MALLON E 6223 REPAIR SHOP PETERBUILT i 1~~
1
(THIS IS NOT A PERMIT)
BUILDING PERMIT ApPLI.ATION WORKSHEET
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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 Buitding and Safety)
SHADEO AREAS ARE FOR DEPARTMENTAL USE project Number
Owner's Name LAST FIRST MI
CARLso ~1
Project Address (Street Name & Number) 2ip
6zz3 lS,va. ~~o~iaa~ ~a►. .
AppUca t Address
~o0 i ~4~aav ~~T~►z g~ <<--r e. 6Z i 4 gQ.oabw~aY
City State Zip Phone
i s10 %:J41114f; 535-4z¢I
8usiness P( one '
J
Oontractor/Agent , Address
C~7~So'tto ~ Ns-r. 3~~n ~e~.r~ w,~,Y
City State Zip Phone
: . 15~40 ~~E 99LV-~ (Suq ~ 535--468g
Contact Lice se Number (Required) Business Phone
C) G ZZS ( I 1 l
Architect / Engineer Address
I~~v~N1 ~.t l.?O. ~ox ~ 9 L~S SPv~c.a.+11E. ~A .
City State v,l Zip ~ Phone
A , 9 z ~ 9 (5og) za-+ -c5c ~ t
Contact Business Phone .
Lender Address
City State Zip Phone
I )
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DEPARTMENTAL REVIEW
~ Cond. ~ Approved Approval Hold
Envtronmental Heaith Permit Number 7,bl7
U W. 1101 College • ,
Room 200
/
~
Planntng/Zoning
N. 721 Jefierson
~ : .
Eng(neers Permit Number
~ N. 811 Jefferson 7-X~-~
/ d
Utiittles ~
N. 811 Jefferson
~ ~ac~~c.c 'C~t~.?M8~1►~-~ 12Ed ta-
~
1
Plan Review/Fire Prevention
N. 811 Jefferson
ak"V T
_ Soo c~ALLcm minr. NcYWCZ -rpi% wrru ~vsq :&tTAiNm~tr Rti u,t~~)
i
Other((SEP9Crltlcal MBtAfIBI/6tC.)
C~
eX 15'i r/qL14 G' E~C~GK.. c~ tST A Dt~ ~cs S eS S 4 c
' v T
~ Fast Track/Special Inspection Iniormetlon '
ProJect Representative Phone
Address 1 certify that I have exam(ned this application and state that the information contained in it and submitted .
by me or my agen rue, correct, lege , and binding. .
Owner's SiBnatur Date
~
:
~ • ~ .
Contact Pereon Name ►>-o ~ELtt_ //Ir;r Business Name_o42VL,qNb PA:9r~IrfOU14-v
Ad d re s s ,f~ K~o A~ wA Y „Ad d r e s s L 6 a.01, 3.M..&, 4- [l I`~ A V,5
Phone ~<"'3,r-- q6 pp ' Phone
County Contact Person CAr, St'hone No. 456-3600 Date 7-/S'--~
' • CCrIMERCZAL BUILDING PCktrllT fZEVICW
Thie building permit review is intended to appraise you of the improvements (roadway, side-
walk, curb, stormwater, etc.) whi-ch cnust be constructed in association with your building
permit. T'his checklist wi11 be filled out by the Engineer's staf.f and a copy will be re-
turned to you at the time thn[ the Uermit is initialed by the Engineering Department. All
requirements shall be completed prior to issuance of the buildipg permit. All unchecked
boxes require additional research or information to make a determination.
I. Stormwater Drainage Considerations
A. Per gutaeines for "Stormwater Management 1981" both on and off site.
1. 20$ Considerations* . VYes Li No
. 2. Flood hazard zone considerations** Li Yes INO
3.. Storm Drainage Plan . Yes Li No
II. Planning Action # '
1. Pl.at, short plat, rezone, Conditional Use or Variance ~ Yes No
on property. Planning Number
2. Are requirements of planning action incorporated ~ Yes WNo
into site plan III.. Ei.,ght of Way
• 1. Does permiC necessitate R.O.W. dedication Li Yes No
2. Did zone change require R.O.W. dedication Li Yes tK No
3. Radius at corner ~ Yes /No
IV. County Road Improvements 1. Roads need to be improved. How wide Li Yes M No
2. Cur.b ~ Yes No
3. CRP/RID agreement (Copy of deed, contract, or Yes ~ No
ti tle report requi red •
4. -Plans for improvements provided Li Yes No
. 5. * Sidewalk Yes No
V. Parking Plan & Approach Location
1. Revi ew and •si gn of f by Traf f i c Ye s ~ No
No
2. - Approach Permit from Engineer's Office Yes VNo
3. State or City sign off Yes 4. Is this road on b Year Plan Lves ~ No
VI. ULID Agreement: es ~ No
VII. Field Review: - Preliminary Comments & / Al 6P ~9 F D",D
. /
* Al l land -wi thin the Aquif er aezisi tive r'lrea, where deemed feasi ble by the Coun ty Erlgi-
neer, shall incorporate stormwater zreutment to cni;:igate the potential for groundwater
degradation. (See Guidelines ior Stormwater 14anageinei7t 1981, Spokacie Board of County
Commissioner's Resolution No. 80-1592,.as amended.)
The purpose of flood hazard zoile review is to minimize losses due to floodi ng in spp-
cific areas designated by Flood Hazard Boundary maps on fi.le at the Cu«nty EnginQer's
Of f ice. (See Spokane Board of County Commiasioner's Rcsolution Nu. $1-0726, as
amended.)
8I22/85 .
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NOT i C E TO TNE PUBL t C PuR ~
POSE /~c4. ~c i
YQI. 8 3 5 Pt,GE 2.76
KNOW ALL MEN BY THESE PRESENTS, That Terrv G. Carlson. a sinizle man
be.ing the owners of the following described ].ands in consicleration of mutual
benefits to be hereafter cierived do for themselves, ttieir heirs, grantees anci assigns, hereby agree to the following:
To authorize the County to place thei.r iiame (s) oil a peC4tion for the
furmation of a UI,TU by petition method pursuant to RCW 36.94 wtiich the
petition includes the owners property and further rioG to object by the
signing of a proCest petition aga:inst tlie formatiori of a ULID by 0
resolution method pursuant to RCW Chapter 36.94, which includes the
owner(s) property. PROVIDED, this condi_tion shall not prohibit the
owner(s) or successor(s) from objec:tj.on to any assessu►erit(s) on the
property as a result of improvements called for in con.junctioll with the
formation of a ULIU by either petztioii or r.esol.ution methud under. RCW
Chapter 36.94. This statement involves 'the following described property:
13532 - 140 7,1408,1409,1414,1449,1450
Lots 1,2,3,12,13,14,15,16,17 & 18 in Block 14 of PIPERS SUBDIVISION
0F BLCUK 14, EAST SPOKANE, as recorded in Volume "J" of Plats, Page
42; TOGETHr;R WITH vacated alley adjoining thereto. In Spokane ,
County. Washington, in Sec 13, Twp 25 North, R3nge 43 E. j•J. M.
~ 0 1.1 ` -Sf _.___..,,aqnJ;v Engi neer
Auc T 3 55 PH ' 86
1MiLLihIA E. DONAht1E xxx
AUQ170R
'SPOKl1NE COt3N'fY. VYASH..;
Df:PIITY-
M, I a: [";T interoffice
These requirements are and shall run wil'n thc lanci and shal.l be binding upon the
ownQrs, their heirs, successors or asszgns.
IN WITNES WHER OF, I have hereunto set m,Y hand(s) and sPal(s) this _S day
of h ds ~ , 19
~ _ - .
~ Terry~. ~arlson, a single man
~
STATE OF WASHINGTON )
COUNTY OF SPOKANE ) ss
On this day personally appeared before me Terr,y G. Carlson
personally known to me to be the ind-ividual.(s) who executed the torgoing instrument
and acknowledged the said instrument to be thP free and volunl:ary act and deed o£
said individual(s), for the uses and purposes tlier.ein nientioned.
r ' ~•~'n*•
Given under my riand and seal this da}1 of -
:'~J
. , 1 . . , ~ . . t ~ e,.
J
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$4
Notary Public
In aiid Eor Lhe State of LJa-s ~n'~<
residing in Spokane, Washingtqn..
1,1
~
• • ~ Ro~►D war~E & No. ~ / 7
6 .
835 P,;GE :344
PaRC~~ 4a. /
yG~. N 0 T! C E T 0 T~d E P U B LIC
PURP03F
~
KNOW ALL MEiV BY THESE PRESENTS, That Terr,y G. Carlson. a single man
~
being the owners of the followi.nK described lands in consideration of mutual
berief its to be hereaf ter derlved do for tliemse].ves, their heirs, grantees and
assigns, hereby agree to the .fullowing:
~
The owner(s) or successor(s) in inr.erest asr.ee to authorize the County to
place thei.r iiame(s) on a petition for the farinaCion of a Itoad xmpruvement
llistrict (RID) by the peCition tnettiod pursuant to Chapter 36.88 RCW, whl.ch
petition includes the owner(s) property, and furc.her not to object, by the
signing of a ballot, the forma[ion of a 1t1U by the resolution method
pursuant to Chapter 36.88 RCW, which resolutiurl iticl.udes the awner(s)
praperty. If a RI1) is forrned by eiltier the petition or zesolution method,
as provided for in Chapter 36.$$ RCW, the owner(s) or successor(s) Lurttier
agree: (1) that the improvements or construction contemplated caiChin ttie
proposed RID is feasible, (2) Lhat the benefits to be derived from Che
formation of the RID by the property included ttlerein, together wittl the
amount of any County participation, exceecis the cost ~.~nd e:cpense of
formation of the RID, and (3) that the proper.ty caiChin the proposed RID
is sufficiently developed. Provided, further, the owner(s) or
successor(s) sha:ll retain Che right, as autriorized under RCW 36.88.090, r.o
ubject to atly assessment(s) on the properCy as a result of Che
improvements called for in conjunction with ttie f'ormation of a RID by
either petition 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, drai.nage control ancl paving to exist:ing
pavement) will be at the sole expense of the undersignea owner, the3.r
heirs, grantees and assigns.
Tlie conditions and statements apply tn ttie f.ollow:ing descr:Lbed property:
13532 - 1407,1408,1409,1414,1449,1450
Lots 1; 2,'3, 12, 13,14, 15, 16,17 & 18 in Block 14 of PIPERS SUBDIVISION OF
BLOCK 14, EAST SPOYUITE. as record.ed in Volume "J" of Plats, Page 42;
TOGETHER 1dI'.PH vacated alley ad joining thereto. In Spokane County,
ti•lashington, in Sec 13, Twp 25 North, Range 43 E. W. N.
1
These requxrements are and shall run with the land ancl shall be biriding upon the
owners, their heirs, successors or assigris.
TN WITNESS WHEREOF, I have hereunto set my hand(s) and seal.(5) rhis .S day
o f o~.vq v s~ , 19-Y ~ . .
.
" 'zerr` t;arl s on, a s ingl e man
~
STATE OF WASHINGTON )
COUNTY OF SPOKANE } ss
On this day personally appeared before me Terr,y G. Carlson
personally known to me to be the individual(s) who cxecuted ttie fargoing instrument
and acknowledged the sai.d instrument to be the free and voluntary acr 311CI deeci ef
said individual(s), for the uses and purposes iherein mentioned.
~ ' V T • •
'9 Given under my haiid and seal this day of 19 ~
~ .K
7 7 .
' v, . . N ° :
•
tti• V R~ Q~'
Notar.y~Public
In and for ttie State of Wai-ng .`i, .
re , iding in Spoka,ne, Washington .
W