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322 MAIN ST
C E I V E D'
S E P 8 — 1998 STREET USE PERMIT APPLICATION
a SEP 0
ENGINEERING
NAME OF APPLICANT: MWPI67TA I- BAOCK VAJI<kr PUBLIC WORK
NAME OF BUSINESS: LMAIOM.) &MK6 =C,
MAILING ADDRESS:8,3q 1Z LK JR WO TAWWft: c ?6qos-
CONTACT PERSON AND PHONE
ADDRESS OF PUBLIC USE:
Describe the public place or portion of public space to be utilized:
Specify the type of use desired:
Specify the length of time for use: —MIZIDOL60 3-'-/ -H9S --C9XTt LL 3--q WA29
NOTE: The issuance of this permit is understood by the applicant to be Ofa temporary nature and that no vested right is granted
INDEMMYT.- The applicant understands and by hislher signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense or
any legal proceedings including defense costs, court costs, and attorneyfees by reason of granting this permit. In addition, the
application understands that the City shall be provided a Certificate of Insurance to indemnity and hold harmless the City of
Edmondsftom all claims andlorproperty damage, and naming the City ofEdmonds as an additional insured
CODE APPLICATION: By signing the application below the applicant warrants that s1he has read or had the opportunity to read
Chapter 18 of the Edmonds Community Development Code and s1he understands that all terms of the adopted ordinance are
incorporated herein as ifsetforth lin full and this application andpermits therefore are subject to the terms of that Chapter.
Struseho.doqj1g6/98
SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS
When applicable, if the street use proposal directly impacts any adjacent business or private property owner 40
the applicant must obtain written approval from the affected parties. Note, this requirement is evaluated by
City Staff and, w.Ln required, the applicant will be notified.
Signature
Address
Signature
Address
Signature
Address
ign
S ature
Address
DO NOT WRITE BELOW THIS LINE --FOR CITY. USE ONLY
Planning Division Approved
.-C—L
Public Works Approved B Date
Fire Department Approved B Date
Police Department Approved B Date
Certificate of Insurance Verified By
Engineering Division Approved B_ V Bond Date 9 � 0, 9 ;f
Remarks or Comments:
STREET USE
RELEASED B
BUILDING PE
Struseho.docj1g6/98
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INDICATED, NOTWMSIAnDIN6 ANY ffIQUIREMENT, TERM OR CONDIT103 DF ANY CONTRACT OR OTH[R DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. 114E INSURANCE
AFFORDED BY THE POLICIES D[f: RIBED 14EREIN IS SUBJECT TO ALL TfIE TERMS,
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ADDITIONAL INSURED AS RESPECTS FOP. PERMIT NEEDED TO \EcOvcx AWNING ON
BUILDING ON MAIN
SAFECO INSURANCE COMPANY OF AMERICA
Home Office: 4333 Brooklyn Ave. N.E., Seattle, Washington 98185
SAFECOG (A stock insurance company) POLICY NUMBER: SP4000325
SAFEPLAN STATEMENT OF COVERAGE
TRANSACTION: POLICY CHANGE EFFECTIVE: July 29, 1998
NAMED INSURED: TRUST OF HENRIETTA BLOCK
15040 SW TRILLIUM LANE C/O JOAN HIRSHBERG
BEAVERTON OR 97007
ENTITY: AN INDIVIDUAL
NATURE OF BUSINESS: PROPERTY OWNER
POLICY PERIOD FROM 08/27/98 TO 08/27/99
12:01AM STANDARD TIME AT YOUR MAILING ADDRESS
-PREMISES
LOCATION'OF
LOCATION ADDRESS
1 322-324-326 MAIN ST.
EDMONDS SNOHOMISH WA 98020
LOCATION COVERAGES
PART COVERAGE LOC BLD LIMIT OF INSURANCE
ONE SPECIAL COVERAGE
PART ONE DEDUCTIBLE $250
LOSS OF INCOME ALL ACTUAL LOSS SUSTAINED, NOT
EXCEEDING 12 CONSECUTIVE MONTHS
BUILDING(S)
1 001
$ 334,300
BUILDING ORDINANCE COVERAGE
1
SAME AS PART 1,
BUILDING LIMITS
TWO LIABILITY & MEDICAL EXPENSES
ALL
$2,000,000 PER
OCCURRENCE
TENANTS LEGAL LIABILITY
ALL
$2,000,000 PER
OCCURRENCE
MEDICAL EXPENSES
ALL
$ 5,000 PER
PERSON
FORMS:.INCLUDED IN THIS -'POLICY:.
SAFEPLAN PACKAGE BOOKLET SP-0001 02 - 97
WASHINGTON-AMENDATORY ENDORSEMENT SP-0131 10-92
WASHINGTON-EXCLUDED CAUSES OF LOSS SP-0152 06-93
BUILDING ORDINANCE ENDORSEMENT SP-0433 10-94
ADDITIONAL INSURED (LANDLORD) SP-0403 10-92
SEDGWICK OF WASHINGTON, INC.
2101 FOURTH AVENUE STE 1700
SEATTLE WA 98121-2317
AGENT TELEPHONE: (206) 441-5900
MORTGAGEE/INTEREST COPY
Sp 16 11 EP 1192 DATE PREPARED: OCT 14, 1998
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SAFECO INSURANCE COMPANY OF AMERICA
Home Office: 4333 Brooklyn Ave. N.E., Seattle, Washington 98185
SAFECOG (A stock insurance company) POLICY NUMBER: SP4000325
SAFEPLAN SCHEDULE
OTHER INTEREST SCHEDULE
JADDITIONAL INSURED - PREMISES
CITY OF EDMONDS BUILDING DIVISION
121 5TH AVE NORTH
EDMONDS WA 98020
APPLIES TO LOCATION 1 BUILDING 001
MORTGAGEE/INTEREST COPY
DATE PREPARED: OCT 14, 1998
SP 16 13 EP 1/92
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CITY OF EDMONDS y
COMMUNITY SERVICES DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. * Owner: 20-615441- CLI�&M Aome5
Name 3 2-2— rh .4, w aq
Mailing Address
— IP70 r.4 CA IM t'i —KotZ
City State Zip
9 Address or Vicinity of Construction:
Type of Work to be Done: Lit(
SA,u 4 &,.o,,oP,
Work in Connection With: El Sub or Plat
El Commercial
Pavement Cut: El Y "
_3 -3 ;7-
Permit No. —
Issue Date
B. 0 Contractor: (5 r(,,-- 111i lk C' P, -c tk
Name '
Mailing Add ess
P(Q ('= �_J_ 91 ?0 2Z
City State Zip
State License Number Telephone Number
C)
0 Single Family El City Projects
910Multifarnily El utility
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
by City forces, at which time a debit or credit will be processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature: -------- Date:
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY:
Time Authorized: Void after 36) —days.
Special Conditions:
Amendments:
PERMIT FEE: -7f je�)
Security Deposit:_. _ZJZ3
Receipt No.: —
Fund I I I Fee:
Street Cut Dimensions:
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FILE
CITY OF EDMONDS LARRY S. NAUGHTEN
250 51h AVE. N. EDMONDS. WASHINGTON 98020 - (206) 771-3202 MAYOR
COMMUNITY SERVICES PETER E. HAHN
DIRECTOR
June.-,19, 1987
Bjorn Thuesen
322 Main St.
Edmonds, WA 98020
Dear Mr. Thuesen,
We have received a complaint about property you own at 21814 93rd Pl.
W. in Edmonds. The complaint is that the property is a hazard, as yard
waste dumped on the property has built up to a point where two
excavated holes on the property have become dangerously deep. A fence
around the lot has been allowed to deteriorate in recent years to the
extent that it is falling down and is accessibl�, by neighborhood
children.
The lot is a nuisance, as noted in Section 7004 of the Uniform Building
Code. Section 7004 is enclosed for your reference.
As the owner of the property, you are responsible for its maintenance.
A solution to the problem is for the fence to be rebuilt and for "No
Dumping" signs to be posted. The City is willing to assist you in
resolving this matter by taking responsibility for posting the "No
Dumping" signs. The fence would need to be constructed within the
standards of the Community Development Code, which are enclosed.
One option you might consider is turning over ownership of the lot to
the City. With this option, maintenance for the property would become
the City's responsibility. If you are interested in this option,
please call Duane Bowman of the Planning Division at 771-3202.
In the meantime, this matter'needs to be resolved. The fence needs to
be reconstructed so that the property is no longer accessible to
children. Please respond to this matter no later than June 19, 1987.
Your cooperation will be appreciated. I can be reached at 771-3202.
Sincerely,
Leig-h Francis
Code Enforcement
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PUBLIC WORKS P LA iN '111 N G PARKS AND RECREATION ENGINEERING
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CITY OF EOMONOS
250 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
COMMUNITY SERVICES
Mr. Bjorn Thuesen
Bjorn Thuesen, Inc.
322 Main Street
Edmonds, WA .98020
Dear Bjorn:
RECEI VED
Ff-8
10 1987
LARRY S. NAUGHTEN
EnG'NEERING MAYOR
February 10, 1987
PETER E. HAHN
DIRECTOR
After meeting with you in person I have further reviewed your claim for
extending certain sewer stubs to your Townhouse Green project.
Your position is that the City was responsible for making a "mistake"
by not designing the system appropriately. The position that I would
take is that the LID was done for the benefit of the property owners,
and that it was their responsibility to review.the proposed
improvements and either accept or reject the assessments made at the
time. To my knowledge no such protests were made for the property you
now own.
I do not believe that it would be reasonable to go back 20 years and
undo the Final Assessment Roll for this LID. This would be both
illegal and totally impractical.
Sincerely,
Peter Hahn
cc
Bob Alberts
PUBLIC WORKS PLANNING 0 PARKS AND RECREATION ENGINEERING
011—f"ki
CITY OF EDMONDS
USE
ZONE PERMIT
rp- NUMBER 80 G9S
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS Ub 17117SP.
ITE/APT #
OWNER NAME /NAME OF BUSINESS
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LEGAL DESCRIPTION CHECKI
SUBDIVISION NO.
LID NO.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING —REQUIRED DEDICATION
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Street Use Permit Req'd 0
CITY ZIP
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TELEPHONE NUMBER
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NAME
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NAME
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ENGINEERING MEMO DATED
CITY ZIP I TELEPHONE NUMBER
STATE LICENSE NUMBER EXPIRATION DAT�,,
LVA59114:12.2 htir jig 9,-r
VARIANCE OR CU
ADB #
SHORELINEr
Legal Des , cription of Property - include all.easen�ents I
eqymaj�j 4�0j) 4s 3.22-2fo Ww ST (Wz
I SEPA REVIEW
COMPLETE I EXEMPT
SIGN AREA
ALLOWED PROPOSE&-
HEIGHT
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LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETBACKS I
FRONT UR SIDE RE
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Parcel No- 33(p #1041IJ lq34/41 011(c 005
LOT AREA
LANNING REVIEW BY
DAT
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COMPLIANCE OR
EIADDITION COMMERCIAL 0 CHANGE OF USE
REMODEL APT.BLDG. ASIQN
GRADING FEN/E�!
REPAIR — CYDS. I— x _FT)
WOODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
FGARAGE 177 RETAINING WALL/
]CARPORT ROCKERY RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
4t[213 I — '
REMARKS
1HECKED BY
TYPE OF CONSTRUCTION
ljjijj� kvn
CODE
OCCUPANT
GROM
SPECIAL INSPECTOR ]AREA
REQUIRED
13 YES
OCCUPAINT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
CRITICAL
CRT
TAREAS
NUMBER
'U.
DESCRIBE WORK TO BE DONE (ATTACH PL T PLAN)
I" I 909.&A, /,.u- Zkoili 5txj�lw
FINAL INSPECTION REQUIRED
AWSIDli AJ16
VALUATION
FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
TL ING %
PLUMBING
Plan Check No. 1W,
MECHANICAL
GRADINGIFILL
1.-
This Permit covers worW,to,be,done on- private. p rp party ONLY.
Any construction on the public domain (curbs, sidewMks, 41-11
driveways, marquees, etc.) will requite separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issu4ncig of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
nor limit in any wAy ih� City's ability to enford�/19 r rty ordinance
provision."
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I A k 4 1 11 4 Ohl. . li—fi— #K.t f1h.
I hereuy adnnow e ge a .1. . IWO` i
information given is correct; and that I am the owner, or the duly
it
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
T his application is not a permit until
state laws regulating construction; and In doingthe work authoriz-
s
AUTHORIZES
THE
.
signed by the Building Official or his/her
ed thereby, no person will be employed in violation of the Labor
ONLY
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
t t ion Lnsurlilnce arid RCW 1EI.27.
[a
INSPECTION
acknowledged in space provided.
s IGNAT DATE N
DEPARTMENT
7,E
R�EOWN�"
CITY OF
o
OFFICIA IGN OAT
EDMONDS
CALL FOR
ELE E DATE
VL
AfTENITION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MVE AND APPROVAL OR
771-0220
ORI' It e YE Inspector
A OF OCCUPANCY HAS BEEff- GFIANTED��) UB,C.
CERTIFICATE
SECTION 109
PINK — Owner GOLD Assessor
102-eT
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7.
PERMIT
ZONE,
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NUMBER V
CITY OF: E-MOND5
slellf,
CONSTRUCTION PERMIT A�PLICATIQN JOB SUITE/APT #
1AOWNER NAME/N
�EGALIDESCRIPTION CHECKI SUBDIVISION NO LID'NO
ADDIRESSi
AME*OF BUSINESS
MAILING ADDPESS
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0 TESCP Approved 0
PUBLIC
iD �\ S* - . . . AIGHT,OF WAY PER OFFICIAL STREET MAP
ZIP_
CITY TELEPHONENUMBER RW Permit Required 0
is REQUIRED DEDICATION
D TING Inspection Required 0
T-- Street Use Permit Req'd 0
Sidewalk Requi
PROPOS D:�
red
NAME a:
W
ME7EIR SIZE
SIZE. NO OF FIXTURES PRV REQUIRED
YES 13 NO El
A�RIESS
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CITY PRONE NUMBER ce z
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EX�IWON q�TE--*
LICENSE
VARIAN E OR'CU SHORELINE I
STATE
Legal Description of Property- include all -easement
SEPA REVIEW SIGN EA HEIIII HT'
COMPLETE, EXEYPT ALLOWED, ROPOSED ALLOWED PROPi3S&
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LOT CO ERAGE REQUIRED. SETBACKS.(FT.) PROPOSED SETBACKS
V -(FT.)
�LLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR
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-REMARKS-
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C OMPLIANCE OR C, A
ADDITION COMMERCIAL CHANGE OF USE
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REMODEL SIGN
CHECKED BY* TYPE OF�CONSTRUCTIOW_ occu
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CYDS. x _FTY "00v
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WOODSTOVE swim POOU SPECIAL INSPECTOR AREA 17 —j =xVr"0* OCCUPANT
DEMOLISO 'INSERT' El HOT TUB/SPA -REQUIRED if LOAD
YES /CMX
GA I R�.�G�',. RETAININGWALL/
RENEWAL'' - REMARKS
,p RrORT,;. ROCKERY
PR z
Z` OGRESS INSPECTIONS PER:UBC 108
9:(�y USE�,BUSINESS OR ACTIVITY) EXPLAIN:
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CRITICAL
NUMBER MBM OF�.
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AREAS r1rz
6 STORIES. 241 UNITS NI)MBER 104. AY 4"A0j314nY,1f
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) 1-.;`7ero-A& ZRIZZ-7,
CbrA M 0 FINAL INSPECTION REQUIRED -
VALUATION FEE
wa,",
PLAN -CHECK FEE
0
BUILDING.
HEAT SOURCE: GLAZING
IN)
PLUMBING
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Lk osi-Q,
MECHANICAL
�epk Nd.'�q,
one on private property ONLY. GRADINGIFILL
This Peirmit'covers vorkto bed
Any,co I nstruction-on'the oublic-domain,(curLs;,sidewelks,
dr v w ys, �m'
i e 'arq9ees,.etC].): will require separate plifthission. STATE SURCHARGE
Oermit, 11 tiort: 11W'Days
STORM DRAINAGE FEE
P t "it; , 1. Yeati, - P , r6vlded'Wo,� � Is Started Within 180 Days�
erml Ll
"Aplill cant; 6n'b6half of'his-or her-s . pouse, heirs, assig I ris'arid, ENG.'INSPECTION FEE
a (n, successors in interest, -agrees 1**6 Indenihify, defend
harmless the City of Edmonds Wi66iirglion,-, its,0061iii!,
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employees, and agen s,from any �knd.,pi,l�,claiens..f,or7damages,�ofj
whatever nature, arisi i6'81rectly or-ihdirdctly;feom.thq�issuancO' PLA C4 IT W
of this permit. Issuair ce of -this permiieshill not be,deemed*to, N. ECK DEPOS
dify, waive or re -.61
0 dice a6y'retliArement'o :any �.�,�,8jdina ' nce- U
'hot )limit, in anyway I he:City'&: ability, to enforce 46y'jbrdinancw� C
��/AFA OUNT DUE
provision."
I he r6by'ac knowledge, that I have read thisioplicitloh��thatthe
A''r,Or f" I
T
information glyen is boerec.t; 6ndihat I arii.*tfiB',6 he.,Pu y,� itNTION APPLICATION APPROVAL
But '_ ze I of the owner,., -66J�.Wlih �Ity"and`
hori,' &-aden' I agree to �om THIS PERMIT This application is not a permit until
late laws regulating constructl6n,.and in doing the w6rk authoriz- AUTHORIZES ned by the Building Official or his/her
S ONLY THE Sig
thereby, no person;,will be employed in violation of the Labor NOTED Deputy: and,fees are paid; and -receipt is
e
ohWash1.9g!on.r
"Code bflthe�State,- lating to.Workmen�s Compensa-
7ackhoWIi6d6ikI.:in space provided.:
i6n.1 hsu rarfce- artd�� INSPECTION
_R OF�AGENTJ���- DATE'SIGNE,D� DEPARTMENT
E (OWNER DATE
0 RE
FFICJAL'S�SIGN&TU
—6
G
CITY OF
EDMONDS�
lo
. I I . , . 1. t DATE
EL A a
CALL FOW..
AT ENTIOIN'�4�'; INSPECTION.;.,
AWFUL.TO Y.A BUILDING,, -OR STRUCTURE�
-IT. IS..UNL VSE OR-':OCCUP
�HAS� BEEN MAC '� AND, AP,PROVAL OR 77 20 ORIGINA FiW YELLOW . Inspector U.
-�-:UNTIL. A FINAL INSPE IE
'A CERTIFICATE OF'. QCCUPANCY HAS BEEN GRANTEM UBC'
Owner GOLD — Assessor
Irr.-rinm ina PINK