22828 76TH AVE W.PDFIIIIIIIIIIII
6381
22828 76TH AVE W
ADDRESS:=t(�ZZEbo(AZZ,qZ4 1171q AV&\A/ 70Z-7 76elq 7&11
-- -- -/ — 4 ��3(oTtl)
TAX ACCOUNT/PARCEL NUMBER: 5-7U-7- 00�)-(00)-O)op
BUILDING PERMIT (NEW
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: 02--IL4LI DETERMINATION: 0 Conditional Waiver E] Study Required jNkwaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS(OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID
SHORT PLAT FILE: LOT: BLOCK:
IDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LATEMP\DS'rs\Forms\Street File Checklist.doc
Lien, Kernen
From: Lien, Kernen
.Sent: Friday, November 07, 2008 1:56 PM
To: 'RBailey@snopud.com'
Cc: Chave, Rob
Subject: RE: PUD Tree Removals: 22906 76th Ave W.
Robert.
The Park Ballinger Apartments were approved back in 1969. This was prior the City of
Edmonds requirements for ADB review or landscaping, so there is no existing landscape plan
for the Park Ballinger Apartments.
Absent a landscape plan, I reviewed the property and your proposal with the City of
Edmonds landscaping requirements in ECDC 20.13. Type III landscaping consistent with ECDC
20.13.030.0 would be appropriate for this location. Type III landscaping is intended to
provide visual separation of uses from streets, and visual separation of compatible uses
so as to soften the appearance of streets, parking areas and building elevations. Type
III landscaping pursuant to ECDC 20.13.030.0 requires:
1. Evergreen and deciduous trees, with no more than 50 percent being deciduous, a minimum
of six feet in height, and planted at intervals no greater than 30 feet on center; and
2. If planted to buffer a building elevation, shrubs, a minimum of three and one-half feet
in height, and living ground cover planted so that the ground will be covered within three
years;
After visiting the site and seeing the trees you are planning to remove, it appears that
even with removing every other tree, the remaining trees would still be 30 feet on center
and meet the requirements of ECDC 20.13.030.C.l. Apart from the existing trees, there was
little in the way of ground cover or shrubs. If the vouchers are used to replace the
trees you plan on removing with shrubs and ground cover, your proposal will be consistent
the requirements of Type III landscaping.
Please provide the City a notice when you have given vouchers to the property owner.
Thank you for looking into this before cutting any of the trees.
Feel free to contact me if you have any questions.
----- original message -----
From: Bailey, Robert [mailto:RBailey@SNOPUD.com]
Sent: Friday, October 31, 2008 7:55 AM
To: Chave, Rob
Cc: Soden, Libbie
Subject: PUD Tree Removals: 22906 76th Ave W
Dear Robert,
I am a Notifier with the Snohomish County PUD in the Vegetation Management Dept. Recently
I noticed, while driving by, a row of Firs/evergreens that are running along 76th Ave W at
the Park Ballinger Apartments that are in contact with our high voltage power lines. I
have spoken with the owner and proposed an every -other -tree removal project in an effort
to reduce the potential there for a "grow into" tree related outage or safety issue. The
trees in question were planted right on top of a retaining wall lip and will eventually
become to large for the area that they are located. The trees that remain there will be
trimmed back clear of our facilities, but that is only a temporary solution in that the
limbs will grow back.
of course we are going to offer replacement vouchers that would be good for new low
growing trees or plants of their choice for them to replace the trees that we remove.
I
This is a program we have in place to help mitigate the loss of established trees, and a
chance to educate land owners on planning ahead when planting trees so that they will not
interfere with overhead power lines.
Please feel free to ' take a look at the site at your convenience and offer any feedback you
might have. The trees are flagged (13) and should be easy to access.
Thank you for your time,
Robert Bailey
Line Clearance Notifier
Vegetation Management
Snohomish PUD 41
ISA Certified Arborist #WE-6641AU
425-328-4774
2
February 2. 1971
Iverson Construction Co.$ inc,
1139 H. W. market Street
S*&ttlQ9 Washington 98107
RL: Park Ballinger Apartments
230th & 76th
Ldmonds
Dear Mr. Iverson:
Reference is made to Your letter of January 12, 1971m, requesting
installation of rookeries at the subject apartment site. "ference is
allo made to grading plans for the apartment development approved by
this Office on December 11, 196s. The A . an$ Were approved on the basis
Of completing the grading ae shown. No rookeries were required according
to that plan and are not planned an part of the current 76th Avenue street
improvement project. YOU MAY of course Install any rockeries you desire
for landscaping after obtaining required permits.
If you have any questions, plosse contact our office.
Yours very truly.
CITY OF EDm(*Ds
LEIF R. LMSON
City Engineer
RHA: cj p
Chron
"'—Park Ballinger
76th Ave. Corres.
IVJ�RSON' CONSTRUCTION CO., INC.
i- 4. . . ;19 ..,
rit Master Builders Since 1925
F_ILWI�.1139'7 N. W."MARKET STREET SLInset 2-7600 - SEATTLE, WASHINGTON 98107
Member...
HOME BUILDERS ASSOCIATION
OF GREATER SEATTLE
NATIONAL ASSOCIATION
OF HOME BUILDERS
APART MENT OPERATORS
ASSOCIATION in 1971 January 12, 1971
C-, I ;, y c_, L- DiNI, 0 i,� D
Mr. Leif Larson
City Engineer
250 - 5th North
Edmonds., Washington 98020
Dear Mr, Larson:
I own the Park Ballinger Apartments located on 230th and 76th W.,
Edmonds., and of which you will recall when you made the road improve-
ments there., you took out a -whole row of beautiful fir trees on our
side of the street. Apparently you have left the job leaving us with
a very steep bank down from the apartments to the sidewalk.
The bank is from two feet to eight feet in heighth and requires a
rookery to keep the bank from eroding and our fences on 230th from
eventually deteriorating. And so that we may replace the shrubberies
and trees you removedj it requires that this rockery be installed right -
a -way*
I talked to the Nowles Construction Co.$ and they agree with me that
there should be a rockery installed and they informed me that it is the
responsibility of the City of Edmonds Engineering Department to do this.
I would appreciate your giving this matter your attention., as I notice
that you have installed rockeries on some of the lots on 76th that were
not left with near the steep bank as we have,
Thanking you for your attention, I am
Yours very truly,
IVERSON �PTRH�G;ZfN INC.
c ie verson, resident
AI:bh
January 27, 1970
Archie Iverson a Company
1139 XW Market Street
Seattle, Washington
Gentlemen:
Reference is made to your multi -unit apartment development at
230th Street S.W. and 76th Avenue West.
The site grading on the east side of your development does not
conform with your site plan or the planned construction on 76th Avenue
West this year.
Final approval of your development is being withhold at this
time pending a solution to the grading problem along 76th Avenue West.
Your attention to this matter will be appreciated.
Yours very truly,
CITY OF EDMONDS
JAMES H. CONWAY
Assistant City Engineer
JHC: rf
cc: W.J. Slabaugh, Building Official
S
STA
6tate of unbinaton
DEPARTMENT OF PUBLIC ASSISTANCE
The Director of the Departmeyd of Public Assistance' Does Certify:
That a license is hereby granted to .............. ..... ..... Kr'g.. Re:Ld.u.nn .... fte.:.L.n... .... I . ......... ... .........
. ... ....... .. ... .. ....... ..
....... ............................................................ . .................................. ... 0.1 ......... ..... ... ...
.. ..... . . ............. ... .. I ....... ........ . .... ... I .."
............... . .................. I ...... I ....................................... ........................ .. ....... t ....................... . . ... . .. . .... . ........................ ........... .. ... . . .
to conduct and maintain at .................... 76 .... . ....
city Of ............................ Zdawas ancbmish
................................................ ................... I county of... .... .. .. .... .. . I State of Washingtor.
................ ......................................... . .......... . ...................... ;k ... 410w ... cue cenUr
.......... I . . .. ........... ..... I .. .................................. .... ...... ..... ..... .... . .
(a) for the care of children . .......... = 1 .......... a ... Pd. ....... f e ... M .... a ... 3 A sex, between the ages of .... . .. ..an& ..... 8
inclusive, but not to exceed ....... ...... ... .. 15 ........ : ............... children; . ..... .....
.... ... ........ . .. ...... .... .
in the State of Washington in compliance with and pursuant to the laws of the State of Wash-
ington ?Md the Rules and Regulations of the State Department of Public Assistance.
This license shall be in force from the .......... _�It;4 ... .......... day of..... ...... . 41'�PU.1.47 .............. I q.. 70
to and including the ......... ;k4th ..... .... day of Ju3 v
...... .....................
19 70
. . ...... ........,,5bject to r�gpcation far du ause.
DATED AT OLYMPIA. WASHINGTON, THIS
... . . . .....
o r of P ub I i cA ssi sta? i cc.
DAY OF ............ .............. iq._70
NOTE: This license is not transferable; and is valid only for tLse by the individual
above described.
Issued by Autholity of chapter 74.15 Revisca Code of Washine ion.
'� �* * '_1 �11'__' I I _tlt�
I A 06 11-68.
of Child Welfare and Family Services,
ageri'* to whom it is issued and at the locatio,L
r�71
L 2j
. ... -li- 3
"J
L JU;
December 16'*' 1969
Mr. C. Wayne Jones
Raid, Middleton & Associates, Inc.
324 Main Street
Edmonds, Washington 98020
Dear Wayne:
It is requested that a street grade be prepared for 230th Street s.w,
from 76th Avenue West to Highway 99. The grade it needed as soon as possible
for use by the developer of the new apartments. He is required to provide
half -street improvements on the north side of 230th Street SW, in connection
with his development.
rf
Yours very truly,
CITY or EDMONDS
1XIF R, LARSON
City Engineer
400 ikk A014, Aft,
R. Od
�a�
December 27, 1968
Mr. Maury Hood
Bush, Rood & Hitchings
3910 Leary Way K,W,
Seattle, Washington 98107
Dear Mr. Hood:
Reference is made to your letter of December 3, 1968 submitting
drainage and utility plans for the "multi -unit apartment development"
of Archie Iverson and Company.
The drainage plan is approved as submitted. Curbs, gutters,
sidewalks and one-half street paving will be required on the north side
of 230th Street S.W.
The utility plans will be approved by the Public Works Department
by separate correspondence.
Ypfirs very truly,
CITY OF EDMONDS
LEIF R. LARSON
City Engineer
JCH/rf
cct building Official
41 9.
STREET FILE
Bush, Roed & Hitchings
Civil Engineers and Land Surveyors
3910 Leary Way N.W.
Seattle, Washington 98107
December 26, 1968
Gentlemen:
With regards to youi pplicatiolt for a building permit for a
multi -unit apartment developm�drik� plea4e/be advised that $2,050.00 must
be depoi3ited with this office Installation of (2) two three-inch
r "
water meters. This amount: is str\iqti� an approximation based on past
installations and barring -anything unforeseen the cost should be very
close to this amount
As to sevf4r connectioop for this development the cost is $25.00
per unit, plus $10. for the permit. This property was assessed under
the be no further assessment*
Should you have any further question in this matter, please call
Y�o !
or ccmO,into the office.
Yours very truly,
CITY OF EDMONDS
JOHN E. MORAN
Director of Public Works
JEM:jc
Vcc: Leif R. Larson
City Engineer
ENGINEENNG
STREET FILLING
BUSH - ROGD & HITCHINGS
ME 2 -8602 3910 Low Way N. W. SU 2 - 8"9
Seaffle, Washingfon 98107
December 3, 1968
City of Edmonds
5th North & Edmonds Street
Edmonds, Washington
Attn: Mr. Lief Larson
City Engineer
Dear Mr. Larson:
P_4-�
Enclosed are Drainage and utility plans for the
"Multi -Unit Apartment Development" for Archie Iverson and
Company.
Would you please review these plans to see that they
meet all City of Edmonds Standards. As we also must conform
to F.H.A. Standards, any early notification of a discrepancy
would be appreciated.
Sincerely,
BUSH, ROED & HITCHINGS
1 '4�2
7au7ryood
MH/lh
Enc.
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RECEIVED'
J U L 1. 1 2002
BUILDING DEPT.
CA File No:
Crit-ical Areas Checklist
Site Informatioi,i (soils/ topogr�phy/hydrology/vegetation)
1. Site Address/ Location: 2-2-53-2—it Ayemu,=_ W4
2. Pf6j4ty iaxAcco Number:':. qi
3. Approximate Site Size (acres or square . feet) -4
4. Is this site currefitly developed? g yes; no.
if yes; how is site developed?
5. Describe the general site topography. Check all.that apply.
Flat less than 5-feetielevation change over entire site.
RoUing:, slopes on site 'generally less than 15% (a vertical rise of'-10-feet ov er a horizontal
distance of 66-feet).
Hilly: slopes present on. site of, more than 15% and less than 30% a vertical rise of -10-fee-t
-,over a horizontal distance of 33 to 66-feet)
Steep: grades of greater'than 30 % 6seni 6 ni site (a vertical rise of 10-feet over a horizontal
distance 8f -less'tha'n 3346et).,
Other (pleas ei'describe)':
6. Site,contains areas of year-round standing water: ME Approx.Depth:
7. Site contains areas of seasonal standing Wai6ti NW� ;'Approx. Depth:'
Whatseas6n(i
of the year.
8. Site is in the floodway floodplain of a water course.
9. Site contairi2 creek or an area where water flows acr oss the grounds surface? Fl9ws are year-round?
Flows are -seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawnshrubs etc) X
11. Obvious W�tlartd-ds_vresent on site:
_A ;01
4
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Mj"
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'04
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Critical Areas Chocklist.doe/3.19.2001
The Critical Areas Checklist contained on this form is to A,property, owner, or his/her authorized representative,
s P.
be filled out by any person preparing a Development -- -4hustfill,out. the ch&&llit' i' s6mit it
Permit Application fof th6, City of 'Edmonds poor to;,", -5to";the-`Cit The Cit�.will,lreview..thd checklist, make a
his/her submittal of the application to the City. ppecursor
y site visit, and make a determination of the
t I t.
su sequen s eps nectss'ary� to completd a development
The purpose of the Checklist is to enable City staff to
;Lpplication.'
determine whether any potential Critical Areas are, or
may be, present on the subject property. Te inf6rmati'on, Please. submit.a vicinity rnap,,�long ,wi ' th:the signed copy
needed to complete the Checklist should be - easily of this form to assist,Cit
y staff in finding and'lo'c"a'ting the
available from observations of the site or data available at specific piece'.of property I described on this -form. In
City Hall (Critical areas inventories, maps,. or soili- addition, the Applicaht shA& includ.6 -other."..pertinent
surveys). ..informatioh�(e.'g. site, plani, topography map, etc.) or
cgpjppqtion with,this Checklist to assistant staff
tifig their preliminky assessment of the site.
+
17111 �u CL I
The undersigned applicant and hi 7 ; heirs, &fid�'a�sign�ss, on the p'rocessin of ihe application agrees
9
to release, indemnify, defend and sho hahrild9s frorn any and all -damages,: including reasonable
attorney's fees, arising from any action, or infraction 'based iin whole or.; part -upon,: false, misleadiftg,r- iriacc*urate or
incomplete information furnished by the applicant, histher/its agents o . r emplo ees.
ly
By my signature, I certify that the information and exhibits herewith submitted are true and,correct to the best of my
knowledge and that I am authorized to fi "es applicatiqn on the behalf of the owner as lis'ted'belo Nw
SIGNATURE OF APPLIcANVAGENT DATE'
Property Owner's Authorization
By my signature, I cer* that I have authorized the above Ap'plicant/Agent to apply for the subject la'nd'use application,
and grant my permission for the public officials and the staff of thd City&'of Edmonds to enierthe subj�c4roperty for the
purposes of inspection and posti dant to this ppli
SIGNATURE OF OWNER DATE— 7
Owner/Applicant:, A'
plicantRipresentaffire:
kt M6,' '6HE12-MAA1, 5�AAoz�-
Name Name MAU, Ao6e_f L-L-C-
Street Mdress Street M&ess
q4 (3 4?8"
clfy--- State Zip city State Zip
Telephone: *251—
Email address (optional):
Critical Areas Checklist.doc/3.19.2001
Telephone: -4 Z,�- - -�to —e 9 66 0-t 2,06 -7q3
Email' Address (optional): 1,6 A7
APPLICATION
J. for
-The City of Edmond SIDE SEWER PERMIT EASEMENT'No . ..........................................
NEW CONSTRUCTION REPAIRS
OWNER .... ke.-C.14. E010 -- — ---
................... CONTRACTOR ............... PERMIT No
-----------
ADDRESS ..................... .................... re4 .... 4#� . ........ a,7,r .. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION..: .... ... . ......... 4.1
..... . .....................................................................
SEE— _.- j) e 4 6),ill 7-
-----------------
--------------
PIP—
qTY OF EDMONDS
Call FROSPect 6-1107 when work
�'_ViC CENTER--� WATER -SEWER DEPARTMENT is ready for Inspection. (No Inspec-
SIDE- SEWER PERMIT tions Saturday, Sunday or holiftvs.)
N2 3351
ADDRESS ------------ 22924 - 76th Avenue West (75 Unit Condominum)
- - ---------------- --------------------------------- : ................................................... . .............................................................................
OWNER ................. Archie Iverson
........................................................................... CON=ACTOR .......... ;� 1��y-Wolford
.......................................................
Permission is granted .............. July --- 2a ............ 19.6,9.-, for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top, of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
NOT' 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. Sm—lt is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appur-
tenances except to insert the pipe into the wye.
I
APPROVED
JUL 2 8 141W069
Approved:
DATE ..... F.
- 714*�
ATE RECEIVED_,,,/: 'PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE NUMBE* R
q
CONSTRUCTION. PERMIT APPLICATION
JOB
ADDkESSPI S
OWNER NAME/NAME OF BUSINESS
PLAT OAME/SUBDrqSION NO.
LOT No.
LID NO.
Ske4i,iw ST(tAVgdBZK0AW Wt:(—, P
MAILING ADDRESS
4 5urrE -71to
LID FEE s
PUBLIC RIG I HT OF WAY. PER OFFICIAL STREET MAP
EXISTING PROPOSED--6
REO UIRED DEDICATION— Fr
TESCIP Appmed
RW PWO* RoWkW
Swd Use Pemilt RNO
kapocdon RBQWW
Sidewalk Requlmd
Urdwground
WIrIng r@qLdred 13
CITY ZIP
.,v,au-evue qgo4Dq
TELEPHONE
4ze"
NAtME
CIVIL -riSC44 COO-ToWn0tJ
METER S IiE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 13 NO 13
z
X
ADDRESS
400 1109. Avat. NE,
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
91� ZIP
ITELEOHONE
NAME
yl s
ENGINEERING REVIEWED/DATE
ADDRE
W1
14W LAYCE &OCP N
FIRE REVIEWED BY DATE
8
CITY zip
STAWWOOD*�
ITELEPHONE, ,
*WUNCE OR CU
'19-NOREUNE OR ADB4
INSPE
0
ES [3 NO
I
IPBOND
OSTED
STATE LICENSE NUMBER EXPIRAION 7TE
PA�/ IS C.. Oq�+ 0Z -
QUECKED BY-
$EPA REVIEW
COMPLETE EXEMPT
EXP X,
SIGN AREA
ALL 0 -PROP SED
.
017A 7sik
HEIG HT
ALLOWED PROPOSED
I . , I
21:0
PROPERTY TAX ACCOUNT PARCEL NO.
400000 1
0j.
NEW 0 RESIDENTIAL PLUMBING I MECH
[3 'ADDITION COMMERCIAL COMPLIANCE, OR
CHANGE OF USE
REMODEL ApARTMENT SIGN
E
A I LLOWkD OPOSED
REQUIRED SETBACKS (Fr.)
FRO NIT SIFE REAR
16
PRO POSED SETS I ACKS (Fr.)
'FRONT LIR SIDE REAR
Nt) (;� �,.e
11
JL
PAFAiNG
RE PROVIDED
LOT MEA
P I REVI ED E
RE . PAIR GRADING FENCE
CY08 0 X —:Fr)
REMARKS
[3 DEMOLISH )THER
TANK 0
[30ARAGE ri RETAINING WALL*
CARPORT OCKERY [3 RENEWAL'
R
"E'OF USE, BUSINESS OR ACTIVTM EXPLAIN:
QkCkED W
T*Y PE OjF 9 . 0 NSTRUcndN
V
7.7
occu . PANT
GROUP
..Ael,
NUMBER
OF
STORIES
NUMBER OF
0'
-CRITIC
ARWAL
NUMBER
SPECIAL INSPECTOR
R EOLIIRED [3,
JAREA
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS, PER.UBC. 1108/FINAL INSPECT110NAECIID
9
—k 0
5-ritt%. i�e.FbUW6.ATWO
W 0
0 W� i-14 �Leyeu-
VALUATION $
De6cription
�'IEE
Description
FEE
Plan Zheck
�.NEAT SOURCE GLAZING % Lar SLOPE 116
;Building.
PLAN CHECK NO- VESTED DATE Plumbing:
-4 Mechanical,
/.THIS P, )RK NOTED. THIS PERMIT COVEA:wORK, TO
BE DONE ON PRIVATE PROPERTY ONLX.AkY CONSTRUCnON 'ON THE PUB . LIC�
Grading.
DOMAIN -,(CURBS., SIDEWALKS DRIVEVAYS, MARQUEES, ETC4 WILL REQUIRE Recording Foe
SEPARATE PEMSSION.
2 Engr. Review City Surcharge
PERMTrAPPUCA nON;1 180 DAYS. -
IL 'e,
PERMIT uum I YEAR - PROVIDED WORK-19STARTED WITHIN - 180 DAYS
SEE BAdKbF PINK PERMIT FOR MORE INFORMATION State Surcharge
'APPLICANT. I ON BE . HALF OF OR HER4.04SE . . H . EIRS ASS . IGNS AND SUCCESORS Traffic Mitigation PlariChkQePosit
IN,INTEREST, AGREES TO INrtMNik DEFEND AND HOLD HARMLESS T14E CITY OF
r*oFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
.EDMONDS, WASHINGTON.' Fire Review Receipt #
ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF T1419�Eimrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED To MODIFY. WANE . OR REDUCE ANY, REQUIREMENT OF ANY I CITY ORDINANCE Fire Inspection Total Amount Due
NOR LIMIT IN ANY WAY THE crrrg ASIU1jY,TO ENFORCE ANY ORDINA . NCE11.0.181014.
Landscapoinsp. Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIA APPLICATION; THAT THE INFORMATION
GMENAS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNEFC I AGREE To COMPLY WITH crry.ANo STATE LAWS REGULATING CONSTRU - This a
C _ W.Icatlon)s hot a pem* Until 49ned by the
TION. AND IN DOING THE WORK AUTHORIZED. THEREBY, NO PERSON WILL SE",EMPLOYED CALL &A a or hWI;w Dep*: and Fees are Paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION edged InspecepnmAded.
WORKMENS COMPENSATION CE AND RCW 18.27.
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OFFICIALS SIGNATURE DATE
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It IS UNLAWFUL TO USE dR` OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE,OF OCCUPANCY 14AS BEEN GAANTED. U6d SECTION 109 ORIGINAL - FILE YELLOW -ASPE061OR
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