670159.pdf9
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BUILDING DEPARTMENT Applicant011
PERMIT APPLICATION Inside Heavy Lines
�REiiS
06 y
�,z4 4
Legal Description of Property (Show Below or Attach . Four Copies)
POST ON KROLL MAP NO-: NUMBER '67 0159
PERMIT
0"
.'OB ADDRESS
TE
AD
D
S
Y, 'TBACK STREET SETBACK RmAit YARD SETBACK
SIDE YARD BE
U a Zl
SE ZONE LOT AREA VACAMW 131 WXJ
41-n
E3 YES
IGH7
r—HEIGHT BUILDING AREA VARIANCE NUMBER
V R/W_
NG STREWr R/W ............ FT- DEFICIENCY TWO PROPERTY ts
12
PLAN ST. R,/W .... I ....... TV. ..... FT.
HS
SIZE I SERVIC B AR&NCE CHEVY&D 33Y
1( tc
tKB IQ I;
I
F21 1
PERO. TEST
Elt
JI,, C-1
REMARKS
FIRE ZONE TYPE OF CONSTRUCTION
STREET IMPROVED
Cl No
SPECIAL n
[3 YES
YY GROUP
PLAN CHECKED BY
RESIDENTIAL GAS
NEW LINE
NON-REWDENTIAL SIGN
ADD RETAINING
DEMOLISH WALL
El ALTER MCCAVATE PENCE
OR FILL ( .......... x .......... Ft.)
REMARIW
E] REPAIR PRE -MOVE swim
INSP. POOL
El
NUMBEI OF STORIES
NUMBER OF
DWELLING
0
UNITS
NA or WORK TO BE
DONE
t
Valuation
Fee
Receipt No.
PPlan
Check No ...................
_PI T PLAN I Le a)
_,x%sqttJng et IjL
Mt
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
V)
N
rz
C)
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
T_
EXCAVATION OR FILL
I hereby acknowledge that I have tead this IjIfication; �bat-dAn'
formation given in 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
win be employed in violation of the Labor Code of the State of Washington
relating to Workmen's Compensation insurance.
NOTE: Permit Limit One Year (Except DE51OLITIONS which
shan be completed in ninety days; AIOVED-IN BUILDINGS shall be com-
pleted In 5 Months.) DATE SIGNED
31ONAT (oWNE OR AGE
TOTAL AMOUNT DUE
ATTEISMON
TWO PERMIT!
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
Crry OF
EDMONDS
3 M10
APPLICATION APPROVAL
This application is not a pennit until
signed by the Building Official or his Dep
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
I CTOWS SIGN
�DATX,1'
NOTE: APPlicant Subject to Plan Check Fee
PR 6-1107
d
This permit covers work to be done on private property ONLY.
Any construction on the public domain (curb@, sidewalks, driveways,
m&rquens etc,) will require separate permission,
1, ., __ ---- 1. _'j I
A"
CITY OF EDMONDS
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
At 5w — .5th Aveaug Soutk Building Permit Number
Occupancy established by this certificate: Fire Zone n No. Stories x
Type const. V 1 MUR Basem'ent no
Floor Load signs — in place (per Sec. 2308 U.B.C.) — Capacity signs __ posted (p er Sec, 3301 W U-B-C-)
Floor load and room "Pacify signs) when required, must remain posted at all times.:
THE STORE BUILDIM HAS BEEN INSPECTED AND APPROVED AS'COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDI NG CODES.
Issued this 30th Augwft 19AZ
day of
CHIEF BUILDING OFFICIAL By
This certificate shall be posted In a conspicuous public area and shall not be removed, mutilated or obscured and shall be main-
tained in legible condition at all times. Any change of occupancy requires a new certificate.
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