402 3RD AVE S.PDFiiiiiiiiiiii
4972
402 3RD AVE S
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BUILDING PERMIT (NEW STRUCTURE) #:
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COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION:
El Conditional Waiver El Study Required Waiver
CRITICAL AREAS #: DETERMINATION:
El Conditional Waiver E] Study Required Waiver_
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s): Oq -
Y? &e-)
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID
#:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORTPATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
APPLICATION
for
The City of Edmonds SIDE SEWER PERNa I T EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS C]
OWNER.... --- 7h.c. mas ..... E . ....................................... CONTRACTOR .................................................................................................. PERblIT No . ......................
A.D.... I ......................................... LEG. " DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
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Approved:
DATE................................................ By ......................................................................
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CITY OF EDMONDS
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE SECTION 307
An& IrA Avanim qniith
Occupancy established by this certificate:
Building Permit Number #930128 & 140434
round Parking
Floor Load signs in place (per Sec. 2308 U.B.C.) — Capacity signs posted -(per Sec. 3302(c) U.B.C.)
Floor load and room capacity signs, when required, must remain posted at all times.
OwnerbfBuilding T. Belt Enterprises Address 917 9th Avenue South, Edmonds
THE. 25 Unit Apartment -_HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
THE REQUIREMENTS OF THE UNIFORM BUILDING CODE AS ADOPTED BY THE CITY 1988 EDITION,FORTHE
GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Twenty -Eighth
CHIEF BUILDING OFFICIAL By -..Z /TKff#"n 111
This certificate shall be posted in a conspicuous *public area and shall not beYemoved, mutilated oVobscured and shall be main-
tained in legible condition at all times. Any change of occupancy requires a new certificate.
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402 3rd �ye Smith
-970�36
At — Bui Iditia Permit Nun 6er -
Occupancv established bv ihis - certif ic6te:
16,
No.:Vnits 'No. -Stories
111/131
'T V
ype' Const. - 71, hr. spri hk. B
asem.ent Underground Pkg
Maximum,Occupant 1.;��d
(PeiTU.B.C.1002)
Room capacity signs,"
vMen requireit-must remain posMd a (aff tim'
es.
T*:_
20:36a 453*...Edmonds WA
Owner of Building T. Belt.EnLe*r*prises
Addrew,--
Stella's Landing
THE HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
THE REQUIREMENTS OF THE UNIFORM BUILDIN ODE: AS ADOPTED BY THE CITY EDITION, FOR THE
1988
GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE -PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this Twenty-seVenth March 1998
day of
CHIEF BUILDING OFFICIAL By
V
This certificate shall be posted in a conspicuous public area and shall not be -removed, mutilated or nhs11/-nd shall be maintained in
legible condition at all times. Any change of 'occupancy -requires a building permit and anew certificate of occupancy.
—Nomm— C�
9 0 - 1 9
City of Edmon
RIGHT-OF-WAY'CONSTRUCTION
PERMIT Permit Number.
Issue Date:
A. Address or Vicinity of Construction: 348 3 Ave S 940Z285
B. Type of Work (be specific): P/R to Install 2" PE IP Main in 3 Ave S 4-91 S
Centerline Walnut St. From 23' W to 30' W Centerlinf
of 3 Ave S.
C. Contractor: -Washington Natural Gas Company Contact: Frank Swan
MailingAddress: 815 Mercer Street Phone: 224-2278
State License #: Seattle, WA 98111 Liability Insurance: Bond:$
. 4 D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. E] Commercial Subdivision
El City Project M Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: D Yes DNo G. Size of Cut: x H. Chargq�_$
APPLICANT TO READ AN �N
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds hqjrmlaj� fr��'in'j'ur*zes, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made againsttthe City of Edm6iids, or any of its departments or
emMoyees, including or not limited to the defense of any legal proceedings including defeiise.'coitillpand attorney fees by reaso ��'grffrLtipg�his permit.
V
THE CONTRACTOR IS RESPONSIBLE FOR, WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. "ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED B Y CIT Y FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUA NCE TO THE APPLICA NT.
Construction'drawing of propo'sed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with 0,ity Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be'patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Iha ue read th e above sta temen ts and -understand th e permit requi�eiments a nd thepin-k'copy of th epermit ivill be
available on site aLtall ti Jo��'rposes.
October 10 1994
Signature: Date:
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WbRK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT Z72
TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND' III:
SPECIAL CONDITIONS: RESTORATION FEE:
'71 PERMIT FEE:
12��7��4
rz� TOTAL FE
COMMENTS:
RECEIPT FEE:
DATE:
ISSUED BY
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. ffiv. 1991