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FILE NUMBER
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PERMIT 650150
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9010
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MAP NUMBER
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LOT AREA
40
VARIANCE NUAS"Aln
HEIGHT
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NOTE:
BUILDING SETBACKS
TO E&VE LINES
74-116
NEW Lj DEMOLISH
ADD
ALTER RESIDENTIAL ER OF
REPAIR NON-RESIDENTI) =LING -'I
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I hereby acknowledge that I have read this application; that the in-
formation given is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
relating to Workmens Compensation Insurance.
NOTE: PERMIT LIMIT ONE YEAR
0wo
Required
Q YES
METER SI!
31t
[] YES
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BUILDING
1
VALUATION
BUILMING PERMT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
PERM FEE
DEMOLITION
1-1.1-IT FEE
AMOUNT DUE
AT=NT]ION
THIS PERMT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
jid YES [] No
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1 111/00.41.5 01
APPLICATION APPROVAL
This application is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is aclmowledged in space provided.
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CITY OF EDMONDS
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
U51 � Sth AV60 S009 Edmo"92' washe Building Permit Number
At
occupancy established by this certificate: Fire Zone
650150
No. Stories rhj�"
264ftilt AP=wtM='t HOU" 0140 OB") I Type Const. V — I HOW I Basement Too
Floor Load signs � in place (per Sec. 23 08 U.B.C.) — Capacity signs . posted (per Sec. 3 301 (i) U.B.C.)
Floor load and room capacity signs, when required, must remain posted at all . times.
H I G H L & N D P A R K
THE BUILD114 HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this 9th day of lebru&VY 66
CHIEF BUILDING OFFICIAL BY
This certificate shall be posted in a conspicuous public area and shall not be removed, muttlat4Kr �obscured and shall be main-
tained in legible condition at all times. Any change of occupancy requires a n ew certificate.
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