~nettt ot ~,~yebtf'~+fiin f~~, sa SucR vn its ,t b~~r+4 cOa,TM tsa• t1 te due tor6cl°s"r rcs:n'dy 1n d;a neY*• 9u~ ~,sna aM rt ot L~ cost Qom~'+~ 1ga4~ + rM,~ct► ~s 'to* s, ~ti a~ ~~ivac,Sbte. aisPQoss U~ 001 ~p, ad)uev~ ~o ~M in ~y-i at°~►a+y bs r+~'Uon ot tsnencY tu11 lt~ stcac► . ~o~rcq~a anY nto ouct+ sc~1°"' ~°c►~tvd V~sntin9 " •~tstWSe t'e ~ ~ast~ t~ a as.sgns,w~ ~f Yiol e9 gtvtna •'i~ a e0ents ~Y ~eN a~ s t~at,:i ~rs ~ th~e4t s ~h►~ mo~4 ~cs oiUC uom •e►d Dr ~ 9luital r*t+ear r snY a°i ~ trcrts ot tnarnot ~ whtich ` o~ ~ MQf1ts ~nc►~ ;ed st+ he P~t`' ~~he 8►► bilttoat t trorn 9~ nY •i^t~ •in9A1~ s►~ ati~o o all be` ss- ~ ~p ~n~Y ~OQ na ~Eotents to •tth ~Yasvc e rMt~ ~os~~~ ~n~ of w a • i°uhac4eable tO be►~ ~t~ ~ aathi a ~i~10n~ , at ~ as• ~e ronts 4 ~ °s~ot~ ex+ecuca~~trture • *ubscrtb swr lorca +~nd q Car~dicions - its ~uc a ~ ot t1ls se'and a~'a~ iomatn 1n h+i! ,1 lhp tsrsc Part t+s..~ otha►'w we to f~ ~'~`i+- - • • ~ a ~I85~ t~~C on Ir ot above r'°" A S I'p+ ~ 1:' ) ~ - 000 Et~ ZRE ~ GarpoY n prea r • . •~~►i.' ► ' ~y., , " ,s~ - e...- , ~ ~ V . • _ _ , , Sec~'E . ~LZ,;(','t~r' . " • ~9 • . ' 1 ~ ' `„j~~jt~ ~ L _ t t~••-~-~E ~ Stli~~ + ~ . -t okane ~ ~ ~ d: ° f r ~ l ~ ` ~ rr ° ec'n n ~ - nd i , . , • r c ~ , . F . O 4 tlll ~j;l ~ ~ t.~('~r, . _t • t ' • ~ ~ , .-L.t • rat io~ ~`rt.;~~~"•' - ` E;(I • ~ `y=~~. . l~~ • • C~~ CQYP d t, ~ ~1~: ~ ` • ~ rc, a.~:~~ a Wag~'! j~ ` ~jC, . • ~ t t ~ ~ , • ~ ~ ~ I.,c: ~ y~,'~,~1 i . C 1 t t ` ' ~ 1. ~ c ~ • ~ t, ~ 1 1 hCrr 1 C~i4'" ►1`1i~bWr~ ,tpZk~ A~ ~ r~l.' • ~ .v~' t h.tV l, -~~.r,n~~ ~ ~ r..L ; ~,r ` - .y;~; tr , r;~►` SV~ 5 .'r,c•, C~l: i ^ y~,~ 1'-~'r`;~•~'`=~ ~•E'~:1~ ~ ~ •s;~, ~ . f•r,.~ ' isr. , ~ , : f'. ; ~ ~ t . i / • . ~ I ` _ _ '171~ • . ~W~e►sh~-pf ~ ~i co . , • ~ ~ y ' , ; ~ , . . ~ , ~ , •aC . . ~ ~ t ~ ~ ~ ~ . ~t 1 ~ , ~ ~ ~ . . . P,~E 355 I f? j ~ ► 1 s61 Z l U Z7l 7AD P:/!'.I ~ E N0. NO 5 r fr w- ~ oiiI tr,~:. r;o. ~ 5 31 v~<z. N0T1CE TQ THE PU6LiC PURPOSE .w• •~~••~w~~ KNOW ALL MCN BY THESE PRESENTS, Thac Sara Jean Lindstrom & Robert J. Tyeon being the owners of the following described lands in cunsideration of mutual benefits to be hereafter derived do for themselves, their heirs, grantees and assigns, hereby agree to the following: To authorize the County to place ttieir name(s) on a petition for the formation of a ULID by petition method pursuant to RCW 36.94 whicti the petition includes the owners property and further not to object by the signing of a protest petition against ttie formation of a ULIU by resolution method pursuant to RCW ChapCer 36.94, which i.ncludes the owner(s) property. PROVIUED, this condition shall not prohibit the owner(s) or successor(s) from objection to any assessment(s) on the property as a result of improvements called for iR conjunction wiCh the formation of a ULID by either petition or resolution method under RCW Chapter 36.94. This statement involves the folluwing described property: 14531 - 0111 14531 - 0112 Lots 35, 36, and 37, EXCEPT the East 10 feet of Lot 35, Block 28, TOWN OF YARDLEY, in 5pokane County, Washington. In Beo 14, Txp 25 I3orth, Range 43 E. W. M. ~ ~ ! ~ ~ ~ 't ~ , „ r~~J' u ~ 47 PM 'U, wi~~I.Am C, These requirements are and shall run with the land and sYial]. be binding upon the ownQrs, their heirs, successors or assigns. IN WITNESS WHEREOF, Ke have hereunto set our hand(s) and seal(s) this ,Z 1STday of 19 ~'(o • Sa ~Jean Lin atrom o r J. fiyson STATE OF WASNINGTON ) COUNTY OF SPOKANE ) ss On this day personally appeared before me SaTa Jesn LindetroID dc Robert J. Tyeon personally known to me to be the individual(s) wlio executed the; forgoiilg instrument and acknowledged the said instrument to be the free and voluntary act, and deed of said individual(s), for the uses and purpases thereiil mentioned. Given under my hand and seal thfs day of LQ' ~•61~'y•.~a, . • h , ~ . , ` ~ ~ ~ - : . . ~ ~ Y r • i~ • ~.l~C.C~C.~ M • n ~ a 4 , ~ ` Notary Public ~ ~'•,''o~.,? 'y~ ~ ~ = J r ~ Y • ` In and for the State ot-•_~~astri~$t~n•, r e s i d i n g i n SpOkane, Wae}lPgtoYl ,,4'-'~~ ~ Gr. • EUGENE I ANNIS L A W O F F I C E S HENiiY E. S71LES. II CIAUDE F BRILEY CHARI.ES VAN MARTER THOMAS T. BASSETT LUKINS ~ ANNIS MARTItV G WEBER JAMES S BLACK. JR TERENCE R. WHITTEN JUDITHA. BUTLER A PROFESSIONAL SERVICE CORPORATiON 'EDWARD F.NJROE PHILIP J CARSTENS. JR. R CALVIN CATHCART SUITE 1600 WASHINGTON TRUST FINANCIAL CENTER / SPOKANE, WASFiINGTOPI 99204-0466 PATRICIA I. CRANDALL • PHONE (509) 455-9555 TELECOPIER (509) 747•2323 'EDGAR L. AN1dAN ROBERT J. CAOTTY ERIKA BALAZS RONALD P DOUGLAS 'R09ERT W. CASTELIAW 'ROBERT H. OOUTHITT DANIEL B. QeRUY7ER bYILUAM D EDEN ~T,a , 3• Sc~ { "JAMES M ENGIiSH STEPHEN KERR EUGSTER Apr i 1 24, 1987 BARBARA O. HOFFMAN JODY K HAMILTON t:~ TERRY M. KELLY "CHARLES W HOSACK r'MICHAEI M. MEGAARQ WIIUAM D HYSLOP ApR 2'f 1987 ~ DIAN ~LWPOLSCEA JUDITH KAAdSPF SC0T7 B. LUKINS NEIL S. McKAY Ot Counsel OENNIS M. McLAUGHUN WILUAM E. BURCH JERAY R NEAL • ~l ~ "SIDNEY E. SMITH MICHAEL C. ORAASBY THOMAS B. TILFOfiD r: JAMES D. PERKINS MARC A. PHILUPS COEUR D'ALENE OFFICE GERAI.D A. AEIN ' 250 NORTHWEST BOULEVARD, SUITE 102 CLARK H, RICHARDS COEUR D'ALENE, IDAHO 83814-2971 KEITH D RIECKERS • PHONE (208) 667-0517 PATRICK K. SHINE 'AOMITfEfl IN IOAWO 'AOSMIT7E0 IN IDAHO "ADMITTEO IN IOAHO ONLY "ADMITTED IN IOAHO OPdIY Mr. Roger Crawford Evergreen Investments E. 8207 Trent Avenue Spokane, Washington 99212 RE: Closing of Yardley Addition Lots Dear Roger: This letter will confirm that this office has completed the real estate closing for your purchase of Lots 17-21, Block 17, Yardley Addition. Enclosed is a copy of the Supplemental Title Report reflecting you as a purchaser in the chain of title. This office is in the process of completing the real estate clos- ing in which you are purchasing Lot 16, Block 17, Yardley Addition, Parcel #14531-1215. If you need any further information for the County Engineers, please advise me. ery trLi rs , ~ PHILIP J. CARSTENS, JR. PJC : j ma Enclosure 6.►YJ9t~.i..,~••-- "1'? 7', . • ili~L'Y`G:JL'T.Ow t•C 144i..': c ♦ ,ir' • , , aq . w . - . :fr_ . . ~ s..r , r ww qw a -r r.~ c .a- . - w . . ru .r. . _ ti _ . . . ' " ' . 1 . ~ ISQO,va .4 oe- A"! 7! Z 8~(j;snf►03~2 w c-T !:'CAn NH{WE & PdCI. N O 6 . ,.t..~._ No. NOTiCE TO THE PUBLIC PURPOSE ~ ~ r . ~ ~ Ft,GE s.c~~~t _ KNOW ALL MEN BY THESE PRESENTS, That G. Roger and Mona L. Crawford . / being the owners of the following described lands in consideration of mutual benefits to be hereafter derived do for themse].ves, their heirs, grantees and assigns, hereby agree to the following: The owner(s) or successor(s) in interest agree to authorize the County to place their name(s) on a petition for the formation of a Road Improvement Distri.ct (RID) by the petition method pursuant to Chapter 36.88 RCW, which petition includes the owner(s) property, and further not to object, by the signing of a ballot, the formation of a RID by the resolution method pursuant to Chapter 36.88 RCW, which resolution includes the owner(s) propexty. If a RID is formed by either the Petition or resolution rnethod, as provided for in ChapCer 36.88 RCW, ttle owner(s) or successor(s) further agree: (1) that the improvements or construction contemplated within the proposed RID is feasible, (2) that the benefits to be derived from the . formation of the RID by the pr.operty included trierein, together with the amounC of any County participation, exceeds the cost and expense of formation of the RID, and (3) that the property within the proposed RID is sufficiently developed. Provided, further, the owner(s) or successor(s) shall retain the right, as authorized under RCW 36.88.090, to object to any assessment(s) on the property as a result of the improvements ca].led for in conjunction with the formation of a RID by eirher peCition or resolution mEthod under Chapter 36.88 RCW. 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 pavement) will be at the sole expense of the undersigned owner, their heirs, grantees and assigns. The conditions and statements apply ta the following described property: Lots 8 thru 12, inclusive, Block 17, TOWN OF YARDLEY, as recorded in Volume "E" of Plats, Page 68, in Spokanc County, Washingtoil. AND ALSO Lots 16 thru 21, Block 17, TOWN OF YARDL,EY, as recorded in"Volume "E" of Ylats, Page 68, in Spokane Coianty, Washington. . c . . ti , . ; ~ AQ~~t./ . f,,,.y G 3 7 t 'r1 '@! ~t~:o_(.,~ ;!.,;ly . ~.V.I I r'J r-r. .f ~v~ ~~1~~~, These requirements are and shall run with the land and shall be binding upon the owners, thPir heirs, successors or assigns. IN WITNESS WHEREOF, we have hereunto set our hand(s) nd seal(s this day o t , 19 VA 7 . G. e r ~4bwfo A1ona L. Craw£ord ~ Boone Ave. # 1712 . #6 ~t1 7?5 cArr ~ NOTICE TO THE PUBLIC KNOW ALL MEN BY TNESE PRESENTS, That BUONE AVENt1E INVEST14ENTS, a general partnership being the owners of the followinq described lands in consideration of mutual benefits to be hereafter derived do for themselves, their heirs, grantees and assigns, 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 opFose or protest any ',egal assessments for saic+ Road Improvement District (RID) established pursuant to RCW 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: Lots 4, 59 6 and 7 and the Easterly 20 feet of Lat 8, in Block 20, Town of Yardley, as per Plat thereof, recorded in Voltune E of Plats, Pag,e 68, situate in the County of Spokane, State of Washington. These requirements are and shall run with the land hall be binding upon the owners, their heirs, successors or assigns. a rio . o roo Dated November 16, 1984 X TSm3,11te ' Ho rook X " ST ATE OF WASHINGTON ) ) ss COUNTY OF SPOKANE ) Irma Ann Smart On thi s/b ~day of trovember , A. D. 19 84 before me personal ly dppedred Patrick J. Holbrook, Virginia R. Nolbrook, .LeRoy Smart and Irma Ann Smart known to me to be the individuals who executed the foreqoinq instrument and acknowledged the said instrument to be the free and voluntary act and deed of said individua.ls ,forthe uses and purposes herein mentioned. In Witness Whereof I h3ve hereunto set my hand and affixed my official seal the day and year first above written. ~ ' JtZryo ubl ic ► . Counr.y In and for the State of Washi naton , Engineer - • " a ~ ~ ~ ' -.p, _ resi di ng at Spokane, Washi ngton . i ~7 3 ~ 't? le~r. r . . - ~ Ff .7C. , . . Sf'CK'ti; , , ' .1 . . , ; 14x x R/W 5/5/8` 1'C-q Cour1- Iiolise ' ~ ' ~ 1 ~ j/ l l.,..+ 1 , #5 ~ NOTICE TO THE PUBLIC KNOW ALL MEN BY THESE PRESENTS, That BOOIVE AVENUE INVE-Mu,"NTS, a general partnership being the owners of the following described lands in consideration ot mutual benetits to be hereafter derived do for themselves, their heirs, grantees and assigns, hereby agree: To authorize the County to place their name(s) on a petition for the formation of a ULID by petition 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 which includes the Owner(s) property. PROVIDED, this condition shal1 not prohibit the Owner(s) or Successor(s) from objection to any assess- ment(s) on the property as a resul t of improvements ca 11 ed for i n conj uric ti or, with the formation of a ULID by either petition or resolution method under RCW Chapter 36.94. This statement involves the following described property: Lots 4, 59 6 and 7 and the Easterly 20 feet of Lot S, in B1ock 20, ToWn of Yardley, as per Plat thereof, recorded in Volume E of P1ate, Page 68, situate in the County of Spokane, State of Washington. 'h. • . ti_1 w i- i1_~'!3 ~s~ i`• 4. ~.•~~E'4~~~ -t ti~ County;,.Engineer Z-7 3 WiL~.IA~~ , bUlll'i'"il SPAnA,NE GouwrY. WAgH. t~tr~l~rY ~ AM Req Court House xxx These requirements are and shall run with the land a sha 1 be bindi upon the owners, their heirs, successors or assigns. X • X ~ STATE OF WASHINGTON ) s s COUNTY OF SPOKANE ) On this_Zj~bi/ day of November , 1984 , before me personally appeared Partick J. tlolbrook, Virqinia R. Holbrook, LeRoy Smart and I'rma Ann Smart personal 1y known to me to be the i ndi vi dual ( s) descri bed herei n who executed the foreqoiny instrument and acknowledged the said instrument to be the free and volun- tary act and deed of said individual(s), for the uses and purposes herein mentioned. Given under my hand and seal thi s&M-'day of November , 19 84 . -LL~~, ~`~i'/~ • /~/~'L~ . G~ . . ary ~~bl ic, In and tor the State F~ ' of Washington, residing in Spokane, • . . . . ^ . - Washi ngton. -r . C. , . rF'e , * . . . . • 1 , . . , „ . . , . . . ~ . . . . . . . . . . _ . . , . i ~pr I ~ ~ , ' tfVINV1/fA1111 ' ~ VIONEER NnTI014AITITIE INSUIIANCE tNly yA(! tE:IMU IpA IEtOoDtf S US[ ,~~`M`"'•"", i ~IlE09HI~E"'1RDE43 va: 722 rAfc 302 • Fi,ed lor Record at Eietiluest of . PEQUE ST 0F _rieNEER NAiIOHF l TIiIE Itou 2 9 09 AN'81) ~ Art Glaser 70 Richror, Wi-iberley, Ericson WIIUt.N E. OOHFIIllf p~ Sales Manager P. So, S640 AimIan ; Res: l 773-7304 i6POItANF.C0UHf11. WA9H., t (208) Spokane, 'dashington 53205 DCeU'r DI VCOIV, Inc. Diversified Construction Services ~ r . ~ P.O. Box 18708 DI-VC-01-213C3 Foni Spokane, Washington 99208 Phone (509) 466-8900 $tatutory Wartanly Deed ~ T2lE GAA.N7UR 5, LlOYD N. JOHIISOH and JEWEL R. JOHIIS014, husband and wi fe , Ia.nd in co„sideroiion or reduction of contract balance from Dec:ember 9,• 1983, and , r,ther oaod and valuaGle considerations in tind Rl~~~ ~n%psnp ~+rnnu to PATRICY, J. IIQL6ROOY, and UfRGItIIA R. HOLI3ROUK h+isband ~ ~c~ir Sr"')g anJ IP'1A AtIII 51•1AKT, husband and wife, d/b/a B06NE AVENUE ' r~F''t'I S. L~rn nl'dl ,1 ft,nr;r ~~l Ip . th~foIIo+~~~ deKnbal ~I e~tue, lunud In iAe Cnunly u! SpuYane Sute ol , W4.J~mgion: ' • ~ • lots 4, 5, 6 and l, and the Easterly 20 feet of Lot S. 91otk 20, 1ndn of Yardley, as_Ler plat therr,of, recerdeA ; in Yolume t'31"F13't„ page b6, situate in the County of V i vr SDOkane, State of Washirigton. f i ~rv ' I a '~7 E's'se Tac Da'~d on 2;i:~U ~ St!4 pmt . i p E"SY,;D" CIlIl6:RG ` 1/~/ 1,, ~ , ~ ~co4yo Ccu~q~ Tn~c E. . r~f%~ ir~•'/~y - farti:il • This deed Is gIven In/fulllllment ot tAal cettaln rrol eelaln conlnct Dr.lwern the DnrUce herrto, i GaIpd I,~_r 9, , t0 83 , end conAttlunrd for the tonrelance of the sibore ~ dtacilDed prnptrty,end the r,oronants of +vRrrenty hereln conl►Ined eh►II nol apply to any IIUe, ~ tntereal or eneumbronae ulslng br,tnrouiA or unecr ten, purohwer Ir, teld tanlncl, and shall not ; •ne!1 to uny ta4ee, aseenemenle or olher eAarges lerled, aesceee0 or becoming due subupuept i ! to uie dste of saId cor,lracl. ~ I • ~ ~ 14a1 lststr Lae4g Ux rsg pald aq tAls Ga1e o► Wmped exrmpt on 0 Roe. No. 63S77. Geud tldi 44"U dor ol 190 • I ~ ~ l oyd7~' ~.tI,u1 ; ' ~r,~l I~J~~h cbZ.u) ~ • STATE OF t1'ASHINCTON, , Caintf al Sot~Aanr, is. 00 thi,esr atK-rany ripa,iree berore me Lloyd 19. Johnsun and Jewcl R. Johnson lo me Inu*a tn Ae the Ir.4iividua) deKriLed In rod who eirauled the wiihln and (rrtgo(nji Innrumml, and wlnv.I~Agrd thu Lhi^y dgned iM "me u thelr Dte tnd ralunury ul end Ead, la IM wA wd purpnses tlurcln mmlloee0. CIVLN undn my hinE lnC ofAeld reif IAb dar of 0(1.7' . , 19114 ....-tf .!~'~.:'':..3U`~ . . , n+is srAa Fs«ED rci s M, , A woOt~~ FILEO'ORA:COF~JE01 ; . ~ , ~I'irst American Title ~ INSURANCE COMPANY "En~"sI rf i"NUR likP~IA1 Ti11i 9 09 hG 8~ , ; ~ Filed for Record ol Raquost of 6411020059 ' wILl1AH E.4y4fiuE ~ AUpIIOR ~ ~ , Tr st Bank ' SPOKANE COUNTY,IYASH. ~ Neme.._ ,WdShk;n.s.t.Q.n....... oEVUir ; ~ Addrear y.,4.: ~13oti 2127.........._.._...........__..__..._.. i • 0,7 City aad Statr....P S okan_. 99210 ~ ; . ~ • ~ ' Attn: R. D. French, MO/Commerci.al Loan Dept. ' Partial Release of Nlortbage , : !0NOW ALI, MET( BT TFiESE PRESf;T(7S, That WASHINGTON TRUST BANK the owner and holde'r o( that certain mortgoge bcaring datc the 29th day of MarCh , 1976, eaacutedby LLOYD M. JOHNSON and JfWEL D. J011NSC1N, husband and wife to seturt paymrnt ol dic sum o( ONE HUNDRFU TWEN'fY TIIOUSAND AND tv01100 . • pollars and intcrest. ~ and recordtd in the office of the County Auditur of Spokane Counly, Slatc of 1Casliington, an the 30th day ai March , 19 76, in Volume 261 of Jtertgagca, at page1018, bcing Auditor'e FiIe No76033002A((or value received, does hereby relcase and di!chirge ' - Irom tlte lien of the said mortgage the (ollowing described porlion o! the morlgagtd prcmius, siwate ~ the County o( ~ Spokane State of 1Vashington, to-*%vil: , , 1 . Lota 4,1 5, 6, & 7, and the Easterly 20 fecC oE Lot 8, Black 2,0, Town oE YardlFy,_as._.Rer plat thexeof, recorded ~ in Volutne E`oT-Plats Page 68, siluate in the County of Spokane„ State oE Washington. . ~ i [lut thlo relcnee shall not Impalr the Hta ol the said mortgaqe no lo the lands therein dcsaibed nut hcrcby rclcaecd, I , IN Wl1'NLSS WNFItEQP, ald carFaratien hai auud Ihii inctrumrnt lo bc exmltd b}• its pmM olficrrr I ~ 15th a,r or oocoboc ,1984 N; y!J TRUST anrIK tj ^ WA~ ➢..y...,..'. . :.~_S✓.•_" • ABSt,, Secrurary 6 Vicc- Poruarnr. k ~ ' ~ Bf......._....~__.........._......._....._...~SiiA~#r~x~i 1 ' STA'f8 Qf Wh1111NG-1-UN, ~ . _ ~ County nf gk~okttnc On1hio; 15th ,h`.of OctobC[ ,IOA4,kfnrcmc.IhevnlcrSiSnn1, I ` t Nalary Public in anJ for lhe Statc O( 1C'adimgton, duly mnuniatuncd and sn1qn. irrtimallj 3p`ctm! l ` R. D. French Nm* • tonu6uuwutolxlhr ViCC- I'raidmlauJ Assl. -5^'rrury•rc~~hti~cl?,of NASIIiNGTON T6UST DAX-, the eurIrnation Ihri esrcuteJ Ihe forrguing indrumml, anJ ul.una'Ia1,4tJ Ilir siid iriunimrnt lu le ;h: itx irJ ro!unti7 ut and deed of vid mrporalinn, (ar Ihe uuf and purpnteot Ihcrcin mcmion(A, 2nJ m wth vi!ti tha; ' ~ aWMoriinl M etn'utt 1Ire µiJ imltuwenl and Ihat Ilir eil allixnl td an) ) u l6e ttilyNvite u►I -.~i uiJ an"iirn. • Wimas my Annd ind o{firid scd herrlo aICitn1 IIK Jap an,l )rAt fiiq ah,%t ntdicn. . ~ . . ~ .........,..:1,.L L/'..(c.n,..r...,.. . . .[,;~'i.._......_... ~ N.-e.ni 1'siFli.- iu auI J.vtfh ~ n~~,l~,,~~r v~~~~k~ur w~ • I I . . , , . , ~ . I . . . . . . . , . _ r ~ 'N' 722 f~►.E 364 . ; 841102000 , 2 I ' ' 3 r AD9EtIDUM TO REAL ESTATE CONIRACT b 5 TNlS ADbE110UH TO A[AL ESTA(E COriTRACT ts made th15 Aay of October, i 6 I984, between lLOYD N. JONNSOII and JENEL R. JOIIIISON, husband and Hife, as I 7 Sellers; and PATRICK J. HOLRROOK and 'aIRGINlA R. ROLBNOOK, Inisband atid N1fe, anA LERpY SMART and 1kMA AfIN SMNtT, husbana and Mi(e, d/b/a BOONE A4Et1UE . • i y , INVESTMENTS, a 9?n?ral partnership, a5 Purchasers. ~ . i ~ , E ip For anC 1n tonslAeraton of the reQuction of the tontract balance from ! . • ; 11 , f)ecrmber 9, 1493, to date anti for other gooA and valuable consideratlons, ; . ' ' 12 , the partles h?reco agree ta ampnA that certaln RPaI Estate Contract dateA ' • i . , i 13 Dece+nber 9, 1983, to provide for release of a certaln partlon of the property ~ 14 cavered by said contract. The-release shall be docum?nted by a dartlal . , • ' i ~ , Fu1i111m?nt !leed of ihr. Ileal Estate Coniratt as to the iollowing destrihed j , ~ 16 ' real property. ( ~ 17 ! Lots 4, 5, 6, and 1, and the r.asterly 20 fect af 4 lot A, 91ock 20, Toern af Yardl__ y, as per plat ~ lp thqf2ql recordcd'TA'6o'Vume C"7t'1'1'a~Cs, pag? bH, ~ 19 situate in the County of Spokane, 5tate of Wash- I in9ton. ~ All other tertns and conditions of the Aeal fstata Contract dated Decem- L~ Der A, 1983, 5ha1) remji,n ~r~'f+ force an~ effnct withmit amendment, r, i tid ~ ~ [rdw i~M P~iJ on 'i Saln A.ml G 7'orcP ~ . ~ ~ ~ DE''SY,{P" CI11L9ERG r.1 Couniy irea~ ~ t nhnSO~ ~ n a~ 2~ je~`we_. T. aTnsa~ f 47 SEILERS 1.~ M Rltxto6 WIMMIAll1, [alG~oP:, WaooO a /IIOKN AttOpNCY. p~M ig Canr[n Ouiwlna nonm ooe Ho*Ann mrn.rt ADpEt~DIM TO REAI. ESTATE CONTRACT ro.. orriu DoX eea ~AGE 1 8ro%A%., wA,MixotoM aSoV noo~ $2a7oao ~ ~ __...r • . . . . , . . . , - _ : , i . i. . _ , ~ . w , , Y~~ w.,_, _ . . . Ir- ~ ~ 1 i2? ~,-z 2 3G.5 ;3 I . . - i . 4 A i . I r c o brook ~ 6 ~ / , . ~ 1•r~~-! .,1 ~ irg a . lo b ~ ! 7 I Rck' ~ i e Xoyym26rt . 10 , I ~ . k~ ; . ~ Irma Ann Jmart 11 • ' ' ~ PARTNERS ! . • ' f 12 j . d/b/a ROONE AYENUE 1NVESfME4TS 13 I . • ; STAiE OF N~SIIItIG10N ' 14 County of iSpokane 1' ~ 16 On th(s day personally appeared hpfore me lLDYO N. JONNSUN and JEWEL R. , i 17 JQHNS01I, ~o me known to be the in4Sviduals Qescrihed in and wha eKecuted the ! la Nithin anb foregoing lnstrument, and acknaaledqed that they slgned tAe sane y ~ " lg es their ree and valuntary act and Aeed for the uses and purposes therpin • 20 mentloneA; • , 21 GIYEN;undermy,hand and off1c1n1 seal th15/•;6rday of~S~'("`~19A1. I ~ ' . 22 rlILfI) URk6:L0^I1E41 : 23 ;~Ilik~~I e'..FICIII[RIIATIONAlTI1lE 477r~y,'!<~ . NOtary u ic fn and for trie State u7- 24 Nau 2 9 io WasMngton, reslding at 5pokane. ~ . . ~ !WII.UdR C, DQNAHUE . . ~ 2~ ~ e~oK~He a ouyrr, w~s~ zs ; oErulr, 27 . < < , ; 20 , ~ } RKNtte. wlualoltf. [.ICICM. N'ODM \ aIO"M P.S. E siro.~r. • V~~R Ct+lc. OUIlOIM6 Na~tM IQ1 Npwa.O f"irt ADnENOEM TO REAL ESTATE COIITRACT ro6. o11,,4 Blot $040 ' PAGE 2 I • w..%.. w.,~~.o,C, • ~ 1~0~1 846.7000 , . . n , . . I . I ~ I ~ • , I t ~ ' . I I I I ~ ~ . . . . . _ . . . . _ .._u . I a ~ ' , r ! ~ ~ i z 722 r~~c 706 . • 3 STA1E OF VASNINGT04 ' ~ 4 County of SDokane 5 • On this day personally appeared before me DATRICK J. NOLRROOK and 6 YIRGINIA R. HOlBR00K, to me knoNn to be the indivlduals described in and Nho , 7 ~t executed the Mlthin and foregoing instrument, and ackna►+ledged that they 8 ~ i signed the same as their free and voluntary act and deed for the uses and I 9 ~ puraoses thereln mentloned. ~ . ' 10 . . ~ GIYEN un9er my hand and officfal seal th15 /2-day of (D (2•r', 1984. . ' . 12 • ~ ~ ' . 13 otary Pu-51Tic' f-n. anu, tor tl-ie State ot i . : 14 Nashington, residtn9 at Spokane. ~ ( 15 ' ~ I ~ ~ 16 ! , ~ 17 SThiE QF W1SH(NGT011 ~ .10 Cnunty of 5pokane i ( 19 • 2 On this Aay pPrsonally appeared Aefore me LEkOY SMART and IR~4A ANN S14ART, , r, 21 to me knoon to be the individuals Aescribed in and who executed the within ~ 22 and foregoinq lnstrum?nt, and acknowledyeA that they signed the same as thelr ; ~i. ! 23 free and roluntary act and deed for the uses enA purpases thereln mentloned, G1VEN unAer my hand and of(itlal seal thls day uf 1984. f 2.1 ' . ~ ~ 25 , i / I i, 29 ~ Nutary P63M c-1 n-encl, for thc State of- ~ Nashing[on, residing at Spokane. . 27 ~ ' • 2ij i, eiemu, t►uneLn. cmc.oN. wooam a fR011M ►.s, ! ~110~N11• I I~RII Cf111111 SY110II1~ AAOEtIDUY TO AEAL ESIATE CONiHACT NOeoi 909 MowA.O 111ent ~ . PAGE 3 ron oMu .o~ .uo ~roa.h., wa.iaM*roM ~~061 ns•toao ,~.r,~ ~ , . ' .__.i....-..`-.r.- . i i n . ~ , . 1 . . , ' RECEIVED ~ . OC T 2 9 1984 BUILDING PERMIT APPLICATION WORKSHEET SPOKANE Cou NTY ENGINEER PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND (Please return this orlginal and your building plans to the Department of BulldinA and Safety) ~ 1 Owner's Name ~ ; (last) (tirst) (m) Qepartment Use Onty ~ • P`~' ~ ~ t ,O G' p S ~-(i 1~ p . Res. ~ Comm ✓ 2 ProJect Address (not Mailing Addresa) or Road Name Space Zip A5 2/ Z 3 GtY/CommunitY State ~ Subdlvlsion Plat Name s, l - o (10 01., . Tw ;I, 4Assessor Parcel No. Lot D4 Block ~ SQ L;~. 1 c L ' Z 3~ p Ct(J S L/~ Q Z~ DEPARTMENT USE ONLY * r► t ! T G C; 5 Sic Code Zone Act. N Zone ProJect No. jUZ2_ 6 Dwell N No. 01 Bulldings ~ Sq. FLIAcre Depth Frontage 7 Set 8adc-Front (L)S-1 (R)S-2 Rear Oensus Tract Module No. IMtial * 16 Architect Firm Name Street Addresa • 117ss a Z), `~//S ~ ~1'7 Zip Cfty 510 Stat~ Phone , ~L/G-- 4:~/~ . tact Person Phone If dlfferent than above 15 1.L ez.\ hll- c ~ Contraator Firm Name Str t Address ,eD f`V G_ GN j-0 ~f_ . /ozzo vanyla ZiP city State Phone G~ r7 Zog S p ol.~J~ . c 5~~ d~Cantaet Person ~ Uoense No. Phone if dlfferent than above o~t~ ~~i - l~~e 4 . t~~-V G 3 8 Owner/Agent (if dlfferent than Mt above) • ` Business Address ' 9 Zip Clty State Phone ( 1 12 Review Required Plan Checic (YIN) Other (Y/N) i SEPA Exempt (Y!N) Date ~ w i 15 Type Work Bldg ❑ MH ❑ New 0 ReplBce O Other O Fire D Demo ❑ AddlAlter Q Move 14 Descri be work T3 ~ . n n ~ / 0 O G s~ F✓ ~ f ~ 'r ('/~1~ T - c, Z. C.. ~ 10 Applicant Name Street Address ~ E.s 3i4 11 Zip Cit~ State Phon( 5~ / r w 5 ' 5_3 D Lender 5~ree► Address / ( I? G Zip City State 1 Phone r,GDnlact Person Phone if different than above allnformation DEPARTMENT APPROVALS This is not a Permit . Application Type . (Standard unless (Indicated approvals required in either "release" or "release with conditions" otherwise indlcated) space prior to permit issuance.) ~ FastTrack ~ Refease Early Start / Release w/cond 1 Hold 2 ~ . Envtronmental Health ~ Commercial; p Residential W. 1101 College p New Construction; p Bldg alteration/addition Room 200 p Additional structure; APPLICATION # i L~~-1 i'~-'~.~ • ConditionslComments: / A • J ! Planning/Zoning: Commercial; ❑ Cert. of Exemption; O Frontage; N. 721 Jefferson 0 Setbacks; O lot wld; O lot size; O uselzone; ~ rJ XU, variance, Zone change; shoreline; 0 f nce; ❑ Other ConditionslComments• ~ ~/,F.~,o ~•~c~~~ ~~~~t on. d,6/ u.IG~S ~ Engineers: /Commercial; O Residential; O Flood Plafn; N. 811 Jefferson O drainage 0 new access/approach; ❑ fence; i O road improvements Conditions/Comments: Utillties: N. 811 Jefferson A~ ConditionslComments: ULIp &T#,%MMENT J3EQtJ11teJ> F-I otner: Plan Exam Fire Prev. Conditions/Comments: a y ~ Project Representative Telephone ~a Agencies Performing Special Inspectlon: ~ c 1 Y O U i`- E 2 u- c 3. 1 lndicate ebove or attach conditlons relatlve to final aa built epproval 2 Indlcate above or attach reasona for hold NOTICE OF OETERMINATION OF NONS[GNIFICANCE Uescr i pt ion of Propasa I 12 ~ 660 sq • ft. warehouse Proponent H& S Builders Corp. LoCati on of {'roposal (i ncl udi ng st reet address, i f any ) 5403 E. Boone Avenue Lead AgenCy Department of Building and Safety The 1 ead agency for thi s proposal Mas detPrmi ned that i t does not have a probable significant adverse impact on the environment and accordingly a Determination of Non-Significance (ONS) has been issued. Environmental documents for the proposal are available at the be1ow address for review. Thi s DNS i s i ssued under WAC 197-11-340 (2 the 1 ead agency wi 1 1 not act on this proposal for 15 days from the date belov+. Comments on the ONS m u s t be submitted by 11/12/84 to t h e responsible official. Respansible Official James L. Manson Position/Title Director t'hone 456-3675 Address N. 811 Jefferson, Spokane, Washington 99260 Uji t e 1 0 / 2 6/ 8 4 ~ S i y n a t u r e SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY NORTH 811 JEFFERSON SPOKANE, WASHINGTON 99260 (509) 456-3675 " I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In addition, I have read and understand the NOTiCE provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. IGNATURE OF APPLICATtON )WNER OR AGENT ' DATE OB ADORRs6, GCO. r% OATtt rR011i 5403 E BoaNE au 0003188 10,r26i84 00003171122 -WNHR: i-{ h S BUZLDERS CORP :a , E, P, A Fe~ ~3.5~ .DORBQ.: ;31b E SHARF' AV P].an Chk Structure Fee $569,40 $TV: sT: zir: SPOKANE WA 99212-0000 ADI>:1:T:cONAL SEPA $40.00 ,nvLIGANT: Fl h S Eiuxl..DERS CoRP ONTRACTOR% I) VCON , I NC oCoRcss: i h f, oB QX 18707 ET: Z►P: 5P(]KANE WA 99208-0000 M LICGN3Bo: 509-466-8900 DIVCOI*213C3 ,wcN/eNCirveer+: DESIGN ENGTNECRS b AS5i7CxATES •DOR6S1, 9329 N UIVI5ION ST sT: zIP: 5!' OK ANE: WA 99218-00 q 0 `ARCfe1.s: CRNSVS TR: INfPCCTOR: 145310902 0122 LATS: LOT 8[ OLOCK PINAL onaoon a-a 020 •LAT NAMC: TQWN 0F YARDLk Y •+O t~~~~ 0►~'Dt-~~oN~c-~'S•~ ~Du~ ZONC PbY f' 1 S' i Rfe MOO ~iF~'G 00(~ 00(~ OOt~ QO dN iSE Or PCRMIT: /QQE: PAID Yr: CA CK CO NC wAREHOuSc $644, a a x 00 ADOPBSS: COUNTGR APP: PLANQ CXAM: DATE* 5403 r. ESCIONG= FaV , 1 U/~.~..la/8,4 D E. P T R E V IE W W 0 R I< S H EE T I'LAN C:HECK STRUCTURE TOTAL FEE~ $569.40 Description N WAREhI0U5E Group B-2 Type IIIN Square feet 012660 Occupatir.:y Loaci tlQAp ~ a O' U W U LL U. 0 ' ' ' A0A►.~OG~tiEG L✓i~~i ~ RF.91DENC~. ~ :N')P ~ ~ • , , : ~,:.i.. Go~r•P'~:/t~~ : ~ ~EG GARAvE ' 1 I ' ~ - ~ , . _ . ~ , ~ v ~ p • ~ . _P, L-, 2 oo' - - , - - =ENr':~a r I.~E y - . . , _ , . . . ~ . . _ R ! , . - • v . • - . - s --~i~ ~ ~ . . > I . . ,}~__.,~C"'- . r. - ~ • ~ PRo-P P I~ W t , . , R . . I . ~ i ~-J d i~ ~ • ' ~ • . . . . . ' ' C' _--,fl ~ ~ . ' ~ . • . ~ •r, N _.~I • • • . , :,,~4~ • . ~ ~ ; ,G _ • _z;-~ N , ~ •,;.T ~ . P ~ ~ -,~y~ N 'i ;~HOP •s::, r ~ ~ , .i P,~; - ~ • v °r; ~PRD `t . • iy I " ' _ _ - •.J • ~ ' ' ' . ' , Z . _ . { ~ ~ x n I ~.1F;7,~' ~~a ' . • % ~ ~ . .F:~ • ~ L,. , • 1 ~ . . 1 I • - • , ~ C , r . , • , ~ L , . . , , ~ i~ , l~• " , . .u I _ _ ' , . t• . ~ . . - - - • ~ ' ' ~ -„_h - - +L. .=A -A*- . . . ` y . : _ • ~ ~ . , • ; , , ~ . I'JtiC 19 7-11 -90-0) Secctnn Il.i0.23U(i) c ' • , G.;tv! Ynnme nt a 1 (.4ii•- 1 r.t f : 14, yo. Yur~ ' 1 rrt I f e,t . - ' ~ Theti*:~•~ l~.t :tr ~-i,i.(Ni Nqi i t, ACL SaPAj 1. trr •...'I! Rf1, t~•~ts.r.• .:1 ,;~t~•t , tit.~! .~f~.ru t~, i~ ri-,.tir the.• .,nv1 i-4,rr.rnt.i; frir.,( t• f'.i ~~~rip~~•..~: - h.- l t- *.,1eicy, ',,•~Ih(" 1,ti Ar. F.nvtr-j.~n I'npnt~ Sl.irr.1t 'ilti; r,~:ti! Vi~ ;~r~~~.,r~•' iilt a 1: rw 1, :1 .r,) fint-!4 s l,tn(ft - nnt ,i.tr-,• lnp.)t~. -,i• t`lr .;u.•Itrv nf 0:4. 4-jw1 ri t itmf•rt. ihiTf.urFuse nf ch:r, hc<•1::r: tlde t.' r-F.il1o, it. !i.- 1i th., ayc tde n!1t~ IritTactir:4-. vv•i; ~ tlr,>;)o,;at ( and c'+ redu4- N ov aould lm1..i cts 2rov the pc-uposnI t fc r,,i, hi, A) :ici t :cd t~lp 1 1u .,y-j,rv it rlde• whether in F I S f~. irqulred. . lnsteut tluns lor Aliplla.int, . rhfr, rcvtr~~r~¢e~.tal ,hs 'wll;,t isks voL [o deecribP stme basic tnfnrmaclnn aboui yo,.r Urnpossl. Governmrnta2 ngencles use thla theekllsl to (iete rmtnc vh+•C'r.•r •b~ ~ rcv:ronnent.i ] faparth v: your propoFnl ttre signifleant, rer,nirlnR prr.j-a rnllcin n( 0.1 F.[S Ansver thr luestltins brteEly, v(th t he ❑nst r^~, ~t o t };rnvr., nr ve it,eSt dr, scrlpelon ynu cnn. 't ri , • •t ie :,t: in jr:u:.Itily and car'efuFly, co .!u• bes_ ol y4our 1,nov1t-Agc. :r r.o5t . aties, ;v.i ti~~~~~ ld nt d'" :a aae.vCC the yu~, % ttnrr, t: ~'•;.~+r u*: krh-~•iva1 inn[, ~c p:uJ~'t plans w{Chru( tr.e ne--(: to hire experis. Ei you rer+Ily do i:ot Ytt)= th,- 411sv4,1 a, r 1: .11 quesclon 110Ca; nut u v,iur ;r_r1r. ~)t 4nn+: ur doea not dnply.Cunpletr annwers to thC yut-Gitottr uoi. cav a~nld ur.ncrrtib;.rv delaqb latcr. . 5otcP -411(•SiJull-- nr,is abo,.t huvarnmco[al teFulattons. such as teaning, Shareline~ Ntlli landmyrk AB'+IQi1RC{n1SS. AI1g:IGt tiiec,(- ,uesilortb tf you can. IE ttavo! pruti>1t•mr., Lhe qoverna;encol agrnries ean as5lst you. '7'he ch.•rll:st question, epply to yli fiects of your propocal, even !f you plea [o do them over a period of tfine or on differen[ parcele, ot lanc:. ' Actact. ,,n}' addltlonel lnfurma:lon ttia[ vill deserfbe your proposal ur 1CS envfronar_ntal eFfects. The apency [o vhich you eubmic this checklfst aaa:'4 ~.t, a, rxrlalr vokir ansverc o: f+ravtde sAdittonel Snformntlon reasonably relr+trd co deLermln:ng ti thcre mey be s1gn1€lrant DAverae impact. L'ee ho•cf l:fit for ranprnjcct propoe»els: I «.Z.?,.c. hv( klt- fur nanprojecc p:oposals, nven rhough ques[fons may ba an«•ered dcieF nrt .,ppiy . IV AnG1T1111:, r-n~lrt~_ thc ;i:PPLEriEhTAi. SHF:ET FOR NOtiPROJECT ACTION'5(Pnrt D). Fo1 110nl ru)vl [ ra;tior.e,, t~iv reierences !n ehc rheckiist tq the w,:G, F.rojeet.tppliCaniand "prapvrtv or stte- swulA tie reah a, 'rrnpn~al, -e ",iflrc•e-r weup,:Uphft nren,' rrspec:it•e?y. n 6J ~ r ? . ' L - ~ L /L 1. l:ii;rr nf AppJI rAflt: _ / / ~ 7 - - ~ ~ ~ 3. Address and phone number of applieant or eootact person: e/_~ ~ i 4. Dj (e _hP[RliSC prepnred: /g/ 5 Ati,r~:} req.ceci inF cher P 31s[= E•. F'E tirdair or tir•iPatulr flnriuding phastng, Sf Hppl ICDHlei:_~/~i•/~ -u, h3v,, irty {+lan,- `or Future nddic6on5, o>,,aasion, or furtRer aetfvttv releted to or conr.er:ed vith thSs peopusal? !t ycF, explaln.~__ ~ _i r ~ t 1~n5---.` •t~ '•+r``' i r iarfni ia thls ~••c,pa;h7 vcr, explain., L L,, i J~ F~ n•~~ ' ~ - - - - - - - - - - -T~.~----_,.~. - - , :.l,c ti.v crcvircintri•ntai infurrnat:on you knov abuiiL criac h.ic: lmun prpnrE•d, nr vlll bt: rreppred, directl% rclatcd to ih16 propo3,il. . 1 E / ► , i I, SPOK~NE EN~'IkQA''1EN1A! uxn~t:A~C} j (1+AC 14]-I1-960) So•c tlur. Il .lU.?3b(1) ( A. AACKGROUItiD ( t v-ct t t.urt: ) 9. Uo you l,eiow whrthcr ngpEfcatlons are penJirtg £nr t;uver;Lne•nt.i. ippa,)v.+l .c.t --,t"cr CtreLtly a-fl-Ltinr rh, ~r~~•rovcrs-e! !i-j- voar pruposal9 16 yeti, explair.. - ____s - - - - - - - - - A` - - - - - - - - - - - - - ~ 10. L.Isc any government apprnvais ur pFrmitK that v1t1 he neede:i [ur your ,rnti.usal, lf ..^.,~•n._~ ~~j ^ __.~r~ 1t. Cive brief, caxnplete desulptlon uf youc proNosal, lnclu: !ng the proposN<t uses and the ctze of the pic,jrt t and sltc. TT,ere j rt. ,e ver,it questlons leGCr in this eheCklis[ Chut ask you [o descrSbe certain espects ct ypur pcoppsa1. Ynu d-- not ❑eeu ~a reIlca L t~s'~e aeiswrrs on this pa$e' --°--r-- - - ~ c.X L . ~(L..~' _ ~~t ~ ~ C' ~ ~ _ ^ L ~ _ r ; ' _ ` ` ~ ~ f `r, ~ ~ . D' G / p1 - - - - - - - - ~ ~ 12. Locacion of the proposel. Give sufflcient information to e person to understand the Nreclse locatlon of yaur proposed projecc, iRiludlny; 's street address, 1f any, nnd secCion, [ov[sehlp and ronge, 1E knovn. If a proposnl vould occur over a range of acea, provlde the renge ur Dounderiea of the sice (c). Provlde a legal description, si[e plnn, vlclnlty map, and copogcaphfc mep, if reasonably availnble, vhile you should submiC eny planc required by the egency, you ere no[ requlred to duplicate maps or dPCOiled plans suboi[[rd vich any permle appltceeion zelated to Chls checkllat. ~'t C E? 7' 7Z(') S 5' <a 14 t,, ' c-. 5 /0 . - -c--_ ~ . i ' 13. Uoes che yroposed.ecclon ]{e vithin the AQulfer Sensi[ive Are.v (ASA)? 'i'he (.enera? Sevec $ervfc-e Arca? 7hr Fr!nrlty Si_;- c•r Servic- Aren' :?•e Cit} ot SpokonP? (See: Spokane Councy'c ASA Overlny Zone Ac:as for boundaries). - A, - - - TO BE COriPLEI'F.D BY APPLiCAN'I 8. ehvTRONMENFAL ELEMENYS ' I,,::~ n 6. t 1. Nnklft uererat descrlptinn oi thc elte (clrcle on~Fiai , -r,, l,nV, 1 :1,•; ~9, i ~~•r ,fr•,j:., ~ith~r: y ~ , . - - - - - - - - - b. Vha[ is the sEeepest Flopc on the eite (t+ppror.imatp pcreenL slope)? ~ - - - , ~ _ - y~ t. whet general typet, t-t -;t.17s are fnund ujt the : 1 ec i Cor ena!si )v t :,t~ , tia::A, ~ ravt iuck lt vn, 1.n~,%. the c2atie,it,eati7 nFa-iCUlturoi e;ollN. r.p.r[t}' ti -r ,ir.! nne" 'c , I'eir :,e.•,l.ir.~' f / f•' i~ l 1 - - ~ d. Are therr Furlnce lndiLationc; nr hle;tor) .~1 unsretl4• -•l:i, li lht f:rr~Al.~ce tnf[v' c, deacrtbe. ~ - ~ - - - - - - - - - - - - - - - - - ~ ~ - - - - - - / . ' • . - _ ' - ' SPOKANE ENVIROtiMENTAL ORDINANCE (NAC 197-:1-960) Secclon 11.10.270(1) B. F.Nt'iROKHEf:TAL El,EHENiS(conttnued) EvaluatSon For Agenay U~c Only : r. Dcscribc the purpose, type, onc! approxlmeCe Quantities of any filling or Erpoing vroposed. " Indlcate saurce ut fill. 5'kt.cy GL&,Ae-~ L'.7 ~f C.i2' ~~~~h-~ L•~•7~u f. Could erosion occur as s result of cleering, conscruction, or uae? If so, generally deecribe. i . ~ f Q. About vhac percent of the site vlll be covered vith impervious surfnces after projece construr . tion (foz example, aephelt or buildings)? ; h. Proposed oesaures to reduce or contzol eroalon, or other impac[s co the earth, !F eny: z. nlx a. ilhat type of emlasions to the alr vould result From the propo8al (S.e., duet, automoDil.e, odors lndustrlal, vood smoke) during cons[ruction and vhen the project Ss completed? If any, generally descrlbe and give x pro~cia e QuaAtltes if knowc~, , !r^ t ; tj 6~w C-r~ c, ~ , , . b. Are there nny off-slte sources of emisslons or odor Chat may affect your pzoposal7 If so, benerelly describe. C. Proposed eeasureC to rednce or concrol emiasiona or o[her impacta co oir, if any: N~. 3. ~;a'1L•R a. 5urface: (i) Is there any aurface vater body on or in the immedinte vfcinity of the site including year- round and aeaeonel streaos, sal[vater, lekes, ponds, vetlands)7 If yes, describe Cype nnd provido• nacnef. If appropria[e, state vhat scream or rlvcr S[ f1pvA lnto. /VoI'l ✓ • L1ild the prujrec requ4rP any uork over, 1n, or adjacen[ co (vl[hin 200 feet) the dcacrlAed , plense describe an8 occoch avallable plana. l waters? If go, ~ ' • SPOKANE ENVIRONNENTAL ORQINANCE (Wnl" 197-I1-960) Si-:-(Ion 11.10.230(1) B. F.NViRONHEP:TAL eLEHkNTS (continued) Ev~+3u.iU~.r For ARrnrp Uhc Qnly (3) EsCtmACe the am,unt of f f l] nntl drectKc rnn[eti.oi thit voiild be plnred !n or remuvPd froo the surface vacer or vetl,inds end fndicate the nrea ot the e.icr thrit vould be affected. indicacr the 9ource of fl11 oaierfel. ~ - - - - ~ (L) ufll the proposal requtre surtaca w,iter „r diversinns? Givc geaernl descrlp- tfon, purpose, and approximate uan[iCfe s ii Y.naLn. (5) Aoes the p opueal lie wlthin a 100-year fiaod plain? If so, noce ]ocacion on the sice plan. ;h) AoeS the proposa: lnvalve any dischacgr•s ot vas[e aateriais co sur:ace watersT If so, ~ describe the type of vasCe And antlcipated volurne of d:scharge. 1 { ~ f ~ b. GROUND: (1) WSI1 bround va[er be vithdravn, or vill vaccr bc dfschtirbed to groursd vater? Cive general descript[on, purpose, aad approximate quantitles if knovn. _ i s s~-~. _ . (2) Descr9be vaste moterial that vtll De dischurged into the gTOUnd :rom sepLic tanks or other sanitary vaste [reatmenc facility. Descrfbe the general slze of the syscem, the number o[ houses ro he aerved (it applieeblc) or the number of persons the sys[eo(s) are expecCed Co serve. ' (~G~= _ G~- 'I ~ ~ / C ~(J d t/ l~i}~~ , 1-~+ CJ ~'G `l ~~S , S~~' ~ ✓ W G-- 1 ' Qescrlbe any syscems', o[hez than [hose desiened for the disposal of snnttary vaste, ~ in:LdJlyd ,`oc Zhe purpnse of discharging fluids beiuw the brotind surf.ice (includes systemc such ati tlwhe. for the dispo6nl of stozm vater (.,i dralna};i- 'ram tloor draln:,)_ De::tribe the type of tiy,;ccsc, :ho amuunt of materiol to tze d[sposrd Ut ;hrouqh the sy*Lcn ;erd the [ypes of meterials llkr➢l ;a t,e dispuseC o( (Inrludlnb cruterials vh:Lte rjaf cntrr th(- sye.tL•.r, in.idvertentyy throvE;l_ s{+il',, ui .+o ❑ rcaule of f1re; fighting activfel(•s). ~ ,4) IJSI1 any cheotcnis (esprcfalf}• urbxnic bi.lvEn.s e.r petruleum turl.,'y GQ tcared in aDove i gruund or oindergruur.d storoge tanhs? If uo, WhaL types and quontitiee uf ma[rrit+ls vlll be y torPl! ? . ~ i - SPOKAltk El:VIRONNENTAL ORUINANC£ ~ (WAC 197-11-960) Sectfon 11.10:230(1) B. ENVIHONHENTAL ELHMENTS (contirnied) evaluatlon For Ageitcp Use Oalv (5) Whet protec[ive meaeures vfll he [Rken ta tnsurF chae leakc or sptils of uny chemlcnls stored or uced on clte vtll nut hr allowed to percolatr to ground water ([his inc2udes meacures to keep chcmicals out ot d ajiosnl syacems e crfbed in 3Pra nd 3A(3) ? ' r ~r o c r ~ C. Notcr Runoff (lnc2uding scoro vater): (1) Oescrlbe che source of runoff (including stoM vatE•r) and methoci of cnlltLtSun anri dispus,l1 if any (include quan[itles, tf knovn). whcre wl11 ctefs vBccr flov? uiil this water flov into other wacersl if eu, describe. , b caG~ r.l.~~ ~ 1 (2) will eny chemlcels be stored, handleu' or ueed on the alte in a locacion vherc a api1L or leak uill drain co surfece or ground water or to a Fcarm vater dlspasal system dischnrging to surfaee or ground vater? . ' ~ (3) Coutd vasce aacerials eoter grouod or euriace vacera? If so, generally describe. ~ ~ i d. Proposed oeasures to reduce or coatrol surface, ground, and runoff water impects, lf nny (!f ~ the proposed actioo lies vithin Che Aquifer Senai[ive Area Ae eepecially clear on explpnacions relaciag to facilitiee coneerning Sectione 3b(4), 3b(5), and 3c(2) of [hIe ehecklist). u'-A 9 c...'C'5 ~ t, kT , 4. Pv+Nss a. Check or cipcle tvpe of vegetation found on [he site: deciduous tree: alder, maple, aspen, other. evecgreer tree: i1r, cednc, pine, other. • shnjhs. grass. pasLUre. crop or grala. aet so71 plants, cnttatl, huttetcup, bu:lrush, bkunl L.qbl~age, o[he:. water plan[s: water lllly, eetgrass, miifoll, other. other cypes of vesetation. b. Whai kind and amount of vegetatlon vili be renoved or oltered? C. l.fst rhreacened or endangered speries knovn tu be on or near ihP efte. 0. YruEobed lendecayir.g, wbe of nnCive plant5, or o[her oedeures cu presecve or enhance Vrgetatlon or. ihe cltG, if tiny: / j~{ )I / /"~S S t ' l/) L ' f ( 1 / f 4: G"i__/ ! C. ~ ~ ~ . i ' ~ ~ ~ • . ~ SF'OKANE ENVIRONT(ENTAL ORDINANCe (une 19)-11-960) se « ion 11.10.230cl> 8. EPiYIROMd£NTAL £1.F.HENTS (con[f nuecl ) Eveluecion For Agency Use Only 5. AH1riA1.S a. C1rc1e any birds and animels vhlch hove ber•n obscrved on Ar nenr the site or nre knovn to be on or nen: the eite: f birde: havk, hercn, engle, eungbSrde, other: Kro, mammols: deer, hear, elk, beaver, ocher: flsh: bnss, salmon, zrouc. herring, ahellflsh, other: othe:r: , b. LSsc any threateRed or enddngereA speeies knavr. eu be nn or near the btte. -s--~t' 4 ~ r 1 C . c. Is the site part of a aigre U on roucr? I( so, exp]a1n. A/(i t e. Propoaed mensures to preserve or enhence vilGllfe, tf any: ~ )n /I 6. ENERCY AND NATURAI. RESOURCES a. uhat kiods of energy (electric, netural gos, vood stove, solar) vill be uaed to meec the the completed project's energy neede? Describe vheCher ic vl11 Ae used for Rea[ing, manufac- tvring, eCC. ICJ r b..Q.r~-~ ~ s ' ~Z ~ ~ cz • b. itould your projecc nffecc the potentlal uBe of solar energy by adjacenc properties? If so. generally descrlbe. G7 . f v, . C. trhnc kinda 'of energy conserva U on fea w ree ore included in the plans of thls proposal? Liet oChPr proposed measurea [o reduce or control energy impyC , i f nny: r- c--,~~ c I c~ K--J C) (,N _n ~ e) 6Zr c c.~_" r . ~v ~o-R ~ ~._c~. ` _ ' ~ ~ s. 7. EAt I KCN'H£tiTAf. 1iF.AL7°H a. Are iliere any environoental hen]r.h hazards, 1ncludSng exposuc•P to toxlc chemieala, rlsk os` fire anG explosSon, sp171, or hazerdoue veate, that could occur us a result pf this propo6al? If so, descr! be. ; ;1? crlbr speeittl Np~~fncv Aervlces ch~~lfhc ~ rc~qukrcd. ~ 7+ i ~l^ ~ ,F ~--rl'~' • ~7 `r }.J~ ~ I ~ ~ ? ~ _ _ - - ~ - - .~v.v-l. 41f%U:.71fhIMi. V&UiC.Kh1„G ~ (uA(- ]97-17-•9bU) Scrtloo 14.➢U.2JL'(i) i B. E'*IVIROt.'`EfiTAI. ElE`tENTS (cunclntied) ~ . Evaluatton h'ar a ~ AKentv l;se (isit Y Et:VIKU'd4gSTAL hEA1.:1i (2) Proposed me:+surec Co reduce or control envirarteienral healch h3zdrdc, if any: ) 4-7,11- CL,-!L --T-e •'A 4L ~ h C'- 111-1 .r2. !i ~ c-,~p~~ • _ _ b. Notse: (I) SJhat types of noise exlst 1n the ares vhich muy affect your praJece (tor exaaple: trafffc•, equlpment, operation, oth-:r? U,E',,, S . _,~C,►_'~ ~ f' ~ ~ / O ~1 ~ ~c~. C+ ~i(~ si C!:/ e-- f • n o , s 41, tlL~_r (2) iJha[ types ond levele of noise would be creaced by or asaoctated vith the project on a shocc-term or b long-cecm basis (for exampie: treffic, constructioa, operacion, ocher? Indlcate vhac hours noise vould come frol~ che site. o , G 17 C-y o/"f~...~.Z- c~ 111r :.1 e / , (7) Proposed measure tn reduce or concrol nulr,e lmpacis, t€ any: 'Ve~ O__ Q^OL/ U~1_~~ _ 8. tAND Al3U S1i0fi£6.INE IiSE e. :rhet i> the current use of che site and adjacent properties? eve Gta-I Cl .2 I/ T.. < ~ r, f, C'- l - b. Fias thc sf[e been uaed for egriculture? lf so, deEeribe. ~ . c. Describe any at ccures on the slce. L'J'/Cz t C/ 2 / ' Z-!LT Cc Ci( • . ~ d, WI:I any strurturhs be demnlished? If So, vhlch? ' E. 6'h.-r t„ cho curreut xot,inr ala_-sificaUon of the sltc'__ttg ~`Z~✓S-I~~•~~ / _ J. 'C~~f . 0 /7 1 r, '.h..- t, 0.1 zurrenr rurprc-hensive plaa der.ignation ~f thr sttr° _ ~ , . E. it applicable, vhat is the airrent ech) c lfne mnbter proRrr,m des4gnacion oC thf- sice' Any {',trt nf thN site ~rer e;as:.if lcd A, nn 'envlronxeutniiy Aensti lve'* ana"' tE zo, •.j•e~ iEv. _ ? - • ~ - •^--o._ . i ; ~ • t~~•;y !;ow r..a r,,' pra.,la -dl.1 rr::lde r vart Ir !tN 1Irtos' pco;Ii t : _ ~R__. - . . . SPOKAl.'E EN!'IRONMENTAL, ORDINAACe • (4AC 197-11-960) 5ecclon 11.10.230(i) B. ENVIRONHENTAL LLEHElITS (continued) Evaluotton For AEency Use OnJy J. Approxlmxtely hov many ppop2e vou2d the coapleted project dtsplece? k. Proposed meaautes [o avofd or reduce displacement lopacts, if any: R' Proposed measures to ensure [he proposal is compncible vfch rxf;,cing Hnd projected land uses ond plans, !f any: . CL / 9. HUUSLKG a. Approximacely hov mllRy uni qvuld be prnvided, 1f any' Indlcate whether high, olJdle, or lov-inrnme houSir.E. b. Approximacely hou oany untts, i~ any, vould be elimtnnced? Ind.tcace vhether high, middlc,or ~ lov-f nccme hous ing. f/' ti~- • / - c. YrnpASed neaeures co reducP or concrol hnusing impacCS, If eny: ItI(J l7 't- 10. AF,STHETIGS a, iJhet is the tellest heiqh[ of any proposed struccure (s), noz 1nc.uclln nt~ A VI1R s the principal excerior bullding oaterial(s) roposed? sC_,,- ~%~1G~',E~-~"r b. What vieve fn the Somediete vieinity vould be elcered or obscrucced? • C. Proposed meacures to reduce or concrol aesthetic impacts, if ony: , Uo <:r ~ z2A 1:. LI(.It'C AP:l~ GI.:.Rf a. G'he[ [ypr of llbh[ or gLarc• vill tha prorosal proAure? What eire cf 4.9y u.-uld fe ralnly orcur° b. (:ouLd 1!}{h: uc glarc 1rom Che f[nibheL projet c br atafety :cator. !,i'rr! - rr u-ir- virw.,1 _ . ef'. . ~ . inr , tf ~.1tr, -.ource- r! light or glan ¢:~y dite_t t .~~1S1 ]C ( f'V: ~ . s4i~~u~rc~ me:~sures [u redute or t ont i-it .1yht an.i ~ ~'1 - _ S~ n:~, - - - - - - / ~ SF'OKANE ENVIRONTIENTAI, ORDIN~7CE (GAC 19)-11-960) Section 11.10.2J0(1) t S1 A r U. HhVIRONHENYAL ELETIENTS (con[inued) Ev.iluntion Fuc :.Genry Lne Onlv ~ RECKkATfOlt a. What deslgiiated und informal recreu[iona2 opportunltfec are !n the famediecely vicfnicy? b. Nould etpropoaed project dieplace aoy exiscing recreacion8l uoes2 If eo, deacribe. k7i. t c. Propoecd measures to reduce ar contro2 lmpncce on recreatiun, inr.luding zecreatfor. opportunitiec to Fx: provld by the projecc or appllcanc, 1E any: 1 . 13. NISTORIC Ah'D CUL'CI;RAL, PRF:SERVATIOi: . a. Are chere any places or oDjecce lieted on, or propoeed for aacional, atace, or local preserva- ~ tfon registera known to be oa or next co the aice? If so, generally descrlbe. , ` / 0Q - . D. Generally deseribe any laerdmarks or evldence of historic erchaeological, scientific or culrural tmportnnCe knovn to De on or next to the site. ~O • " c. Proposed menauree to reduce or conLrol impacts, if ony: i - i ~ 14. TRAN5YORTAYIUN ~ a. Idencify public etreete and hlghvays serving the efce, and describe propoaed accese co the - exls U ng a re~t eyatem. Shov on 6[CC plans, i/ny. b. I& site cuerently served by pubiic trnnatt? It nut, vhat 1s the apNroxlwa[e d*_stance to the ~ nearest eransiC s[op? % % _ - C~l 4v ` c. Hov many pnrking spaces/voulA che completed projPCC hovei Hov many vould [Re projec[ allminete7 -4" d, W{tl che propnsaD requSre any new roada oc stseets, or imptovemente [o exiecing rasda or streete not Includinv, drlveways? If so, generally deacrlhe (iruficate vherher pub)lc or Qrivate). LLY • ' a ~ Wil. thF proje:: i+ae• (ar occur !n aRe'lerndtat r n:t) lrf; urate:, eiilL•r ~qir trunr.part.+tlur° t~ . yeca•n.ldPrt rlbe _I_~ ~ ~ _ _ _ _ - - - - ~ ~ P 6 ~ A ' SYOF;ANE ir NV 1 RONMF.NTAL ORD LNANCE (uAC 191-11-960) Seccton 11.10.230(1) 8. ENVIRON?IENTAL ELEHENTS (continued) Evnlunciun }br Ap,eacy Ll•;r• Cit]y f. Hov many vehlcular [rips per day would be Feoer3[ed by the completed projP.cc? If knovn, indicate vhen peak voul,d occur. g. Proposed measures co reduce or concrol CransportaLlan lopacts, lf any: ~ 15. PUBl.1C SERVICES a. Nould the proyect result in an fncreased need for public eervlces (for example: Flre procection, police procecclon, henl[h care, schooly, other)'! If so, generolly describe. ~1 ll . ~ b. Prupor:ed measuree to reduce or con[rol direct impacts on publlc services, if any: t- ~ 16. UTFLITIES . n. Cir ueilitl rrenrlp available aC the site:e,electrlcSty ; <6atural gas~aterrefuee ~ iservic.'e, t one~ sanf[nry rtevert!sepclc systeq,`oThrr.-~~~ ' t ~ D. Describe Lhe ucilitles thn[ nre proposed Eor the projecc, the utility providing the service aild che genernl cunstruction accivfties on the slte or in the immedlace vicinlty vhlch mignx be areded. c S~ ~r--. w /,I l' 14 ~ ' l C. SIChA71'P.t Y, the unciorti.gred, r,vear undcr the penalty of perjury tha[ the akove re nses are nade tni[hfuYly 3nd co the best of ny knovledge. IaLsn ~ understand thac, should Lhere be any villful misrepresen[a[ton vil ul lack ot ful iQCiosure on my parC, the aR.eney may ulthdrev ony 3e,ter¢irntlon of nonsfgolficance [hai ic olght lssue in rr lan e po =hla checklist. , Da te: ~U~ 7 / ~ror.aneni PIP 6C Pi! O[~ ~ + ~ F'rLF,unetit: Address: ~ 14 Phone: G'C / Pereon conplecing foro: Da[e: y- ~ . i Phone : r ~ POR STAFF USE )NLY ` t , ! t !'t-iev i i r• + Hevteving Chv: kl : st .~s~•~: c,it tL.,. tdf; eev4rv oE tb~ e.zvlronta,uC.t] !,~rl4 ch:',t .i:ctl ~~tle~: pe Z2, trfi.rr.at;oi., thr tilh{!. A. ~ l.oncluCe,, th.il [here ore ao protceblF ~:tyulfti.i..t ar'vt•rr;v LGqnct,s at,d tetcwmfferd, a di•cercaln.,tfon of nct:siKnifltnr.ee. 8. _tomludos thiit probable stqo4flcant aAvPrsr ~rrtrrnnentnl lmpact5 dc; tniqt tor tLf %icirun• p:npasal er.d recosnends o miClpntr(i deter- nin,)tl-+r Lif nnne(gn1fle,3ner vlth iandltlane,. C.. l.onriudev tlcat there nrP probat•le 51Rn1ficnnt ndverne covirqnTrntn; lopacts and reta03nend5 H determinntlun o2 stgulilcunri,. ilLiNr, tFF - !15.00