3rd E 5303 Northwestern Pizza Supply Co., Inc.
~ S
, (THIS IS NOT A PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTANO
COMPLETE IN INK
(Please return this original and your builciing plans to the Department ot Building and Safety)
SHADEO AREAS ARE FOR DEPARTMEN7AL USE ~
ProJect Number
Ownef'a Name LAST FIRST MI
~✓o,~~'~,! ~ ~G-=
Project Address (Street Neme 8 N ber) Z;p
0~
3 ~
Applicent Address
Ciry State 2ip Phone
.9
b
Business Rhatie
ContractorlAgent Address
City State Zip Phcne
Contact I_icer.sr hlurntrer tRe4uired► dusiness Phone
Pw 1-61 P7
Architett l Engineer Addrass
City State "Lip Phone
1 )
ContaCt Bustness Phone
( 1
Lender Address
City State 'Lip Phone
( )
Desc,ribe Woric t } I~~ ~ < . , Res. Comm.
F X ~~!'fPi • •
Subdtvlslonlplai i,,lamef Short Plat Number . . .
4
~A L
,Asaesaor.,Ptiroel Number f Lot Block Plat Number
P6rt111wt Flte Numbers Zar►e Comp. Plan Census Tract
,Nutnb5 O! Owelllnfl Units Numbes of Buildings Lot 5ize (Sq. F1.lAcre) Qepth Frontage
R.~"FiG.-*rk`~I•".~+'''~~..r c~ : • ' .
~~t . Leti Setback Rfght Setback Rear Setback R1 W W;dth
` 1~~,. ;A.y.: • ' • ' • '
l
`Addltlon8l.lnformatlon : • Square Foolage
..T • • .
~t','~~~ r • ~
~~~`,t~~~•~ ~ , ` ~
Z-'
4141,
r•••r~ °~~w~p~A~;;*~'~t• . . ~ ~ O
;y~ y. f• t:;~~ ` ~ ,
~ •
r S ~~.;~fi ' +'VT~c~ !'A' * ~
~ R r,t ' ~ . 0
:n d+~'°3• ' z
~
!`,r~; Y. ~ _ m Number of Bedroams
"
:
.
^ ~ .
b 91r A .♦wY • • • . •
G
BI~IIdIRpTeCh~IClaft ~Gnto roup Type
rf'~`• , . ,~S'40'1~..:' .
. A,,
, . .
~
DEPARTMENTAL REVIEW
Cond. '
Approved Approval Hold
Environmental Health Applicatlon # 0~G' rQ~~~ •
~ W. 1101 College
Room 200
r • .
Plenning/Zoning .
~ N. 721 Jefferson
. Engineera
~ N. 811 Jefferson - 141--f
Utilities
❑ N. 811 Jefferson
ti Pien Review/Fire Prevention
~ N. 811 Jefferson
Other (SEPA/Criticel Meterial/etc.)
❑
~ Faat Tnck/Speciel Inapectlon Informetlon
ProJect Hepresentatlve 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 to complle sald applicatlon Is true and correct.
Signature Date
;
~ r~ . 1~~
j~X 1 S-T ~ l~ ~ ~ 1 .L~c , -
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SPORAiNE COIJiIT': IIEALTH DISTRICT
. Inter-4ffice Communicatioa
. ~i
. DaTE: 3 /05;;~ _ T0: Spokane County Uti 1 i ti es and Spolcane County Engineers
FROM: . Spokane County Health OTStrzct - Environmental Health Oivision
gUBJECT: Proposed Building Project at:
UTILITIES: Attached i s the proposed p1 ot pl an ;;d'enoti ng_ the 1 ocati on and ta11 atz on
specifications for the on-site sewage disposal system. The sewage
. systen installat7on permit is being withheld pending your cornents and/or
des4ign for the double plum-bing to facilitate connection to the future
, Spokane Val 1 ey sewer. '
1. ' No determi nabl e'l ocati on for future sewer ] ateral, therefore, doubl e
plumbing is nat required. . '
(signatu ) . (date) 2. Double plumbing required. ote location and specifications on
approved site p1an. (signature) (date) '
.
3. Other comments and/or recorrmendati ons.
(signature) (date)
(Please forriard this response fom. to County Engineer if project is a corrmerci a 1 proposa 1. ) . •
~ tiGINEERS: The surface water grass percolation area is identified on the
` attached plot plan. . Other remarks: ~ ~p~Gol~97'ieN W~~c~ed ~y ~•'s
~ z eu ((sige (date)
Please forward this form baclc to the Spokane County Health Oistrict the first working day after receipt of information.
1d ,
• • / , V
- •
. 800 PnE 522
~ No. 5 r.-..._ . . .
~ ~
~ I~ 0 T 1 C E T 0 TIIE P C1 B L I ,f4-
KNUW ttLL MEN BY THESE FP.IESENT5, Thd t NORTHWEST PIZZA SUPPLY COMPANY, 1NC.
*1 aYt°_ {no lJL Q •
beirig the uwners of the following described lands in consideration of mutual benefits
to he i}erc=af ter deri ved do for themsel ve3, thei r hei rs, grantees and assiqns, hereby
ag-ree:
l'o authorize the County to place their name(s) on a netition for the formation
of a ULID by petition method pursuant to RCW 36.94 which the petition includes
the Owners property and fUrther not to object by the signinq of a protest
pe-tition against the formation of a ULID by resolution method pursuant to RCW
Chapter 36.94, which includes the Owner(s) property. PROVIDED, this condition
^o t rC'~.'!l) ~1 1. tIfc v`,.rii'l~ ` i:i^ SLt4C.aCs C??",;i ~ i ~'Qlll C~f?~1e(.ti0!'I tU drty asseti5-
ment(s) on the Property as a result of improvements called for in cunjunction with the formation of a ULIO by either petition or resolution method under RCW
Chapter 36.94. This statement involves the following described property:
The South half of Lot 3, and all of Lot 4, Block 1, EVERGREEN C01"iMERCIAL
!'ARK, as per plat recor.ded in Volume 9 of Plats, page 13, records of
Spokane Cuunty; L"XCEPT the South 150 feet of said Lot 4;
Si.ruate in the County of Spokane, State of Washington.
SiiBJECT T0: Aasessment for Carnhope Irrigation District No. 1, f.or the
sec:ond half of the yEar 1985, in the amounC of $60.00. LiabiliCy to
present and future asstssments by Carnhope Irrigation District No. 7.
Reserictions contained on the face af said plat.
~'''J. .U~m
F r LE Cj ' P
,._~.gun ty_Engin e e r
FFo 18 3 ,gN 'eb
.SPOKQNc CflJti i Y. WASN.
~lPfl
Req Court House xxx
These requir-ements are and shall run with the land and shall be binding unon the
owner(s), their heirs, sUccessors or assigns.
,
r
0 a1:F! r thi day of 19
~ 1
W I
. ' + +Oyqu.G..j 1 i~I '<r~M' .(i~.Lr~i \ . ~ `-i ~r.".i`i ` ' tii i'~' C~ /
; ~ _ ; : . L, ~ ~ l~ X ~ ~ ~'j:%~
/ V fe,t'^-A~
l,n-/
/V/
„
1; Y (:0 1 ,4t,i: SS 13BniR r;i iZ, aiCtf 11,, 19$s -
STA'I'E OF
i
,-outity C) f_~.a,~.~r`..~~.~ ( - . . _ , _
On thia r':;~ d ay of
eigncd, a Notary Public in and for the Stat ~-t A. D. 19~' before me, the under-
c pf duly commisaioncd
and aworn personally eppeared -'rI~ and
to me known ta be thp 1,5~, 1"77'Ct' President and cl '
tcretary, respcctiveiy, of
the corporatiAn that cxecuced the foregoing inatrument, and ecknowledged the said inatrument to be the Frec and volun-
tary act aiici ciced of eaid corporation, for the uses and purposea therein mentioned, and on oath eteted that n cc.
authorized to cxccute the agid SnatYUment and that the aeal affixed ie the corporatc scal of eeid
~~Qrpo}gtiona ~
. . cy . ,
,
° T~INESCi iny hand and official aea1 hereto af~ixed t /
he day nd year in ie c rtifi4t above\
~vrit en.
Nutary' Public in and for the State •f .L I re.idinC at
R/`~ 1 1/1 f 85
i ~
, Contact Person Narne Business Natne-A-0 K
I Address Add r e s s
Phone 2- 3 Phcane _
County Cantact Fersan '~"~,~~~'c.r ~r`,•~,~~ Phone No. 456-3600 Date
C4MMERCIAL BUILCICNG PERMIT ftEVIEW
'I'his buiIding permit review is int~nded to aggraise you of the improvements (roadway, side-
wa.lk, eurb, stormwater, etc.) which must be constructed in association with your 6u~lding;
perrnit. This checkl,i~t will be £illed out by the Enga.neer's staff and acopy wi1Z he re-
turned to you at the time that the permit is initialed by the Engineering tiepartment. All
requiremen[s shall be completed prior ta issuance of the building permit. Al1 unchecked
boxes require additiona'L research or tnformation to make a determination.
I. Stormwater Drainage Cansiderations
'~L. Per ge~idFe-lines for "Stcarmwater Management 19$1" both on and o€f site,
1. 208 Cansiderations* 9 Yes ~ No
2. F1aod hazard zone considerations** Li Yes ~ No
3. Storrn Drainage Plan - ~ Yes ~ No
11. P1anrting 14ction # -
~~'1~~~~~G~~ P1.at s~tort plat, rezor~e, Cvnditiona~. L~se or Variar~ee L Yes ~ No
o property. Planriing Number ~ ~ ~
~ C71
2. Are 'requirements af planni.ng actton incorporated Li Ye~ ~ No
inta site plan
Ill. Right of Way
1. Daes permit necessitate R.O.W. dedicatian 11 Yes Li No
2. Did zone change require R.O.W. deciication n Yes Li No
3. Radius at eorner Li Yes Li Na
ZV. County Road INrvvements
1. Roads ~~ed to be imrove~d. Haw wi~e
p ro I il-f to, Ye s ~ No
2. Curb ~ Yes ~ No
3: CRP/RID agreeanent (Capy Qf deed, contract, or ~ Yes ~ No
title report required.)
4. Plans for improvements prorrided ~ Yes ~ No
5. Si dewalk ~ Yes ~ No
V. Parking F],an & Agprmach Location
1. Etevie►a and sign aff by Traffic ~ Yes ~ No
2. Appraach Ferrnit from Engineerr 's Office ~ Y~s Li No
3. S tat e ar Cl_ ty sign o.~ f Li Yes m No
4. Xs this road an 6 Year Pl.an ~ Yes ~No
VI. UZID Agreement: ~ Yes ~ No
VII. Field Review: Preli.minary Comments
~ Alt 1.ai7d withiri the Aqu3.Fer Sensttive Area, where deemed f.easfble by the Coutity rligi-
neer, sha11 #.ncorporate storrnwate,r ~~e-itrnerit to rnitigate the poteritia1 for groundwater
de-gradati.on. (See Gui.deli_nes For Stormwater ManagemenL 1981, S~okane Board af County
Comrnissf.oner.'s Rcsol.Uti_on No. 80--1592, as amended.)
Il7e purpose of FZnod hazard zorie review ts ta mi.r~imi.ze .iosses due to f.looding fii spe-
ciFic ar.-eas des;,~narfsd h.y FlnorJ HaT,~rd 1'ir~MaLlar.y maps Q« fi..Le at the County E11gineer's
01-Fic e. Spokane 13rj;ird uk C'~mai1Cy Coimnf.ss'ionez"s Rc:salution Na, 81--07269 as
amenckid. )
812218"}
~ (THIS IS NOT A PERMIT)
BUILDING PERMiT APPLICATlON 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 Oepartment of Building and Safety)
SHADEO AREAS ARE FOR DEPARTMENTAL USE r
PrcJect Number _
Owner's Name LAST FIAST MI
. ~
L.' f-~/ ~.Z /~~Ul•~? /1l ~ ,
Project Adaress (Street Name & Number) 2;p
Applicant Address
Q ~ r~.~ ~Y t,,;l/ L L,/,~ ~ ~ / ~f L y
City State Zip "one 7
L-144 ~ N
Business Phone
( ) ' .
Contracters Agent f, ^ Address
Ci ty State Zi p Phone
l 1
Contatt License Number (Requneol Business Phone
FCi; -AL%rt ,v cts .;zoz>AP 7
Arcnitect, Enginesr Addrsss
J ~ • S/~~.. ~
City sis State Zip Phone
Contact Business Pione 810' .
~ n
LBnder Address
C+ty State Zin Phone
( )
[)escriDe IMoric - ' . ' • - - , Rss. _ Comm. _
P<af 4co ~ . _ - , . . • . . -Y
SubdivisionlPtst t+iarTee/Short P1at NutnbBr
- - • • • . ' _ . - - , - L - - .
Assagsw Parcet Number _ _ • Lai Btock Olat Number
PertirtsM File Nwnbers . - . Zote . Camp. Plw Certsus Trad •
~ ~ ' • ' " ' ° ' }Number of Dir€Iliag Units _ Number of Bvildin9s - , l01 S1ae (Sq_ Ft./Asre) Depih - . • . Frontage , . .
Front Ssiflack , Left SeiDack Right Setbadc • - - RserSetbacbc : • • _ R!W Width , _ _ : ` .
Additlonaf lrttwmatFon - - . - . . . . . . : ~ Square Foatage- _ - . . - • ~
- . _ . , - . , , a - , -
. . . _ . Q . - . '
. , lx . .
o tL -
- - - z .
- • z - -
- - _ o • - -
- J - - ,
m N~crnber d Bedrooms
6ullding Tecttniaan Date . . - , Group Type
. . ~
DEPARTMENTAL REVIEW
Cond.
Approved Approvai Hold Environmental Heaith Application #
~ W. 1101 College
Room 200
Planning/Zoning ~ r J~
~ N. 721 Jefferson ~
i ~
~ ll ~
~ Engfneers . •
N. 811 Jefferson t
Utilities
Y?Q N. 811 Jefferson
Plen Revlew/ Flre Preventlon '
~ N. 811 Jefferson
Other (SEPA/Crlticai Materiai/etc.)
❑
F-1 Fast Trac6c/Speclel Inspectlon information
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 to compile said application is true and correct.
S(9nature Oate
JF L
I~ }f1~`~~E A S~ ~+.•4.~ AI._ C
~
i N 6 e N-, EL- S 0!'~ ~ a-t e 2 ti;:i ~ ~6
I Pr 42.ject JOE`a PIZZA SUPF'L.Y
Wi dth from center- :L i rf e to c urb 20
F`av~ ~ ~~ge., Ele Di CL ° edge Mina evo 40 5%~axq eleyn 2%
40a C~ 4 15x 5 A' 0v 9375 "k 1 a CD C{
40.56 15.5 40.8575 41D.97
40d 54 13.5 40„ 8375 40.95
4 0 1r '..~lr? 15n 5 40.6775 40n 717
4~}a 3 2 15,. a 40.6175 40A 73,
4{:} d TN 1 15.5 40e 607~ 40a 74
40. 22 15~~ s 4d..1 b 5175 40R 63
ti~9 4 9 6 15.5 40.2575 40e 37
:39. 8;.~ 15.5 40a 1475 4(~)n ~6
,~9" 60 15.5 39.9775 40u 09
o~ ' i
p J
t~'c (1 tJ,u L~
, O~'f ~(j;,;:3;~ ~..'40.~"( 0 l 16 `I
i t , ` C ~ F• . -
, _ .VGI .000 P► GE_ 522
No. 5 .
NOT'i(:E TO THE
rcrs'Uw Al_L NEN BY TNESE PRESENTS, Thdt NURTHWEST PIZZA SUPPLY COMPAyY, INC.
.j
beirig the uivners of the following described lands in consideration af mutual benefits
to ~e ;ierr_:after• deri ved cio for tl;emsel ve-;, thei r hei rs, grantees and assiqns, 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 Owners property and further not to object by the signinq of a protest
petifiion against the formation of a ULID by resolution method pursuant to RCW
Chapter 36.94, which includes the Owner(s) property. PROVIDED, this condition
: i: u' i 1 not r!"t,' h1 b1 ±!'t ~ v'- i 1=~ i'> ~ 6,~. C t~ S~ CI t" •:i ~ i ti"J?l C7 b,! CL 'f iO!1 Lu d f1 y c? 15 eSi-
iient(s) on the property as~a result of improvements called for• in conjunction -
with the farmation of a ULID by either petition or resolution method under kCW
Chapter 36.94. This statement involves the following described property:
The South half of Lot 3, and all of Lot 4, Block l, EVERGI2EEN COrg1ERCIAL
F'AItK, as per plat recorded in Vulume 9 of Plats, page 13, records of
Spokane Counr.y; L'\CEPT the South 150 feet of said Lot 4;
5i.tuace in the County uf Spokane, State of Washingtan.
SUBJECT T0: ?1Ssessn«nt for Carnhope Irrigati.on District No. 7, for the
second half of tf7e year 1985, in the amount of $60.00. Liability to
present and futur.e assessments by Carntiope Irrigation District No. 7.
::e5tri.cti.ons contained on the face o£ said plat.
t r L E Ci i;!~ C r i~.L~
! • ~ ~ ~ ~ '~~,gu~~_ Engi neer
FE a NH '8L,
w~Wtt4 LD:au"iiz....~_ .
. _ . . , _ Al1Di7CR
~.SPOKAhE C0l1NTY. WASN.
[1f-p1f Y
Req Court House xxx
These requi r•ements are and shal l run wi th the land and shal l be bi ndi ng unon the
Owner(s), their heirs, successors or assigns.
Da1:eci thi s..~~~L day of
r
~ - .a',: - ~ ~
< u~ .
r . Z'►j~b
%
6
~ •f • ~ vt` ~ X 71i;F.
r,:V r;~rar,~:5s~~:; EVtpEs 10;,,c11 al,, 198.2
-
S1-ATc O
r~-' .•j ~ n•. _ ~ _ - . _~.~..a.e.._<z . ,
...oulicy of
On th:- .
~ey of
signed, a Notary Public in end For the Str~tc Q f ~ A. D. 1~ before me, the under-
and eworn personally nppeared and duly commisaioned
to me known to bc th, 1.7i~c l' President nnd
Secretary, respectively, of
the corporarion thdt executed thr forcgoing inatrument, and ecknow(edged the eaid inatrument to be the free and volun-
tar~ ac: anci decd oF eaid corporation, for the uaes and purposes therein mentioned, and on oath etated that 4~li5
.
authorized to execute the eaid inat-rument and that the aeal af~'ixed ia the corporate atal of aai'd
e~~VJ,~1Ewr
my hand and official seal
; ~ . hereto effixed the day,and year in ia c rtifiqats bovc`w,rit n.
~+j' •V y,F V ' ` ( ~ ~
~ . ~ • ~ .I.. .
Nut• Public in •nd for tho Stote a( AC .4-'
►e~ic~in~ •I.....~~~LI„LC,: o.,
o.
Il/W 1/1 1/Fi`
• snFeco TiTLe iNSUnntic[ cUa+rnNV .
THIS SPACE RESERVED FOn nECOnoEr+'S u5E
SAFEGJ 85-10180150 yff', 719 PI.GE 1921
~ itFG ON `dE COUfrTY
Filed for Record at Request of ___nTLE.CWAXY
rOCT IO
~NORTFi~/ESTERN PIZZA Si1PPLY CCMPANY.,=NC, II 23 ~~l ~d~
NAME ~
, wiLLiaH E. uor+r.ic~E '6J
AOORESS C/0 PASQUALE'S 19 WEST 03HOCR RD AU0170R
SFCKANE COUhTY. WASN.
BIF~1IN'GHAM, At. 35209 OFPUtY
CITY AND STATF 1, YpUNG
41328 -SLP ~
STATUTORY Sale Amt. Pd. /Y-r°~7•O~
~ 1~j( j WARRANTY DEED D,E "SKIP" CHILBERG
S~
. Spoka C unty Treas.
-g~p(~
7HE GRANTOR J.M. F~06AUER and JESSIE A. RO~SAUG husband and wife
to►and in tonsideration oi TEN arc3 NO/100 DOLLAF2S ($10.00) arcl other good and valuable
consideration
~
in hand paid, conveys and warrants to NORTILJESTE(2N PIZZA SUPP~Y C(.7lPANY, d D W CoCpo . tlOn
the lollowing described real estate, situated in the County of $ppF(ANE , State of
Washington: The South half of Lot 3, atx] all of Got 9, Block 1, EVERGREEN CGh1MERCIAL
PARK, as per plat recorded in Volune 9 of Plats, page 13, records of Spokane County;
E)CEPT the South 150 feet of said LAt 4; ,
Situate in the County of Spokane, State of Washington.
SUB.TECT T0: Assessnent for Carnhope Irrigation District No. 7, for the second half of
the year 1985, in the amount of $60.00. Liability bo present arc3 future assessnents by
. Carnhope Irrigation District No. 7.
Restrictions contained on the face of said plat.
~(o7
. ~ ~
. ~ .
ocra a E-e. `1 .
i._
' • OiIld `--1----- --t• , 19
i /~lC " - • •
J.M%9089UfR ~ (lndividuall /
, , By
J IE A. RCUUMdividual) (President)
By
. (Secretary)
STATE OF WASHINGTON STATE OF WASHING70N
COUNTY OF sf' COUNTY OF sf~
On thi: day personally appeared betore me T M• On this day of .
JZj05mx-V_ &f.Jp -4=i E A • QpS&W_, 19_, ba(oreme, the undersigned, a Notary Public in and
t~)IBA%Vn QMFE- for the State o( Washington, duly commissioned and sworn,
to me known to be the individual described in and who personally appeared
executed the within and toregoing instrument, and acknowl• .
edged that -TQrr q and
signed the same as -aif-AP to me known to be the President
free and voluntary act and deed, for the uses and purposes and Secretary, respectivety, of
therein mentioned. ~
the corporation that executed the toregoing instrument, and -
GIVEN under my h nd o(ijeial eal this ~T~' acknowledged the said instrument to be the Iree and volun-
~ day o 19 JIL tary act and deed of said eorporation, for the uses and pur•
' • . .
~ poses therein mentioned, and on oath stated that
~~'i-, authorized to exccute the said
~ . `r•' instrument and that 1he seal allized is the corporate seal ol
Plotar ublic 1n'~ 'pr_~e ~iatg~of Washington, residin9 iaid corporation.
it ri•.: NA."
Witness my hand and otlicial seal hereto attixed the day and
7 n st ~
• year Iirst above written.
Notary Publie in and for the State ol Washin9ton, residin9
TL•7 ii2 l/76
~ . .
~
■
NOa_ 5
NOTICE TO THE PtIB#.J IC
KNDW ALL h~EN BY THESE PRESENTS, That NORTHWEST PxZZA SUPPL~ ~OMPANY, YNC,
being the vwners of the fallvwing described lands in cansideration af mutual benefits
t0 b@ he1"@afte1'' dE')"1 11ed dU fC11'" them5elve5 3 th~.'i?" he1 1''S y q1"at1teE`S dCld dsS 1 qf15 y heT'eby
dg1^ee:
To authorize the Count,y to place their name(s) on a oetition for the formation
af a UL I Dby peti ti on method pursuant ta RCW 36.94 rv~i ch the petiti on includes _
the Owners property and further not to object by the signirrg af a protest
petition against the formation of a ULID by resolution method pursuant to RCW
Chapter 36. 94, which i ncT udes the Owner(s ) prapert,y. PROVIDEa, thi s condi tion
shal1 nat prohi bit the Owner(s ) or Successor(s ) from ob,jection to any assess-
ment(s) an the property as a resultof improvements caZ 1 ed fvr i n conjunction
wi th the formati ara af a ULID by ea ther peti tion or reso1 ution methad urrder RCW
Chapter 36.94. Thi s statement involves the following described praperty:
The South half of La t3, and al1 of Lot 4, Block 1, EVERGREEN COMMERCIAL
PARK, as per plat recorded in Volurne 9 of P1ats, page 13, records of
Spokane Caunty; EXCEPT the South 150 feet of said Lot 4;
Situate in the County of Spokane, State of Washirrgton.
SUB,JECT T0: Assessrnent for Carnhvge Irrigatian District No. 7, for the
second half a£ the year 1985, xn the amount af $60.00. Liability to
present aTid future assessments by Carnhope Irrigation District No. 7.
Restricti.ans contained on the face af said p1at.
These requi r~ements are and shal l a~un with the 1 and and shal l be bi ndi ng unon the
Owner(s), their heirs, successars ar assigns.
Dated thi sday af • 19 . x
x
' STA"i"E OF
1
County af
~ 0n thia
day of D. I 9~, , before t~xe, the under-
sigt~ed, a ~Votary Public in and #or thc State of
I : duly commissianed
and sworn personalty appeared . and
, to me knnA+vn to be tho. . P~resident ancl Secretaxy, resRcctivcly, of
the corporation that cxecuted the Foregoing instrument, and acknawledged the said instrurnent to be the Free and volun-
i tary act and deed af said corgoration, far the uses aad purposes therein mentioned, aad on oath atated that
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W17NESS my hand and afficaal sea1 hereto affixed the day %nd yesr in lhiis c+crtificate a6ove written.
Nutary Pubtic fn and fos the 5tate af
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. RECEI VEp
. ~ NOV
0 8 1985
POKAN~ e^i~~n~nl CI'.GIN
` EER
File No. 8508
Oescri pti on of proposal : 22,500 square foot warehouse i ncon
junction with food processing operation .
Proponent: Northwest Pizz a Supply
Location of proposal: E. 5303 Sprague Avenue Spokane, Washington
Lead agency : Spokane County
The lead agency for this proposal has determined that it does
not have a probable significant adverse impact on the environ-
ment. An Environmental Impact Statement (EIS) is not required
under RCW 43.21C.030 (2 )(c Thi s deci si on was made after revi ew
of a completed environmental checklist and other information on
file with the lead agency. This information is available to the
public on request.
There is no comment period for this DNS.
[X] This DNS is issued under 197-11-340(2); the lead agency will
not act on th'is proposal for 15 days from the date below.
Comments must be submi tted by tJoyGt.,~~~ ~t ~a$5 •
Responsible Official: James L. Manson, Director
Spokane County Department of Building and
Safety
N. 811 Jefferson St.
Spokane, Wa. 99260
Phone: 456-3675
D a t e sSignature 1F ?Vwo row-
You may appeal this determination to:
The Board of County Commissioners
W. 1116 6 roadway Ave.
Spokane, Wa. 99260
i n w ri t i ng, no 1 atter than NpvF_M~cz. ItS
You should be prepared to make specific factual objections.
Contact above responsible offical to read or ask about the
procedures for SEPA appeals.
ENVIRONMENTAL
CHECKLIST
SPOK.['1NE ENVIRONMENTAL ORDJ.NANCE
sECTION 11.10.230(l)
.
SP07CA!(C ENVIROKlENTAL ORDINANCE
(VAC 197-11-960) Section 11.10.230(1)
Environmentel Checkllec
Flle No. _B5 O5
Pucpoee of Checklis[:
The Stete Environmental Poller Aet (SEPA) chapter 63.21C eCW, reQuirea all goverroental egenciea to coneider the environmeocal loprct• of a proposel
before meking declsloea. An Eevlronaeotal Iapact Stacemeat (6IS) euot be prepared for a11 propoeals vith probeble sigoi[icaot aEverse lmpacts on
tAe Quelity of the envieocment. The purpose of this checklist !s to provide inforvetion to help you end the ageacy identifr impacts froo your
propoesl (and to reduee oc evoid lopact• fcos the propoaal. Lf it can be done) end co help the egency deeide vhether en EIS Is required.
Instn+ctions for Applicants:
Thi• environoental thecklist asks you to deseribe •ose Du !c lnfocsatlon aDout your propoeal. Covermental ageeciea uoe this checklist to determioe
wAether the eevlconneatal lmpaet• of rour proposel ace •ignificant. reduirlag preperation of ee 6IS. Ansver the questions briefly. vlth che aoot
precise lnforeetion knam. or glve the best descciptloa rou can.
Yov euat ansver each Question accurately and earefully. [o the Eest of your koovledge. In oost caees. rou ahould be able to ansver the Ques[loos
[roo your ovn obeecvatfone or projeet plaae vithout che need to hire e:perts. If you really do not knov tAe ansver. or if a Question dx• not aPD1Y
to your propoeal. vrite 'do not Icnov' or "does not apply." Coeplete ansverr [o the Questiooe nov may avoid unnecessery delara later.
Soae Queetiona aek •bout governaen[el regulationa. such as soeieg, ehoreline. end lendoark desigaationa. Anaver theae Queetions if you can. IE you
have problm a. the governmental agenciee can aseisc yau.
The checklist Questions apply to a11 parts of rour proposal, even if you plan to do them over a period of time or on differea[ parcels of land.
Actach any addltlonel inforsation that vill describe your propoaal or its environeeetal effecte. 7he agency [o vhich you wuEoit thi• checklist way
ask yoa to explein your anavers or pcovlde additioml inforaetion reasonably celated to decersining !f [here ■ay be sigoificaot adrerae topaet.
Ose of c!u cklist for aooproject proposals:
Cemplete this checklist for aoaproject proposals. erea though Questioas sar be aasvered 'doe• not epplr".
I11 ADDTTION. comple[e [he SUPPI.@MENlAL SHERT FOQ tiONPROJECT ACTIONS(Pact D).
Por noaproyect actioeu. the ceference• ia the checklist to the w rJ• "project.' "applicant,' and 'prope[tr or site" •hould De cuE ae 'propowl."
"proposer.' and "affected Seographic area." cespec[lvelr.
A. EACKCaOUND
1. Neae of proposed project, !E appllCable:
2. Name of Applicant:
3. Addreea and phoae nmber of applican[ or contact person:
.
es:'
- v .0e
~
6, Date checklise prepared:
5. Agency requeeting checkliet: jex ~
6. Propoeed timing or schedule (lncluding phnsing, iE applicable): J~
7. e. Do you have eny plans for future addltlons. ezpanrioo, or further ectivlty related to or connected wfth thie proposal? If yes, ezplain. % /
.`1//,1 t
b. Do you ovn or have options on lend neerby or adjacent to this proposel? If yes, expleln. .4V
8. List'eoy environmencal lntormetion you knov ebout thac has Deen prepared, or will be prepated, dlrectly related to this proposel.
•
EPOIUNC EIiV IROlM2AL ORD INAlICE
(YAC 197-11-960) Section 11.10.210(1)
A. 6ACICCROIlND (cootlen,cA)
9, Do rou knov vhecher ~pPllcation ~ce peading for gover►tnental approval• of other propoaals direeclr •ffecting the property covered by your
proposalT lE res, explalo.
10. List aay goverrmeat approvals or peruit• that vill Ee needcd for your proposal, if knova.
` L"Jffl&IfVI_,,~,~~.1~lAFlVIC~'L ~ ~~--~~.ZCZx
ZGPt1C. T0FYY1 m
11. Cive brief. camplete descriptiou of rour propooal. includiag the propoaed uoe• and the •!se of the project and site. tt►ere are several
Queotioas la[er lo this chectlist that ask you co desccibe certain u pec[s of your proposal. You do not need to repeat thooe ansvers on th!•
page. .
~i
(:o NJ u W,-r-co Aj w ~-tO Vao
_ f7 20 cL-a5 G. ~
~
12. Loca[!on of the propo ul. Cive sufficient lnfocoation to a person to uederstaod the precise locatloo of rour propooed project. including a
•treet address, !f aay. aad seccioo, tovnship aod range. if kaovo. If a propoaal vould occur over a rauge of orea. provide the raage or
bouodaries of the slte (s). Provide a legal description. site plan. ♦ieluity aap. aod topographic aap. if reasonably available. ffille rou
•bould submit any plans reQuired Ey tAe agency. you are not ceQuired to dupllcate sapa or detailed plans subvitted vitd ony persit application
related to ts!• cheeklist.
13. Doe• CAe propooed action lie vlthin the AQulfer Seneicive Ace• (ASA)i fie Cenerel Sever Secvice AreaT The Prlority Sever Servlce Area? 2Te
Cltr of Spokanet (See: Spokene Countr's ASA Overley Zone Aclas Eor bouoderieo). ~
70 BQ COIIPLETEO BY APPLICANT
0. ENV IRON!(ENTAL ELExEl1TS
Evaluacioo For
Agency Use Only
1. EARTH
e. Ceneral deecrlpcion of the eite (circle one): lit rolltng, hilly, eteep elopes, mountatnous,
other:
D. Vhet le [he steepest siope on the slte (approximete percen[ slope)T /VD/4110-i
c. 4R+at general types of solls are found on che slte (for exemple, clny, send, grevel, pee[, muck)?
lf you knov the cleecl(lcecion o( agrlculturel cofle. speclfy chem end note eny prime fermland.
~•~a v~„L
d. Are there curface lrsdlcatlons or history of unsteDie soils So the lemedlete vfctnlty' lf so,
descrlbe. /~Q
~
SPOP,AHE ENYEMUMSTAL ORDilIANL`E
(WAC 197-11-964) Seetiaxi 11.I0.I34(€)
B. ViYtHpNMNrA[. EUXEHIS(CVnCtnued)
Eval,eatian F~r
A$ency uie anlp
C. Ue4crLbe the purpa$e. tyrpe, tnd ■ppraAlaa[e qtiantitiea of any filliRg or,grrd#n$ psoposed.
Iadicate eQUrce of flll.~,~ N~.
f. Cav1d ero#igo occur aa ■ reauit vf Cleering. toMSCitiaCCLort, or w e1 If •o. geaoralip desceibe.
~
g. Abw[ xhat prrcen[ af tkle uite Mili 4e eorer.ed xrith iiLpeluiois* sut`~aices ef[er FrojecC caestrue-
tsos {!cr exazple, aept►alt or 6u11dinga}t 'i r1►1
b. PrQpcu ed ■ea■urer to rcduce or coatral erasion, or ocher #apac[• ta cha earth, if aay:
,zf2ote 4140 ~ • Vg aC.1A E.A-C [b ~u A 9W A 6.
-g~v Co ,
~~~wst~x r~~►.e~ S
s, ArR
a, ffls#t [ypt pf euLp;iapf ta Cht air xould Yg*u1C fxCm thC plOp"al (i.l.+ duat, auC4u8bT1lr odar■
iodustrtai, vaad ■make) durieg cone[ructfoa and wt►eim [he pro}ec[ is c pleradx IF asryr
geuerally describe Aud Biut aFDeo:ima[e quaotite■ if
~~~~,`~~,U~ A~L~~e1~'~~~
b. Ars there any off-sice s u eea af eniasiane or ador that map atPect paur prupaaal7 If ao.
generallg deacri6e. C. -
c. Propased veaeuree to reduce o* CCnCrCaI eniseiona ar othes Lmpatte ta air. If
3. WATER
a. SurfaCe:
(1) [s there aray surface ++aLert bvdy On or irt the lmmediate wicinlty af the si[e includSng year-
round and seasonal streaos, sa~SvaLer. lakes, gonds, We¢iands)F Cf yee, efescribe type etsd
pravide names. Ii appraprlate, 's[aCe vhat 6rk"eem or river i[ flovs Ln[a. t~Il/~•
(2) wil] Lhe prajret require any Lork vYer, ln, ne ■d}acent ta (withln 240 feet) iLhe dracribEd
ti•a[ers'' lf yes. please dcrrribe nnd er[a[h eva[leblt plena. ~
SPOICANL LNVIROttlQN?AL ORDINANCL
(vAC 197-11-960) Sectlon 11.10.230(1)
E. UIVIROIQKENTAL E1RlWNTS (continued)
Evalustlon Por
Ageocy Ose Only
(3) EstiMte che avount of fill and dredge materlel chac vould be placcd la or removed froo the
•urface vater or veclaod• aod i cate the area of the site tFut vould be affec[ed. Iadicatt
tAe source of fill uteria l. D/✓ t
(4) Vill tAe proposal ceQuire surface wtee vlthdraval• or diverslooaT Cive Qeaeral eescriQ-
tioa. pucpose. aod appro:iaste qwn[itiet if knova. 146~
(S) Does the proposal Iie vithia a 100-ru r flood p1a1o1 If ao, oote lacation on [he slte plan.
_.._.d~
(6) Does the proposal iavolve auy discharges of vaate u[erials to aurface vsterst IE go,
deseriDe the trpe of vaste aad aotieipsted voluse of dischacge. ~p
b. CROIJND:
(1) Hill ground va[er be vtthQrtvn. or vl11 vater be discharged to grouod vatert GIve general
description, purpoee. aad approziaate quae[ities if koowa._A20 (2) Deecribe vaate mncerial [hat vlll be diecharged lnco the ground from septic tanka or other
sanitacy vaste treacaent facill[y. DeQCrlbe the general slse of the syscem. the nuaber of
housea co Ee eerved (if appllcable) or the nuaber of persona the eyetem(e) are expec[ed to eerve.
Ad/Y i
(3) Descrtbe eny syetems, other than thoee designed for the dicposel of sanltary vaste,
lnstelled for che purpoce of discherging fluide below the ground eurfece (includes syetens euch
es those for the disposal of ctorm vater or dreioage Eroo floor dralns). Describe che [ype of C O N
syecem, che emounc of inetertal co De diaposeE of through the system end the cypes of materlals
llkely co De disposed of (including macerials vhich mey enter che system inedvercencly [hcough
spills or as a reeult of fire fighting ecclvlcies).
(4) 4'i11 eny chemicals (especlelly organic eolvent6 or petroleum fuels) pe atored ln •bove
ground or upde~round 6torage canks' lf eo, vhat types end Quenticles of ineterlals v111 De
stored?
SP0IUNE LNVIRONlElRAL ORDINANC¢
(MAC 197-11-960) Sectlon 11.10.230(1)
e. ElIVIRONlENTAL 6I1.MENTS (contlnued)
Evaluation For
Agencr Uee Only
(S) Mhet protectlve meaeuces v111 be [aken to Snsure that leakp or •pill• of eny cheolcele
•tored or used on oite vill noc be olloved to percolate to ground water (thlo includea meesu eo
to keep chemiuls ouc of dlspoeal •ysteoa descriDed in 3b(2) and 3b(3)t~
42,4;,~
c. Water Bunoff (locluding •corn vater):
(1) DestrlDe t!u •ource of ruaoff (lacluding atorm va[ec) and aet6od of collectlon and dispooel
if aoy (Saelude qw ntities, !f knovn). Where vi thia vater flovT Wil thlo water f~l v /in~to ~f
other vsterst If •o. EescriDe. 130~7 ~e~? Cb u'N{ -1
rCo e / Px~~l s
(2) Y111 any cbeoicals be otored. hendled or used oo the eice in e location vhere e ep111 or ~
leak vill dreia to surfloce or_ground water or to a atorm water diepoael cyeten dischecging to
surface or grouad vater7 ~n
. ~
(3) Could vaste mateclals eacer grovad or surface vatere! If so, generally describe.
. ~
d. Proposed ■enoures to reduce or control surface. gcound, and runoff water lopacts. if any (1f
'che proposed actloo lieo vlthio the Aquifer Sensitive Area De eepeeially elear oa ezplaeatlons
rtlacing to facil![!ee coneerning Sec[lons 3b(4), 3b(5), aod 3c(2) oE thie checklist).
Se e .
4. PLANTS
a. Check or circle cype of vegecation found on che site: ,
deciduous cree: alder, maple, aspen, o[her.
evergreen cree: flr, cedar, pine, o[her.
shrvbs.
gress.
1
pascure.
I,
~
crop or graln. ~i
vet soll plants, cattall. Aut[ercup, bullrush, skunk cabbage, other. I
water plan[s: water lilly, eelgrass, milfofl, other.
I-"--ocher types o[ vegecetlon.
b. Vhet kind end emount o( vebecatfo will be removed or altered?
c. List threatened or endengered specles knovn to be o0 or near the eice.
d. Proposed lendscoping, useA netlve ptents~o othe meneures to preserve or C(II1AIlCC vegetecton
on tAe al[e, any: Efs~lLSS 9~ ~J/~~
SPOICJ6NE ZNYIRi]!lFMNTAL flRY1LNANL'E
(V#C I97-11-460) 5ettioo 11,10.230(1)
D. t2lYIR9#KEN'TAI. EL.EMF11'TS ([ontlnued)
ersluarfee For
i4gency llar Odip
x. AtrLMLu.S
Circie any 1~irda and animala +rhlch have 6eea obserred on or Rear [he sitr ar aCe knatirrr Go be aR
or near [ke site:
birds how{€. heronF eagleF sungbirda, ather:
mammals: deeC. betrt. zlk, 6eaverF o[her:
Fteh; baea, saloon, trout* herriog. shellfish, atheY;
othe r:
6. List any Chreateried or rndangered speetee knpva tn he on or eear tha af[e.
e. I■ the sSte psx't of a nigratioa rvu[eT [f g4, explain.
Proposed aeasures to preserve or eehance wtldlife, if aap:
6_ FNEB.GY AliD NAiT1RAL 8E"s4llltC~S
A. 4R~st kiodr of energy lcccri a¢ a sc~iural gaa ~road acave{ eoler) xtLl be used to zeet the
the to■piated project's nerg~ no be whe the r ft vil! be w ed far heatiogr uanufac-
[uriag. e«,
b. Would yaur pra$ect aFfect the poCent1a1 uae of ealer eneY$y by adj*Cent pffl persiest If eo.
generalip deseribe.
40 ,
C. Wha[ kinds af eeergy conservattfln features are intluded in the plana ot rhia prepesal? Liec
o[keC pY0p0&ed co286ul@B ta rtduee or Cpniral energy impacts. if any:
7. ENV1kON11EH2Ai. NEALTH
a. Are Chere any EnY1r8nmQnt91 heeith haxard5, inciudfng expasure [v Cqxiz chemicals, r8sk of flre
end expioston, dpi11, or hazardaus waste, that cauld oCtuY a6 e f'QSuIt aF this pYOpaipal' rf so,
degC rit.et.
(1} Llrscribe spccEal emergency services Lhal mighc be required.
[wAC 19]-11-940) Secslon 11.10.270(1)
R. ElIVTgUMW7AL Cr rucM (conctnued )
Evaluatiqn Far
Agencg Use Only
FHYIROHIiEHTAi, Q{EAi.TTi
('2) Frapoeed measures tp rtduce or coatrol enviroumn[sl heal[h hasarde, Cf eny:
h. Naise: .
(1) WhaC [ype• of aoiee tslet p tto arei vhich ■ay affect yoor psojeCt (far cx"ple: traffLG,
equipoeat. oper#Cioa. ati,es7
(2) {Jh+t cypea #ozi levsla uf aoiee vould he cb~ror oclated vitd the pra}ecc aa a
ahor[-tlia oC s loqg-tem bas3s (#~oC e]caopt tC go6~ctloo operatioo. other! LadiCite
~rirat hpurQ npLae vould coie fram tha slte. i~O P/K •
('3) Prvposed imesure Co reduca Qr caacrol aaise lapac[s, 1F raya ~rdl+fC~
8. LAbiD A1~Tg Si[46ELIN6 USB f
r. Y1sat ia the curffat uat cE nce eite aad odlaceaC proprrtiaa7
b. Has the aita been used far ■gricvituret If #o. deaexibf. _,Iveo
c. oeocrtbe agy atr►,eturrs on the site. _Z97'Ve
cr'
yvt IA I +lJ
d. wSll anx structures be desoliehed7 If ga. vhicM7
C. LfFrat La the turTenk =vnlr►g cYaeaificaaina af the sLte? ~ culti
f. Wha[ ts the curren[ camprehenaive plan dealgriation aC the slre? }`ow
. ~
g. ZF appliCable, ,rhaC la the current ehorelirie master program deeLgne[San of [he slte'~~,~I~~
h. H,sg ■np p$rc of [he site been claamifled as an -en+rlrtonm~en[elly #rtnei[ivt-`Area? Tf sa,
speti(y.
~ ~~'t~?~ r +t~t A-7~
i. Appra:ime~,el}~ kow many p.~ople ~+nuld reside or varl~ in tne cc~platasi project' ~ ~c- -a o
~ ?(5 fl-
F
r ~ ~
SPOKANE EliVIROKKEtlTAL ORDINANCE
(WAC 191-11-960) Section 11.10.230(1)
B. ENVLROlMENrAL ElJ?et11'S (eoncioued)
Evaluatloe Por
Agency Uee Only
Appro:imtely hov oany people vould [he coapleceG project dieplacei
k. Propoaed ■eeeures to avoid or reduce displecement Smpocte. If eny: Alen/Y Ci
1. Proposed aeesure• to ensure the pcopooal is coepa ible v1th exia[ing and projected land uaes aad
plaes, !f aoy: _-ef/ D/VP. - -~P T ~i•..~ti
9. HOUSIHC
a. Approsiaatelr ha+ •any uolts vould Dc providcd. if enyT Indicate vhether high. •iddle, or
lov-iocome howiog. Jd~
b. Appro:imately hov eany un to, if aay. voulE be eliolm [edT Indlcate vhetder high. ■iddle.or
loriacane housing. Ajt/E
c. Proposcd mea w re• to reduce or cootrol houaing impacca, !f any:
10. AESTHETICS
e. Vhet !e the [alles[ Aeigbc of aay propoeed •truc w re (e); not !oc uding antennaa; vhac is the
principal exterior butlding mcerial(a) proposed7 Zn/T
b. Vhac vieve ta [he immedlace vicinity vould be slcereQ or obetructeE7 Q,/yo,e
c. Propoeed eeesutes to reduce or concrol aesthetic impects, if eny: S-4-P S/TG
11. L fCHT ANO Ci.ARE
u. Vhat type of 1lgh[ or glare vill the proposal produce'. whec tiee o[ day vould it mainly occur?
b. Couid 11gAt or glace from the finfahed pro}ecc be a safety heserd or intcrtere vich vlevsl ~
c. vhat exlseing off-sice sources of light or glare mey aflece your proposal?
d. Proposed measures to reduce or control Ilght and glart impects, !f any: /vON C►°
ePvLGrre eNnrrRoNMNTu. oRnzRU=
(tr#C 147-11-960) 5etsfon 11.10.2]0(3)
b. 9iYI,¢QF0MUTAL LI.EMFNTS (c4ntiaued)
gwsiuatiori Por
Agency Use Dnlq
12. 8EC8EASION
a. 11l~at deslgnated and infarwaal recreaciflesr uppar[uxiities aie ie ti►e lis*¢1~a4ely +.,FClniCyE~
6. Vould tlsa propvsed projeet dt*p1*¢e *u7r exist9.wg re[eeational usssT #E sa. describe,~~ -
C. Prvporad asa*ures to rtdute ar toorrol fmpacts c►a eec, iou includieg reere.atinn appartuaities
[o be pro.ided by tk~e project or appltcaat, if any: ,
13. HIS3'ORIC JI2D CRJZ.TilRAL FRESUVAYL0N
a. Me Lkticre roy pdaCe! O= gLJects 1lsted 4u. O= pFOpOSld fOC aaCional. stitl. 4x ZOCa1 prerervs-
tion regisrcrs kooxn to Ee on or naXt to the aits7 If sa. generaliy describe.
~
b. CeaerrLly describe aag laedsar'k.s nr evideoce af hiatorts archaeologlcal, ecienti€ic or cuituriLx
imparLance koaMn LQ be Oo Oi dlXt t0 the site.
c. Frepflsed weaavrsg Ca rsduCe 4f Coptiol lmp#CCS, if ■ng: dyzA
li. I1tAHSPO&TdTTOii
a. Idtutifr yublLc streets sad higk+++sys ser+rfng che ■t¢e, aed,~emeri prnpnaed a ceas [a tt~e
e~.iscing streeC sqstea. 51w++ oo site p1~qs, if ony, I~. 19:24~~ - -
b. Ia aitc currretly ecrved by_~ blic trsesi[T If n9C. +rhat is Che appCgxima[e dietat~ce to the
neareat tranaft etap? /f~
C. Nov s■n}+ parking spacea tirauld the toftpTeted proyect have7 Hav meny wouTd the pre}cet e1.3m3natet ~
d. will tfie prepasef require ang nev Taade ar etreets, or impraveven[e t0 ax;sting raads or sGree
eot fnciud#ng dYlveway6? CF aa, generelly drecri6e (frkdita[e Vht[her public oT prlv$te).
t. Vill she pra}eet ust (ar nccur n the immedlate u1€initp of) veter, rail, or air Srtensports[fon'
IF loc,, gener$Llp dtgcr3¢e.
SPOKANE 6NYIR0l1lMN'fAL ORDINANCE
(MAC 197-I1-960) Seetion 11.10.230(1)
B. ENVIRONMEN?AL EI.ENSNTS (coatlm~ed)
Evaluetion Por
Agencr u.e onlr
f. Hov ■any vehicular cripa pec daq voulg be generated Dy the completed projectt If knovn.
indicete vhen peak vould occur.
g. Proposed seesures to reduce or control traesportation lmpacts. if any: l/YOPi(,/i ZEQ~l12~eo
g.o ac~ a n o AxP2,oAc
i rn~ f~o ~ d n1 EtAx-t s
15. PUBLIC SERVICES
a. Yould the project result !n an 1ecreaeed need for public services (for euanplT.Fire protectioo~ ~
police protec[lon, health care. sehools. other)T If eo. genernlly describe.
D. Propoaed measure• to reduce or cootrol direc[ Lpacto oo publie secvices. if aay: _,41ON,0,
16. UTILITIES
a. Circxtiliti,e urrentlr avsllable ac the site: lectrie~ ural gaa ~te refu e
•etvic ,`elepho~ saoitacp •ever. #4eotie sysEW4 ot er.
b. Deecribe the utilitiea thet ere propooed for the project, tAe utility providing' the eervice and
the general natcvction activ![ies oa the site or in the iomediate viclai[y vhieh slght be
needed. ~QS ZZC C Y/e / C/ T
/
C. SICNAlURE
I, the undersigned. evear under the penalty of perfury thec the above reaponses ere mede truchfully end co che best of my knovleCge. I elso
underecend that, ehould there be eny villful misrepresen[ation or villful lack of full dlsclosure on my par[. the aQency mey vithdrav any
decettelnatlon of nonaignlfttar+ce thet it might lseue !n rellance upon thie checkliet.
Uete: Proponent _~~~IY 0~/~~T/ ~c~ / ! / JL~ ~ •
(Pleese Print or Type) s!' / / /
!f.} ~
Proponent• ~ Address: .~C . GC
.
Phone. ~
Person campletlng focm: ~ /41C/zDete:
Phone : J -s ~ ~~D-.S ' •
POR STAFF USE ONLY ~
Sta[f Member(s) Reviewing Checklist:
Based on tM s staff revlew of the envlronmentel checkllat •rtd other pertlnenc loformatlon, the staf(:
A. V ConcluCes that there ere no probable slgnlflcant edverse lmpaccs and recommends a determinatlon of nonelgnl(lcente.
E. Coocludes that probable cigniflcan[ edverse envlronmen[el Lopecte do exlst for the current proposel •nd recomnends e oltlgated deter-
minecion ot nonsignlficance vich condltlone.
C. Concludes that there ere proDeDle slgnt[icent edverse envlronmentel tmpects end recommende e detecminatlon of signiftcence.
PILIMC FEC - $75.00 •
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~ (rH Is Is NoT A PERMIT) ,
BUlLDEIVG PERMIT APPLIC►4TION WORKSHEET
PLEASE PRiNT AND COMPLETE ONLY THOSE PARTS OF TFiE FORM YOU UNDERSTAND
COMPLETE iN INK
(Please return this orlglflal and yQUr bullding plans tv the C]epartmant af Building and Safety)
SHAQED AREAS ARE FDR DEPARTNIENTAL 4JSE
Orvner's Nam9 LAST FIRST h+ll
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Manufacturers of the Finest Pre-Baked Pizza Crusts
Northwestern Pizza 5upply Co., Ine.
- DBA / JOE'S PIZZA SUPPLY CO.
- E. 5714 FIRST AVENUE TEIEPHONE
SPOKANE, WASHINGTON 99212 (509) 534-1105
October 30, 1985
Mr. Ken Jeffrey Spokane County Building Department
?:orth 811 Jefferson
Spokane, Washington 99202 Dear Ken:
The folloxing is a list of employees and hours they will
be used in our new Bakery and Warehouse facility at East 5303
Third Avenue.
Night Shift Sun-Fri 10:00 pm-8:00 am Bakery 10 Males
Day Shift Mon-Fri 8:00 am-6:00 pm Bakery 10 Males
8:00 am-5:00 pm Office 2 Males
8:00 am-5:00 pm Office 4 Females
6:00 am-5:00 pm Warehouse 4 Males
Clean-Up Shift Mon-Fri 6s00 pm-12:00 pm Clean-Up 4 N:ales
Thank you.
Sf.ncerely,
J ~
" Joe _131e'LIIto , ~ esident
Northwestern Pizza Supply Company, Inc.
J
. „T 3
5P()',!~„t:_ i 'i )i iTY
G UI LD!i:~;
We Stock a Complete Supply of Pizza Crust, Cheese, Sauce. Ovens, etc.
~
kLOULS'1' HUK UE:SIGN UEVIA'I'IUN
. ~
• ROAD NAMr'
UA't'E d~--~ ~ -CKk'/CtID/PLAT/Z.C. No. fj&
~,e . ~
N'EUEFtAL/STA'i'E 1'RUJEC'I' N0.
PROJELT T 1'C1.1~ '__L 1.~~_z t'`' C~ VlC -r PROJ ECT LIM ITS
~ > ~ /
~??~1~uw~~~ _ -
P EXI5'CINC CONI7ITIONS:~ ~ PRUPOSEU IMPKOVEMENT:
ROAD W I DTH e i\'t~ v' ...L~. P-4 LLklr~c~C3 -f~o
ROAD SURFACh; a L~
AVG. DAILY TRAH'FIC
Curre-ilt Design Year
YROJECT DESCK I NTI.ON C 6 ~7~+(,t C (J ~ Cc 61' ~ ,2 D Lt.S U c, •
- - . ~
.
DESCR I1'TIUN OF STANDAtD INVOLVf:U
C~ 6 ►'1ri m& d.e,
,
PROPOSED DESIGN DEVIATION ~
~
JUSTIFICATION • Q~~..~2~j S: Z ' _ S /~/~I L°~~/~ c"i~
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Submitted B
Y _ _ . - ' - - -
" Da t e
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5TAFF KF.COMrtEuDA•r[u,vS .
14 - si.az'w~~_~<,
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ApE►roved Not Approvcd
~ SccCian E,Zg ineer DaCe
~
Approveci Nat Approved
~ TraffI c Engineer DaCe
' f
~
Approved Not Approved ' `
' ~ ~ ~
~ ~f-f ice ti~;ineer IIate
Prl-O u t 1 e)
~ a__ d f., ~ c'
67- 1 ~f'-~1'c'. 1
~
~ -
Approved Not Approved '
Division Engineer ~ Date
%f/c nr~'iv/a,l/
_ - _ _ ~ ~ G ( ~ ~ -s/ D G~ / ~ C
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Approved Not Approved - - - - - - - ~ ~ (~c~, ~ C-)~ _
=1- - - - -
~ ~v2 County=Engineer l'
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