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1st E 12403 Mead Medical Products-Whse Add Mf v w SPOKANE COUNTIf DEPART�AEN4 OF BUILDIIdG AND SAFE1'Y W. .1909 BROADWAY AVENUE 8POOtANE. WASHIIdaTON 89260 (S09), 456-967b' I certlly I heve exemined'thls_ pertnit end'stete that tRe Intornnetton co�ln� In it snd aubmttted by, me or my egent to complte ea10 permlt Is true and correat� In edditton. I have read end undoratend�tAe INSPECTION RECUIREMENT8/NOTICE p�rovtalone Inalud'ed hereln andegreetocortiptywlth eaine. All provisio�of lawe end ordinance"s gaveming thla t'ype of wo'Ic�will be complied with wheUer epecified herein, or�no�, l urtderetend,tfiat the laauance of thls,permitand any oubesquent Inspectlon aAp'rovala, or CertNicates'of Oaaupancy ehalt not be const►ued to give eutfiorlry'to vlolete or aencel�the provielone of'eny state or�locat lew regulating con'stniatlon� or ee e werranty,'o1 conformartce witl� !he proirFeiona o1 eny stete'ot lacal,lsiiurs reguleting�construatlon., SI�NATURE OF� APPLICATION OWfVER OR ADENT �A� i PI�OJEGT �lUMHEk�=� �3900103.�i �nA�T��= 04/27/89 F'�ACE�= 0� �'��YMENT OF FEES 5'3 aq 10 3c 1�G.c. ������������������������a�.������"����:��- �AFFLICA��TION �,��.a��.�a��-a��u��������,���;�������,�����a��� S'IY�� STF��E`T�, ����0'3 1 ST ��1V�' �'Ak;GEL.�= «5�4��-043E� ADDkE�SS- SF'�01<A�lE W�� 99��?Ob pEf��i�IT USE� WA�EMOUSE� ADDI'T�IpN F'LAT�= 00�504 PLA�T NAME= STEWAkT' S SUI�. �LK 6�4 OF OF�. �E+L,O,CK�= LO.T� ZO�tE= �COMM D I`ST�- F AI�EA� F/A= F W.IDT�H� 190 D,EPT�W= ��04 f�/W= �OF �LD.GS= fi D.WELL�I�NGS= OW�IEk= MEAD MEDICAL FF�ODUCTS FHA�E= S-TFcEET= �4,03 ST A�E ADDF:ES�S�= SF'QKANE WA 99�06 CONT.AG i�A�ME�= �'i�0`�l�� I<FLL- I�!G F}hiO�lE i�IUMEtEF�= 509 5 �4fi88� �UILD:C�NG SET�A,CK,S,' FRO�t7= 35 LEFT= 4"4 fcYGH7= 0 kEA��- kE.1�`TEW INF'OFi�1�AT�IO�! ����;��#��������.�.��:��c�.������� DATE DE�'Af�T�fEN.T ��lAi�E kEVTEW C,O,MME�lTS I�!/, UUT INITIALS' �UILD'I�tG S'AFETY F'LA'N: �E1lIEW REQU.��kED� 890427 GMW w�w.�r�.�..w�.r..�.r......�............r..r......r.�.....��...�.� w �����.��.����.r���q.�i�rr��rwn�ra�rrr�.r.�r ���.w.�w w��w�r E�l1zLDI�lG S�1FE�TY ENEkGY PI�A�N f�E1��IEW� kEQU�IftE�D� t�904�7 GMW r I COUNTY ENGI;�IEE�i AkAI'N�GE F'I�(�N F�EQ�' D'W/IN ASf� 8.904�2�T. G s �.�1____ s r �1��� n EN�1��I�QN�iENT�AI. MEALT_H INCI�EA�SE I�! 'I�O�T G011EF��1GE 8944�7 Gi�W ...r. r r r COUNT�Y PLA�l��IN.G SITE �LAN �t�EVICW I�cE.G�UI,F��EA� 890a27 GMW V �...:______..___�:..:�._��.w�:..:.....__�.�:��._ i��' COU�NTY UTI,LITI'ES W�/YN �'�iIO�ITY S'EWEF�� AFiEA 8904�? GMW w��e�w�w�N�w���w�w�www�w�rw�w��rwrr��Mrr� ���rr�i� �.rrr t SPOKANE COUNTY DEPARTMENT OF BUILDINC� AND SAFETY W. 1903 BROADWAY AVENUE r SPOKANE. WABHIN�TON 99260 (508) 46�9875 t certly that I Aeve examirted thia pennit and atate that the InformoUon contatne�! in it end submitted by me or my agent to complle sald permit Is true and c�rrect. In eddltlon� I have read art0 understand the INSPECTION REQUTAEMENTB/NOTICEprovlslone Includad herefn and agreeto comptywfth same. All pmviaione �tlews and otdinertces goveming thl8 type of wOt1t wlp be complled wlth whetAer epe�ltied h0rein or�ol. I underot,end that the lasuance of thie pertnRend enyeuba�wnt Inapectlon epprovNs or Certiilaates of Qccupancy eAetl nod be cortatrued to Ahra euthority to vlolate or cancel the provisiona of eny etate or local lew regulating ccnstnrotlon� or ss e wenenty oi confomnanae wlth the pravlalons ot eny atnte or local lewe regulating eonstructlon. 81GNATURE OF APPLICATION OWNER OR A(3ENT �1ATE F'�iOJECT NU�i�E�i= 8�00� 436 D(�TE= 04/?7/89 F'f�GE== 0:' F'AYt�ENT OF F�ES FIFt� DIST�ICT FIFcE �'L.OW TO �E REVIEWED 890427 Gi�W M�� w� Y 1� Ar Y� �w� o �I Y� w r�� �N M� M a M w� rw Yr����r��r�-�������Y�r�MY��A����������������� ���rr�r�� a������xx��������*�������c������� PUILDI�lG F'EkMIT ���Y��cro� GAkCO C0�lSTFiIJCTIO�! PHO�lE= 509 535 �b88 ST'F���T= 38`0 E E;fi0�1DWAY �111E �DIDFiES�= ,51='OKANE WA 99?0� �lE�d= F�EMOnEL.== ADDXTION= X CHA�lCE UF US�:= DWCLL U�t TS- OC�UF' LD= b E�LDG HGT'� S 4 STA� I E,S= 9 k�LllG �d X D= 48 X �0 Sf� FT= �440 FiCt� F'�fiK Ii�lG= 4 MAi�tDTCAF'= i SEWEFi= Y HYDFif��tTw Y DESC� I�T T Q�! G�OUF�' TYF'E S� F T VALU�IT T ON WAF�ENOUSE ���u �400 4080U.00 ITEM DESCRIF�T�OiV QUAiVTITY FEE AMOUNT CO�iMEkCI�L VALUATION Y 356.00 �'L�A�I REVIEW FEE Y �31.40 STATE SURCI���GE Y 3. SO ��c ��c x �������*�c ��c�� �c �c PAY�iENT SUM�fAkY a��� ��c�� F'AY�IENT DATE kECEII�T� ��1YiMENT Ai�OU�tT 04/��/89 133� 590.90 �'OTf�L DUE= a 00 TUTAL F'AID= 590. �0 �'EkM I T TYF'E FEE A�UUNT A�iOU�lT F'A I D A�iOU�lT OW I NG T�UILDI�lG PE�MIT 590.94 590.90 .00 590.�0 590.90 .00 P�OCESSED E�Y: WENDEL, GLOkIA rF� I NTED �cY WE�lDEL GLOF� I A ���xa������������������x��������a���� TNANK YOU �������������������������a�������� I �._ar-�y a f L� l �-y/D Pro•� ect Name PrQ�ect F�ile I�:�mbei 4 �S�p:ons or '�s Name �d-� Eng-ine'e-r/3urvey�or' s Name Telephone D�te Subm�tte'd D..e,sc�iptio�n. Ir�i�ti�als C:.�''� 1 r d' d �r'' 7.��_,�. p 1 1,� i� "li�.� .s�'d b� ,e ��.�fi I��� .e�'������t� f�.� ����lt�' ��3 ,l r 3'�s� /d� C� �.t/Ps O _o.� ��'1., ��c%�/ q 7k 7k 7k FAC S�IMILE TRANS MIS S.IO N SP,OKANE COUNTY a DEP�ARTII�ENT OF PUBLIC WORKS OFFICE OF �THE COUNfiY ENGINEER� ,N. �811 JE�'FERSON ST. SPOKANE, WA 99260— 0.180 .FAX (509�) 456— 4715 TEL (-509) 456— 3600` D'ATE: �m TINiE: T0: DEPARTMENTf FAX TELEPHOI�TE: VOICE TELEPHONE: FROM: e DEPA:RTMENT: ���2. t COMMENTS: PAGE OF ya,,� S ok�ane p County De, artment of Buildin Sa.fet�y p g JAMES L.11�ANSON, DIRECI'OR L���� o� ����s����L �t�CE�1/�� AP R 1989�� DATE: APRIL 27 i9;89 ,�ouMy Ectgiaeering TO Ai�r�Pollution Control Utilities Department Enqineer's Office City of-Spokane Environmental�Health Fire District No. .1 Plann�ing, Department Liberty La�ke Sewer District RE� ADDRES3: EAST 124�03 1'ST AVENUE OWNER/APPLICANT: MEAD ME�D'�I�CAL PRO,DUCT PARCEL NUMBER 2 2 5 4 2- 0 4 3 6 PROJECT NUMBER�: 8 9�0 O 10 3 6. PROJECT DESCRIPTION: �(AREHOUSE ADDITION- n�NOTICE OF PRE-APPLIC�TION CONF$RBATC$'� U' An i.nitia review for the describe�d proposal has been sc2ie,d- uled f.or at a.m. in the Buildi�ng and Safety Conference Room. Attached is a preliminaiy �si�te plan for your review. n NOTICE OF. PRE COYJFEREPdCE: U A for-mal review for the described proposal has been schedule�d for� MAY 31, 19�89, at 10:30 a.m. in the Bui:ld�ing and S,a�fety. Conference -Room. AttaChed is a copy of the permit application, along with the site deve�lopiaent plans for your- review. should y,ou find that addition�al information is needed in� or.der to pr-esent your find�ings at the confer-ence, plea�e contact �our off�i�ce. n RE�TYS$D SITE PI�N. �TTACHED: u As required at �the .Conference for the �above pr-oposal, attached is the revised site pla�n dated Should there be further- revisions� necessary, or if your �port�ion o�f the permit is ready. to be released, let us know as soon as,possible after contacting tbe applicant in order, tha't we nright keep informed of the status of the proj ec�t.. n�MEETING TO�B$ RESCBSDIILED: u �Please be a�dvis�d th�at the Conference date for the above pro- posal has been changed from at a.m. to at a.m. .0 r� �j l�1� WFST:1-303 BROADWAY� SPOKANE; WASHD�iGT.ON 99Z60 0050 TFi.EPHONE (509) 456•3675� ,.j.,��, 1. 3� o Spoka.ne Count�� y u -�y De artmen.t of ��uild-i-n Sa.fe.ty p g JAMES�L. MANSON, DIRECTOR TO John Harrington,. Planning Depar�ment Ken Jef�fre.y, Building�� .and Safet.y Bob�McCann, Engineer' Department Dar-y-1 Way, Health Depar-tment FRO homas�L. Davis, Code Compliance Coordinator Department of Bu'ilding and Safety DATE: May 4, 1989 RE May�3, 1989_- Pre-Construction Conference East 12403 ist �Aver�ue. Warehouse ,Addition Enclosed is your�copy of the.minutes to"the referenced' meeting. Shoul�d you �have any questions or need additional. in,formation�, please� f eel f ree to cori�cact me TLD: j as cc: Mr. Ron Kelling, Garco Construction Mr. Richard Pyle,, Garco Const�ruct�ion Ms. Mabel Ca�ine, A-ir Pollut-ion Cont�rol Authority Mr..'Dean Fowler, Utilit�ies Department Mr.-�enn�is Scott, Public�Works Director VItEST 13Q� BQOADWAY SPOKANE� WASHINGTON 99260 003U� TII.EPHONE (509) 456=3675 i� I►�YBdtTTS� PR$-CONSTRIICTION COIdFEREYdCB WAR�HOIIS$ ADDITION $AST 12�03; 18T �IVENIIL YKAY 3, 198'� CAI,L�TO ORD$Ra The meeting� was called to order at approximately 10 2�0 .a m. b.y Building and Safety's Code Compl��iance Coordinator �Tom Davis., with�� the following in attendance. �P�RPRZT RSVIEW PARTICIPANT88 John Harrington, Planning:�Department Ken Jeff�rey, Building .and Safety Bob McCann, Engineer's Department Ju�lie Shatto, Buildinq and Safety Daryl Way, Health Department APPLICANTB:� Ron Kelling, Garco�Construction, East 3820 Broadway Avenue, Spokane, Washington, 99202,. (509) 535-4688 Richard Pyle, Garco Construc�tion,.East 3820 Broadway Avenue, Spokane, ,Washington, 99202, (509)-�535-4688 SCOPE�PROJECT�DLSCRIPTIONs I. General Overview Proposed is th�e construction of a 50' x 48 warehous.e additior., for the purpose of extended warehouse use, for Mead Medical Products'. II. Construction Time The applicant would like to start constructi�on as soon as possible. SQMM�IRY OF DRPARTMENTAL RgQOIR$MSY+?'1'8 s I. Planning Depar-tment- (456-22,05) A. Discussion/Requ=irements 1. A crit materials list, which wi�ll be supplied by Building and Safety, shall be completed and returned to Bu"ilding and Safety for review. 2. There�will be no outdoor storage or outside fencing. 3: The site plan illustrating the �requ-ired park-ing for the site is adequate. 4. There are no new signs proposed for the site. 1 5. The site is an agregation of two parcels of land. �B. Permit Relea�se Requi�rements 1. The site plan as- submitted is approved but pr-ior to releasinq,thei-r�portion of the building permit, approval. of the crit�ical materials to be stored- on the site �from Buildi�ng and� Safety shall be. verif �ied. I-Z. Engineering Department (4-56-3600) A. Discuss-ion/Requirements l. Comments were given to the applicant a�nd Bu�ilding and Safety by Bob�McCann. Comments on the check print were g iven to the� appl icant 2. The parcel number for the s�ite� should be 22�542- instead of 22542�-04-3�6, as shown on. the permit appl��icati�on�. �B.� Permit�Release Requirements 1. Comments on the check print need to, be add�ressed and returned� to the Eng�ineer's Department_ for review and �approval. III. Health District (4�5�6=6040) A. Discussion/Requirements: 1. The existing buildi�ng is connected to the valley �sewer and public water system. 2. It was stated that the existing house has been� removed. 3. The Hea�l�th Department r-eleased their portion of the building permit., IV. Ut.ilities Department (,456-3604) A�e Discussion/Requirements �1. The Utilit-ies Department was not and no comments for the proposed proj,ect 2 .4 V. Air Pol-lution Control Authority (45�6=4727) A. Discussion/Requirements 1. Air Pollution Control was not present,, however, comments were submitted to Tom Dav�is prior to tfie �pre-construction conference. 2. Air pollution regulations require that du�st emissions dur'ing demolition, construction and excavation pr,ojects be coritrolled. 3. Measures must be taken ��to avoid the depos�ition of dirt and mud� from unpaved surfaces onto paved surfaces. If tracking�or spills� occur �•on paved surfaces measures must be taken immediately to clean these surfaces. 4. All travelled surfaces n►ust.be paved and kept clean. 5.. Al1 emiss'ion standards must be met. VI. Building and Safety (45�6-3675) A. Discussion/Requirements 1-. Flan review has been completed and a letfier was given to the applicant by�Ken Jeffrey. 2. There was an ex�isting residence on the site that has been removed. A concern was raised req,arding the footings and foundations for the proposed addition; i.e., di�d the residence have a basement? Soil and compaction tests will have to be performed to verify existi�ng soil conditions of the proposed addition.site�. 3. Verf ication from F�ire �District No .=1 �on adequate number of fire hydrants to meet the.� required fire flow� is requi-red. 4.. Veri-fication of existing requ�ired hand_icap facilities is r-equir-ed prior to final inspection. 5. The �mechanical ventilation �system is inconsistent with �what is exist�ing: 6. Verification o� the structural cond-ition at the north end of�the existing structure. 7. Special inspections sh�all be conducted on concrete with a design s,tr-ength of over 2, 00.0 p. s:�i 3 •r a. 8. A cr�itical materials list �shall be completed, which shall incl�ude medical qas volumes if any, and _subniitted for review. B�. �Permit Release Requirements l. Two coniplete revi�sed sets of plans addressing the items,�discussed during and after the meeting and ot�her items from the plan review letter needs to be submitted �for review and approval. APPLYCANT 9 COI�lPqFl�d'1'8�AC1�10�I,BDt�E1�YdR' p The applicant acknowledqed ttiat all comments/requirements were understood and had no fur�he� questions at this time �regarding permit requirements. CORRECTI4NSo To miautes or chanqes from what appears in the minutes, we should be notified within one day of your r-eceipt of these mi�nutes. To si�te plaas a�s required by any or all of the above-lis�ed departments shall be su�imitted to Building and Safety who will �then d�istribute accord-ingly�to those departments.. ADJOIIRATMENT a Ther-e being no further business, Tom Davis thanked �the applicant and the departments for the�ir participation and� remin�ded all �that he should be contacted if there �are any .u�nforeseen probleins which may arise. The meeting was adjournec� at appr,oximately 10:45 a.m. Copies of Minu�tes to: All pa�rticipants File East 12403 ist Avenue Warehouse Addition- NOTE TO APPLICANT: Some time ago the County r,ecogriized the nee�d to strea�ml�ine the buildinq p�erniit system and accordingly _initiated these Pre-Construct�'ion� Conferences. Comments so far woul�d indicate t�hese conferences are successful and do enhance the permit system. As a recent participant, we�would appreciate,any comments you might have to further improve� the process or, should. you have a�ny questions or concerns .regarding your conference,, please contact either Jim Manson, Buildinq and Safety Di�rector, at 456-3675 or Dennis Scott Pub�lic Works D�ir.ector, at, 4�6-3�600. Sincerely, James L. Manson, Di-rector 4 1 r,rr �r�c cou�T�r ��'nl�;A��iL- G�]LP�f'T'Y W��:-i T I T�?�± F�i��°�.�cac}� War�h�Lc�� Ave3 ��:.����n ivl�y 1'��3��► �ddr E 1�'���� l��t. 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F�.�a�e r n ('1 P �'1 f� C i� 1 Il �_t 1� C f� iC �-3 Y �l c� C ��j I� �y �naine�r? t��. c���ntac p��r ����r� �:i Cc��..tnty �r1�in�erinq D�p�r b� c�_�n•tac�:�d by C��� 1 in� Y���_�r ��_�����c� p���=�_:� i�s G�r�� C .M 4 r s r� ��.f������.� i"" v v .9 r; +}�1 A 1 t �c� �°'Q {��Y 1 0 19�9 1' t;a�r�,�rF��' 3 _Z� 1.ri= dj s -VE�.--��+�--��----l�t7 6� Transa�nerica Titl� Insuran�e Co THIS SPACE RESEItVEO FOR RKORDER �SE: A �4Frvic.e of t T�•c�n.�americaGorg�oration �`t�'�� ER1CA T1TL� i o�'�` a��' 8611�1�12:� Filed for Record at Request of ��I� 16 �;1 w���►�� r.: S okane Count En ineer �Gi�ri ���y�� Name.._..._ P ............................�........g......................................_._........ _�P�'��►AI�� C41Uw`f�'� �'�aH. Address. Pulbic Works Building ��N�x�f �e�fer �5s�� City and�°ateane,---Washington 99260 a._ i o i i RE: Mead Medical Products Inc, o �T� 1 1� Partial Reconveyance EORM DT-S The undersign�d trustee under that certain D�ed of Trust, datecL_...July_ _5 th._..._.�___._.�__..___....., 19..86....., inwhich....... Mead is grantor andBank _of_ Spokane ...._...._e is beneficiary, �corded on __JulY 15 th------------------� 19..$ 6....., as Auditor's F 5020..� 86_� 7�5 0�42 in Volume 9 of Moptgages at page records of .Spo'karie ..............�ounty, �Va�hin�ton, having rec�ived under said Deed of Trust a written request to reconvey a portion pf the real property des�ribed in said deed, whi�h reyue�� was approved by said grantor, does hereby reconvey, without warranty, to the person(s) entitled thereto the right, �itle and interest now held by said trustee in and to that portion of the real praperty described in said D�ed of Trust, situated in ......................�pokane------........--------..._..._.. Coun�{, Washin�ton, as follows: The South 10 feet of PARCEL "A' described as follows; PARCEL "A" Tract 13, ST�WART 'S SUBDIVISION OF BLOCK 164 OR OPPORTUNITY, as recorded in Volume "R" of Plats, page 41, in Spokane County,Washington;EXCFPT the North 60 feet thereof. In Section 22, Township 25 North, Range 44E.LJ.M. Dated....._.�4.V.�mJ?��...�.$�.�1 ...................•----...,19..�6...... T 3 TRA�ISAI�L� ICA TITL INSURANCE COMPANY a By...�.�� R- �etary By STATE OF WASHII�GTON STATE OF WASHINGTON CQUNTY OF---•-----..�..� ss. COUNTY OF S.����.------._..._.......... On this day personally appeared before me On this _�lSth day of Noyember before me, the undersigned, a Notary Public in and fo.x,�th� �t� pf W�slt- uig#on, du�y► cxfmmissinn�d and sworn, personally appear�d.. :w,.� to me known tA be the individual described in and ..............._T.exr�..Lauigne......_.._..�---------------�------....._-.:....Y who executed the within and faregoin� instrument, ��.._.............M......��.......------ and acknowledged th�t signed the same to me linown to be the __._.................�..-P���¢CR�--�S&� .V.tSe�retarY� as free and vc�luntary act and deed, respectively, of.._��A�1s�����---��-T-��...���-��l.�I��...�. f�r �ie uses and purposes therein mentioned. the corpc�ratio� that executied th� fore�oin� instrurnent, and aeknowled�ed �he said in�trument to be th� free and voluntary act and de�d of said cbrpor- ation, for tbe uses and purpases therein meniioned, and on oath sts�ed that S.��P._...1�......._��... authorized te e.xecu�e the said instrum R� and that tbe seal GIV�N unc�er my hand and official seal thia affixed is the oorporate seal of said corporation. ,..__a. day of._.....�..............__ 19 Witn� my 13a�id and offi�sea1 e e day and year $rst above writtsn. l e f y �f�� .��E�.g�"a/ �.�..a.................. Notary Public in and fnr the State of Wash- I�otary Public for th� State of Washmgton, res� at.._.. S� o an e ington� re�iding a�..........�.-•�..---..___...... ci�ng my appo intment expires g Titie Insura ce Com an IN�oIC� P Y Title Insurance Services �j� E �f t.� ��n�u�c s �,ti A o d S r r� o!� �j� 11Z' STATE COUNTY BRANCM cusraM�=Nun�BEa ESCj�OWlORDER Np. ��T OA�E CUS7pMERS REFERENCE 03 OS 00 456-36`00-0� 133514 11/20/8�6 �Mead Med. Pr-o,d. I� PLEASE 5EN0 YOUR PAY�EtdT, TOGETIiER W1T}i a�CE�veC� A GOPV OF �'M15 iNVOiCE, YO ff�E n80VE�QFFICE FROM SEE,AEV;EASE'SIDE FOR AOdRESS_ �S.po:kax►e �,Coun.�y _Engine�er CHAFIGE `_��Ne. $.11. .Jeff_er:son_StrQefi EgcAa'" �����V�� �okane s 1±�lA 9' 9260 .8 �NERAL �T'rt �13 Stewart�s �Su�� Es�ROw �98� �ILL �P�KAN�' Cp1lN ANCH E"VGINEEf; A'UTN: 1fq81LITYlAMOUNT DESCqIPTtON _CNARGES OTHEA �HAtiG�S CNARCES RECORDING ;FEES ie2 �'CO�t? 5 �(]0 �a 7D0 REVENUE STAMPS t82' J �p8, SALES TAX �4a6 TAX REGISTRATION �g�n� ESCROW FEES I 720 OTHER ADVANCES 1 di� AMOUIdT DUE Trustee Fee $25 00 PAYA�BL-E UP4N RECEIPT 30 OQ 729 AMOUNT RECEIVED �48368 ASH VERIFIED BY a�b� B� TRANSAMEA{CA CUSTOMER GOPY _o S�ND PAY�/IENT 1NITH �OPY OF INVOICE TO: Transamerica Title Insurance Company 1. BO�C 7�493,, BELLEVUE, WASHIN�TC?N 98Q09 .e 2. BOX 1G10, WENATCM�E, 1JVASHINGTQN 9880i r 4. BOX 1�1�,=8REM�RTON; VVA�SHINGTON 98310 5. NORTH 720 ARGONNE ROAD, SPOKANE, WASHINGTON 99212 7. BC3X 511, OKANOGAN, W�ASHINGTON 9�8�Q 8. BOX 184�, 4LYMPIA, 1/�ASHINGTON 98507 12. BOX F, VftNCOUVER, �WASHINGTQN .9f366G i5., BOX 6103, tCENMEWICK, WASHINGTON_99336 18�. BOX 50�, EVER�TT, �WASNINGTC�N 98�Q,6 'o j .ro s.�?P i, c ?d r ,�J 7 y R` e B G T r e F Transamer�ca HI�OICE l�� Tiile lnsurance Com an P Y Title Insurance Services F� STATE ��COUNTY BRANICH �;CU.STOM� NUMBEA ESCR01NIOfiDER=NO: OGT DA'i'E CU57pMER5 REFEHENCE 03 OS 40 45b-36fl0-C� 13351� 11/20/�b Mead 1Ked. P�rod, r I� T PLEASE SENp'"�YOUH PAIIMENT, TOCa_ETHEA, WITN rA FIECEIVED A CQiN OF_THIS INGOlCE: TO;THE ABO,VE,OFFIGE �p�L�LL�_ _LN�a� -��W�. FHOi1A' 9EE REVERSE SIDE Fdq AODRE93. ATT r CHqRGE ��1. y��j��SQ� �tY@��_� ESCROW GENERAI' ..Spokane, WA_ 99260 e��� X Tr-t 13 Ste�aarts Sub. L Y ESCROW QILL BRANCii 99, ATTN: LIA81LITlfAN10UtJT DESCRIP'T10N GHARGES I I OTHER C�fARGES I CHAR¢Fa5 �RECOROtNG FEES �62 I 5_00 W Q .a �uo oQ REVENUE�STAMP.S �g� 7pg SALES� TAX �46 TAX REGISTRATION I Ie�n ESCROW FEES I 720 OTHEf� ADVAN'CES I' at� I I ci AMOU,NT DUE PAYABLE UPON RECElPT Trustee Tee. $25.00 30_04 AMOUNT RECEtVEO CASN VERIFIED sY $b 'BY "TRANSAMEAICA I(VSUNAP(CE COMPAh1Y PLEASE RETURN TFilS COPY 1IVITH YOUR PAIPMENT �r Of fi ���s�� do�. �29 P�E �.�0 Transemerlca �������I���I�� Title:insurence Company THIS SPACE PROVIDED f.OR RECOROER'S�USE: Ttle Services• i t .>o s j�p �A 1� IS e E Y ccxf d v.� a r �a „o l���1Q�'M►"�,..Iay����� �PI o FILED FOR RECORC��_ �:S �tATE ���tirf-� •��,OI�V��2iC�,CL�.: �L%.� t �j�! t n y �t �y�l;_�',�r�= r�Z rr�3� l�l'1 F;•`""v♦ -��'I.. 1 �i ����!:��a-._ e �:i �_�u,: j;�.��_, .ci� Ju� 8 �s� �6 •:��r �:.Fz 'r f�'��_ S. ;�r�Er:ur r R:. i r- r• e �ti o, o, o�ri�l��a i����Nr.,���E =c9� n �.�-J ~►6D a r au�rrQR WHEN RECOROED RETURN TO A 1 L�P�K �9�O��Y� w���.. c t�f'�'U T�l Neme.. ..WM:-..:E�..:.HENNESSEY �i'�'�� .Addrtiss E-. .2102 SPRAGUE� AVENUE �SPOKAIVE, WASHINGTON 99202�. �Excise Tax Paid on ..`cuy,,sts�te:7.1�.,�.._�, .r.. ��e��S:7 Sot� �kmt-fd. oo �e�� D.E '��iCIP"' CHILBER� S�ce�utory dllar ty Spok �cunty Treas. �/i.r—/�G THE GRANPOR HARRY Fs THOMPSON' and BEATRICE J. THOMPSON, sband and wi fe, and JOHN F. LEWIS and CAROL LEWI'S, husband and w.ife, for t�nd�in cansid'eralion of FORTY THOUSAND AND iV0/100 DOLLARS (.$40, 000 00 in hand pr�id convey �a war��ts to EA MED I, j P�ODUc�S, I.NC Washi� gt Corporati on, Q18U3 �,lenv��ew C�rcle, ��po�Cane,� W�- 9��16 the inllowing.described rent esta�te e;t��a�� we eo�ty of Spokane .S�teof Waehington: Tract 13 �of STEWART'�S SUBDIVISION of BLOCK 164 of ,OPPORTUNITY_, as pl,at thereof recorded i�n Volume "R" of Plats, Page 41; �Si'tuate i.n the .County of Spokane, State of Was�hi,ngton. SUBJECT TO:. 1. General_ taxes:_for�° the �second one-half of 1�986 in the suin of $1 on Parcel No.. .22542-0435. 2. General taxes� for ,the second one-hal f of 1986� i n the sum of $229 .92 on Parcel No 22542-0436. �3. Agreement between Modern Electric Wa�er Company and D.K, McDonald dated November 4, 1905,_ recorded No�vember 6: Book "E" of Contracts pg 267 under Record�i ng No. 131084. DATED T� Stk�day of J�. 1986�. ARRY F M. SO BEATR�I C THO ON o N F. LEWYS CA L LEW�IS STATE OF WASHINGTON�) ss. County of Spokane O�n this day persona'lly appeared before me HARRY F. THOMPSON and 6E�ATRICE J. THOMPSON to� me known to be the i nd i vi.dual s descri bed i n� a�nd� .who executed� the wi th�i.n and foregoing instrument, and acknowledged th�at tFi�ey s the same�.as their free and voluntary act�and deed, for the uses and purposes th'e'rein me o GI�UEN under my hand and offic,ial �seal this day 6. c :L. i g N'TARY P BL�IC` n and for the S te of o Washi�ngton�, residing at Spoka in� gL�C�,� �Y� ��L_ REVERSE SIDE FOR� ADDITIONAL ACKNOWLEDGEMENTS v:1 STATE OF �WASHINGTON ss. �p�; :�2,� PAGE ��4:� County, of Spokane On this day persona�lly�appeared before me JOHN F. LEWIS to me known to be the i nd�i v i dual descri,bed i n and who, executed the wi�th i n a�nd forego i ng, i ns,trument., and acknowl edged that he s i�gne'd the same as hi s free and vo] unta:ry act nd eed_, �for the uses an�d purposes therein mentioned. �t GIVE�N under n�i hand and official seal this day 6. 1. :.�'����?r.- r.' a ,t+' a�''�� "�i�� �-�c�.=�, ✓�I�f��� NO Y PUBLIC� in and for ttie �a�e 'f Washington, residing at ,Sp =�Y'.�r b 'I�}� 0 m ��Z �f ►�j I S��a�=-' -p r •y e•+ r ti 6 STATE OF WASH INGTON G ss. .County of Spokane ,On this d�ay personal�ly _app:�ared before me CAROL LEWIS to me known to be the indi�v.idual descr�bed in and who executed the within� and forego�ing� instrument, and acknowledged that she �si�gned �the same ,as her free and �vol.untary �ac and dee�d, for the uses and pur-poses� there,i n�menti oned. GIVEN� under my hand and �offici�al seal thi�s day o. 6. �ti. L 1 I`, �t.'i�'�" t�;1�. ��h NOTAR 1�16,L I C i n and for �.t o• Washi�ngton, residing at Spokan� s �-��i: r o a' y RIGNT OF WAY DEED 13 ����b1 QFF �...�r y,s, ��.�1 PAr,F o s' :1 r y Zz syz o y�3�� IN �T��E MATTER o f 1 Bt Avenue No KNOWN ALL MEN BY THESE PRESENTS, that �ead M�icai producta Inc. a wash�nqto�n �d�c corporation xbc�c�j� of the Gounty of S�okane, i n the State of Washi ngton, i n consi deration of the benefi ts and other val uabl e consi derations, a�d the sum of onp ana n+Q[�� Doilars, paid �_by the County of Spokane, the receipt whereof is hereby acknowledged, have granted, bargained, soid and co�veyed, and by these presents do 4rant, bargain, sell and convey unto said Spokane County, the foll�winc� descri bed parcel of 1 and, si tuated i n Spokane County, i n the State of Washi nqtor,, to-wi t: The South 10 feet of YARC�G A�� described as follows: PARC$L A" Tract 13, STEWART� S SUBDIVISIC�T of BS,OCK 164• of OPpQRTUNITY as recorded fn Volume "R�� of Plats, Paqe 41, in Spokane County� Wa�hington; gXCgpT the North 60 f eet thereof of Section 22 Township ,�_North, Ran�e�_, E.W.M. TO HAVE AND TO NOLD the same, unto the said Spokane County for the purposes of a nublic road forever. IN WITNESS WHEREOF I have hereunto set �hand and seal this day of 19 MFAD MgDICAL PRODUCTS INC. .•��1:'��'IYUG�.�,. 1 �e; '��p 1�,��,'� e fxc�se Tax tx�emp? fJ J C o t. 4� Da�e�i'a"zcJ.�`' n� James Mead, president n Spolcene County TTea�, X .d ti �w 1/�/8�•-. �r UFF. p��GE ��44 r�;��?.� 861Y0�03sZ N Ya�.� i AME 8 N0. �(,�O q i N� B t� Q��� I PARCEL NO. �Z.��Z N O T 1 C E T O T H E P U B L 1 C Q PURPOSE ��Q►sFt t7� KNOW ALL MEN BY THESE PRESENTS, That Mead Medical Producte, Inc. r b� �7� Mead President being the owners of the following described lands in consideration of mutual benef its to be hereafter derived do for themaelves, 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 thelr name(s) on a petition for the formation of a Road ImprovemenC District (RID) by the petition method pursuant to Chapter 36.88 RCW, whi�h petition includes the owner(s) property, and further not to object, by the signing oi a balioz, �tie �uriaatio�► �f a R�D by �he re�olution method pursuant to Chaoter 36.88 R�W. which reaol���i in�l��de� �t�e o��nsr(s; property. �If a RID is formed by either the petition or resolution wethod, as provided for in Chapter 36.88 RCW, the owaer(s) or successor(s) further agree: (1) that the improvementis or construction contemplated within the proposed RID is feasible, (2) that the benefits to be derived from the formation of the RID bq the property included therein, together with the amount of any County participation, exceeds the cost and expense of formation of the RID, and (3) that the property within the proposed RID is suff iciently developed. Provided, further, the owner(s) or successor(s) shall retain the right, as authorized under RCW 36.88.090, to ob�ect to any assessment(s) on the propertq as a result of the improvements called for in con�unction with the formation of a RID by either petition or resolutiion meChod under Chapter 36.88 RCW. It is further agreed that at auch time as an RID is created or any Road• Improvement Project is sanctioned by Spokane Countq, 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 �ondi�i�r,s ar,:: stste�en�s ap�ly ta e���l�witig dcse�iSed prc,�e�ccy: 22542 0436 Tract 13, ST�WART' S SUBDIVISIQN of SL,OCK 164 of OPpORT't�TITY, as recorded in Volume R�� of Pl ata Bage 41, in Spoka�ne County, Washington; EXCEPT the North 60 feet thereof. In Section 22, Township 25 Nortfi, Range 44 E. W. M. 1�:�LCU'� f�'F. �.J�'� �Z E E �T t�fi Hay 5 4 ie P�! '86 WILLIAM E. �ONANUE AUOIT�R �SPOKANE COUNTY. WASH:! ��PUTY ��I� v 1�� �s�'. y f_ f :E�a��. .�r'�t.='_a� These requirements are and shall run with the land and shall be binding upon the owners, their heirs, successors or ass�.gns. IN WITNESS WHEREOF, said corporaCion has caused this instrument to be executed by its proper off icers and its corporate seal to be hereunto affixed this day o f 19 �r v .��.����/�+r B G j Jame� Mead President c 0 i Y •t yyy y �f. ���s r(.�` :t.��: .�ICI� y r J� �����N��� w S 't r 1/ r� __y�� '.l.:fi i! r y �c. 1 `,f ����f f dl f 1 f l r i•• r'• OFY'ICffi OF r ,d" CO�UNTY E�NGINEER f i; ROBERT 5.. TURNER COUNTY• ENGINEER ..�M4 'v�.Y: .��SZ!�C'✓.. :�SY= s.� il�!�. Y�,l,•'i r �r.' \.Y������ 0���\�i�.`� 99260 SPOK/�NE"�COUNT COUaT HOYSE November 7 1986� Transamerica T-itl;e Insuran'ce Co. North 720 A�r,gonne Road Spokane�, WA '99212 D'ear Sirs�: Please prepare a�Par-tial Reconveyance in accordance with the at�tached request. Invoic'e fo,r f�ees in connection �with �Par-tial =Reconveyance may �b'e directed to� the und�ers,igned in care of Spokane County Engineer-s Off ice very truly yours., Robert S. Turner, P.E. Spokane County Eng�ineer Richard� I. Hoover, MAI Real Estate "Of f icer �°�J P �Enclosures Publ�c Works Building North�811 Jefferson Street Spokane, Washington 99260 (509) 45b-3640 s� y �ra r 1 i ,f�,` tl�'� f /Li1� ti 1 d� rt 1 s ii d F�' O IC.E OF II; COUNTY E�IGINEER �i� 1 '�A i RO BERT S. TU RN ER y I �i� ����2� I "L�. 0 0 COUNTY ENGINEER 1 Sros�.� ,�'a��a�varroiv 99260 _$PmKAP1E COUNTV�GBURT 3tOUSE November 3, 1986 Transamerica Title Insurance Co. North 720 Argonne Road Spokane, WA 99212 Dear Sirs: Please prepare a Partial Reconveyance in accordance with the attached request. Invoice for fees in connection with Partial Reconveyan�e may be directed to the undersigned in care of Spokane County Engineers Office. Very truly yours, Robert S. Turner, P.E. Spokane County Engineer /�4G1'�° Richard S. Hoover, MAI Real Estate Officer ��JP Enclosures R��E��l�� I�0!! 6� 19�6 SPOKAN� C:1Ut� Y �e...,;...d(3 Public Works Building North 811 Jefferson Street Spokane, Washington 99260 (509) 456-3b00 t= Reques� of ,Pce�ice� Recore T6e undersigned benef.iciary is the legal owner and bolder of the proniissory ,note in the original '8urn of secvc�ed by, that oertain Deed of �vst dated........Jut'se:••�t�i..:.....:.=:......, 19:...g6.:., in wtiich Transamerica Titl e Company ..._..........-..........is :trustee, a�d._....----•--•---• ........................i�er�c� _.is grantor, .r �r recorded .on 19:..... as Auditor's File No.....................� in Volume. of Moitgages, at page records of..............._... ..............S�?okane......... "Courity��Washington. You are requested to reoonvey, -a►ithou:t warrenty, to the person(s) en'titled �thereto the right, title or interest. now.' held by you therei�nd'er in and to t�hat portion of the real �property .desciibed. in said� Deed of Trust; situated in .......................5�?o�dXl�.__ County, Washington� as follows: �The South 10 feet of PARCII. ��A�� descr�ibed �as follows: PARCAI; A�� Tract 13, STEWART' S SUSDIVI�SI(1�J of SL.00K �164, of OPpORTUNIT7l, as recorded in Volume� "R!' of Plats, ,�Page .41, in Spokane. County-, Washington; �CCEPT the North 60 feet thereof: In Section 22, Township 2�5� North, Range 44 S e w, M. The �making of "this parfaal reooaveyance shnll 6e eadoreed b}� �you upon eaid I2eed .of Trust which is herewith, ,pc+esented to you; 'together with the aforesaid promissory, ciote, for t,�iat purpoae. 'Dated:. �..a.�.:. I9�'�4_.�. Approved: ._��_____.BANK. OF...SP.OKANS r9) A�I�sD CAI. �R89E�CTS, IY�1C. B J �s i�eac�� P=esf den� y. eme T�de),.... sy........_.................... �y�3C� ���(Name —'i�t1e) .....,�Addreeej �Adde�sa) 1 1 ��l ��EI) O]F T�Y1��T i THIS DEED OF T�tUST� is inade this .::9.t:h day of�. ���1�� 19 among the .Grantor, .�4a� M���J pC4��!�t.s. .'�n� r. ,.'(hercin Tr�t�.s.a�m�rl C� .r.�.��� CQmPa�y (��herein "Trustee"), and� the Bene6ciary, :Bank .4f. SRok�l.��� a corporation organized and 'ezisting undcr.'the laws of ::�ld�� 1 �'9tA1'1.. whose �address is ���.2 .�RC�,9�e :�RQ�dt1�:.. .W1.� �9z�.6 (�herein "Lender"),. BORROWER� in considerat'ion of thc indcbtedness hcrein� recited and thc trust hercin creatcd, �irrevocably grants and conveys to Trustee, in trust, with power of sate. the���following described. property -loeated in the County �,of SP.4kd. e.�. .,...,'State.of W shington: d/ �G'� iLGt-f V �'�'1`� Trac�t 13 of STEWART'.S, 'SUBD IV I S ION of .BLO.C.K 16�4 �of OPPORTUN ITY as per pl at thereo,f. recor_.ded i�n� �Vol,ume "R" �o.f P1 a�ts Pa ge 4.1;. �S�i,tuate i�n� th�e Co�unty� of� Spokane State� of Wa�s�hi�ngton. Fo.r �Security Purpos.e Only ��j �-r� Conta,c.[. Person Name B,u9iness Name L R�p Ul�•� Ad�dress A�ldres8 Pho n'e PF�`v ne ,3 �Cl�un�ty Contac�[ Pe'rson t- Phone No. 4�56-3b00 Date CO��i�ERC�IAL BUILDING� PERrYIT KEVIEW t7Lv.4��� �'1 y� �,y}��� This butlding permt.t review� is Ir►t,ende� to appraisc� �yo,u .oE t i�nproveme�ts �(coadwa�•y,� side- walk, �curb, .storms��ter, e:tc.) wt�ich must� be constcuctecl i_� ossocia'tion wit1� your bui�ldin� pe�rmlC. Tt�i�e checklist wi�ll be filled o,ut by t,l�e Ec�bineer'a staff and a copy will be �re tur�,ed to, y.ou at �the c_i tha'[ [ttie permit is inl.[;ialed by the �ngineerin� •De��artu►e��t-. All requirernente a�h-all be completed prior to is�su��n�ce o'E Clie bulldi��g per-m�i,t. All' unchecked boxes require adclition�l reseerch or inf�orma[ion tv make a determ�ina[ion. I. Stormr�ate'r n�i�ina��g �e Considerat,i�ons �Yer guf �,eTIne "�Cormwat'e,r �Mana�gement 1�981 both on a�d of E si [e. 1. 208 Considerattons* Yes� a No 2. Flood h�aaard zone consi�dera[i�ona*�* a Yea No 3. Storm Ucalnage Placs Yes No II: P`l�an�in� Action 1! 1: �lat, short plat, rezone, Co.nditional Use�or Varia�ce Yes No o� pcoper;ty. Planning Number 2. Are- requirements of planni�ng ection incorpo'�ra'te Yes No into si t,e plan ;II I. Ri�ht of Wa�y �r- 1. Does permit ne,cessi�k�at�e R�.O.W. dedic 10� Yes a �No 2. Did zone ch�ange requi re R�.O.W. �ded ca t�i�on a Yes No 3. Rndius at cornet a Yes No IV. Co.unt�y Road I�mprov�ements 1. �Roads need to be improved��. ��ow wide b� Yes ,-�t�o r' 2. Cu�rb Yes No 3. CRP/�R��ID_ agreement (Copy of deed, conCract or Yes o ti tle �repor[ re:q�u�i red. Y� S`�"a`�'� 4.. �Plans for imp�rovemen[e provided es o -5. S�idewalk �Yes No ,��,v� �l V. Parkin� Plan b Ap,proach Loca�ti�on 1. Rev.iew and eign of f by Traf f i.c� Yes No 2.� Approech� Permit f,rom Enginee_r'e Office �es No l� 2 3 Yes No 3,. Scate or City sign off H 4. Is this road� on 6 Year �Plan�. Yes �o L! V�t�. ULIO �A�-reement: Yes L� No VII. Field Review:� Pceliminary Commente A11 1�end within the Aquifer Seasit�ive Ar-ea� whece ti'eerne� Eeasible by� [he Coui�,ty Eng�i- neec, sha�ll incorporate stormwatec �rea[me�t .to m�i,ti-g Elie pot for groundwa�cer degra'det�ion�. See Guidelin�s E�oc 'Stormwater Manag�ement, �1981. Spokane Board oE Coua�ty Comailesi�o,ne�r'e Resolu�ion No. 80-1592, ae amended. -Ttie purpose� of f lood haiard zone review is to mtnlmiie losses due to f lo'oci.l�g !n �sp�e- ci.f i c er�eas desi�gnated by Flood Elaaard Boundar�y, m�ps �on f i le �at the Coun,t.y 6ng ineer',a Of f ice. (See Spokane Board of Couaty CoQimiasi�one r's iteso'luti-on� No. 81-OT�26�� as amended.�) �8:%22/8�5 ,��o� o�;. fI➢G: Q� Q��� C�' ��D 1�91♦ I)I l (1��1 IKI �I tt�.,�;. •tt�� S�}1 �t.��� ��t !,ti°.' ��t �f� ur�i��r�p� th. (ir�:�i�� M��tt F�L�r.ltCal Fr Ud��:�;, l�+C. 1 ��l_f� ttl '��1►ti��W�i i 1, p �1'dn•,c�Ti T,t llc �c�nsj�any a«•.... �.:c:c: tho II..:�!s:�:i;• o �id�6: �f Sj)Qbt3f1� .t i'��r���r�l���ti „rv,t�i/ctl,en�l �•��,tis�� uii.lri th►� (;�w� ��t b1a.�hing[un �.�I►��•� .��I�lr.�.� i� E1 ?9U2 S{�ra.gu�... $pOkdne ly'a 9�21 G: o h������� .�r��i�•r' ��1)►tl�O\\ K, III ►��Utitt��'I:Illl�tt P�:t 1�t��1'�1tt'��Ill'�• �1� !'t'�li It`�Oil'�i :!lli� l�l� Il�l�f �li'l�l�t �il'J11 t� Ilf�'\�t�::l��l+ l;IJll�`. .Iillj i�r�yll'\� llt IU�II'l. 11� 1111�l, �\,II+S rh �.11�'. 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(�\'1 ��,1• �,I �1� I��i, 1 3t OS1.� .1 �iJ�l. il� (r2����� �T1 �0 ��1� i 1� fll�� 1 q�„ �11 �.�V,i'�'. 1'c �r�l ��I�`1 �.1 fl�i a I „•4 ?��C �i'. `1��1. 11 111! 1i o�� �'l 4.•�e o� .iti� (I. 1�� t� I I� I�"1. 11� I.� _i• I�1� f�I���H, IR� 1A� kl s f d` �t`. f t o��. �`i ,'�1. a� �D� i� �1� �S�°I I��N6 oi��tc ��.fl�`�� 4 t o rio� ��o W1t- s, �.���t', t,, r� i 9� ��i ��i. iioi� Q� w�:.t� l,y' 1(�i 1 11UU�a1 l Ellll. t! 4 A d o 6� A A R 0 0 9 8 rt e A tr 8 0 o Q T� ��.11� ��t1�' �rii� t."sl '�1, t� t����� ����Ife�' ��!f Jll�'11E�1�� .o 0 !1 q�. .f� 71 .V, �1 ��.1 1'� I �.�1�'� J 0���•1Y� I� �'.5��� �'ll. .1'It� �������f��t e�ll "1Ei� �+.t1 ill� i0° .1� �1/(11'. N���) �6•L ���;G�; P 1 I•�� 7 I Il l' I R11 �1�1�� ��le '�1 ��a�l�:����t�� 11� .ila i: 1•� •a� ly� i:l 1 tR�� o. Ili '{i .ft11 �S7Silfl .1���.l�l�l� N.11�1 t ��'I Dl 1{ ,i 1'." 1' Jl I,��'�� P11 ti�•� ��1 (u� li��lllt ����,.Ill�l 1 1� �1 4� ��..3� I� 'o� I�:\� i .I fn S t. oi i� .I�Y51 �1 t�l� (�2.�7�} �1� }',��1 .i �1�,�' 'A� �'I.���, I .0 J k o,,.�� s�idl �t.1��1.11lf .i���l �1� I�'ll�� 1�►Ih 1.1��1� i o �It j� .1 ,�°II IC 1 �I 7, I�q�� 1 1` ,1 .1�� �I�l ilE� ��1 lo ♦ll I� lll�ll�. �I�II'1� i a� 1 ��1. �r•l �h� I'i���+c�t� �,YAS�dl�J610�J iar�a fat�� uai►os� ic�b�au�atMr I t o 1 1 ;4�'� e 1 (THIS IS NOT�A PERMIT) BU�LDING� PERMtT APPLICATION WORKSHEET r PLEASE PRINT AND COMPLET'E ONLY THOSE PARTS�OF TNE FORM YOD UNDERSTAND' DEPARTMENTAL REVIEW COMPLETE IN INK Cond. (Please return this original and your buiiding plans to the Department of Buildi�g and Safety) App�oved Approval Hold SNADED AREAS ARE FOR DEPARTM�NTAL USE Enwironmental Health Applicatton r �oleet Num�r Own� a Neme LAST FI RST M 1 a ��o� ��e M �go� N�r� c� Project A� (St�eet Name 8 NumDer) Z� M�►v M�.�tc ��o�c-rs l� 4 a� l S T 1s.Y� Appllcant 1 Address CIry State Zlp Phone M I l4 �9j� a eus�nesa P�one Piannlnp/Zoning N. 721 Jetferson w .1 oontrac:or�ngent q� �cu� a-� G-� �2co �o..�-s-r 38Zc7 A►n"`�a`f c��r sc�te �a Q i�� Wa p �9�o Z �,�,e 73� ¢6 r C�+� Li�er�ae Number (Required) Business Phone s 1�E�.�,�c. 4�8� �G -Oe� �Zg�� r 53� Efl�1�108f8 Ar�hlteat/Enpine�u �Address N. 811 Jefferson d`'/6 1 G` t ah► Stete Zip Phane Business phpne �S o �F� c �n�t_�,. vo i �t J/ 1 UHIId68 �e�` e'�,- 1 N. 811 Jetferson i s Z1p l L �F� Y� C�Y ��y�nj� 4'.t� f A' r l L-•� R fCY l, �F�� t 4�` 2Y R �I� �S -1.;' 4 f�.��.� l.�r� vM�w�� r. r o s;i .1��j �h:.��►�.t.' :a s N ����:,:11: �.1����0���, +��Ai:, .�y:��5+ t�+i},+�.r- �T' IO I .yY� +Zj}�� �''i�`�..`. d.`�.�i v '��'��',�����C'st'��f��t'�C'y� -d��.Y- ����r-"- a Plan Review/Flro Prevention y�4� ,r.j t i f6,�,, -;O��d�T�.lwl�?'�� I °fi v�'��? r .y 'r=- o o ..T �t c':.� W r- .�J �Y� N. 811 JeNerson �',1?• r F o •,,s-�1 ,.,.3 ��,4"' t� �`r•. 1 v` ;L,�r,: K� J'.: e� �alNttmbet 'd t fif�l�le�� lMLlf�.fs�fl e�+d l�tc� 2.� ti -a,' yT ,j .Q _�T� Y .���JJ''•!!/t��.�K.. ts �l,GP!t1..� Y7a v S .9 e �..5 d �L17.��, ..{�„r-zyY`i',y1.�y^"�,!�.`_r 5 I ��<r t L t o-►-Y♦ T ,,.¢y n Oanp. 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C�w'� °�o �leertl?y tP�t I have examined ihts �ppl1ca11on�an0 e�tate,that•the inform�ttoh oontalned in fYand submltted .r� ,z �s�;,*.�,��� 3 `y� 'y �rme or my a���: mplle eald;eAPlkaUor� la tn� an� cornect:" r i y Vh 1 d w T°: Y=i� �,+��+9� -T',-'�� 1 v I V i. ,�ti y�• !:'3i. s �t•`�'�T .s 't..,'�•��: a �A� �f��(d�a. e. ..�..N,+ �7.Vi xq p��.i: ��A�' r 1r'gr's� ,`�i.�.`�.. j Y. a�l:� s a �,.,�G�V 1 r �c,� ��,�0`V� ►•�+�f�� -f �.wY �����vr� 3G. rl•,y' w .T� OSL9' �Y$a f' y"" M Q����yy�� ec• o R �r w a f R ��ti j� Rr �Y Y�, ��f�+Y�!�� �w c r e .l. e 'l i Yy Z j.'3f..wi» 'e r .e�+�- ,j�_ y +o,•' a a, _r`:\ r'S`-1:. 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