670385.pdfC
BUILDING DEPARTMENT Applicant FM
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUBINE315)
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TY TELEPRozin NUMBER
VATZ LICENSE NUMBER CITY LICENSE Sum—"
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egw Description of EToperty (Show Below or Xi%ch Four Copies)
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LOLL MAP NO-:
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PERMIT
NUMBER
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11
ES 13 NO
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PLOT PLAN APPR
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PROPERTY
EXISTING STREET R/W DEFICIENC Y'5�118 a
COMP. PLAN ST. R/W ...... .... FT.
REMARKS
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YES
TYPE
NEW
Tr RESIDENT"
GAS
LINE
NON -RESIDE TIJ&L
SIGN
This permit issued subject to completiox of
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DEMOLISH
RETAINING
WALL
sidewalks before occupaitcy.M" or LID.
ALTER
EXCAVATE
OR FILL
FENCE
D ( ........ . x . ........ Ft.)
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REPAIR
PRE -MOVE
INSP.
SWIM
POOL
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NUMBER or
DWELLING
UNITS
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Plan Check No..!!!!�-
PROPOSED USE
BUILDING
1 1210 4. s�
1E PLOT PLAN (Indicate Building setbacks, abutting streets) PLUMBING
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BEAT & GAS LINE
PENCE
t
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
I
TOTAL A31OUNT DUE
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-
Ar=NMON
laung construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State Of Washington
TIUS PERMIT
relating to WorkmeWs Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DE31OLITIONS Which
ONLY TIKE
WORK NOTED
shall be completed in ninety days; MOVEDAIN BUILDINGS shall be com-
pleted In six months.)
IL�A'L %UjV&'ER O)jt AGENT) I
DATE SIGNED
INSPECTION
VA
At
DEPARTMENT
7
�Wa rz/
CITY OF
rM
EDMONDS
NOTE: Appli"nt Subject to Plan Check Fee
PR 6-1107
This Permit coven work to be done on private property ONLY.
Any construction an the public domain (curbs, sidewalks, driveways#
marquess, etc.) will require separate permisdon.
Wir7
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
lmowledged in space provided.
b IR-PE
.�197T'� SIGNA U
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—to—
FILE
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CITY OF EDMOND,
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
At — 630 — 5th Av�nue South Building Permit Number 670385
Occupancy established by this certificate: Fire Zone . II No. Stories
Apartment Building I Type Const. VI 1 H01JR I Basement YES
I
Floor Load signs in place (per Sec. 2 3 0 8 U.B.C.) — Capacity signs — posted (per Sec- 3 3 01 (i) U.B.C.)
Floor load and room capacity signs, when required, winst reinain posted at all times.
THE Apartment Building HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
____2jRjy
issued this 2nd —day of 19 68
CHIEF BUILDING OFFICIAL By
This certificate shall be posted In a conspicuous public area and shall not mutilated or obscured and shall be main
tained in legible condition at all times. Any change of I occupancy requires a new certificate.
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BUILDING DEPARTMENT Applicant FIR
j.1
PERMIT
APPLICATION
Inside Heavy Lim
NAME (OR NAME OF BUSINESS)
-S
MAILING ADDRESS
INIUM"Jun
W�
CITY
TELEPHONE
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PIS'- S LLE
NAME
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CITY
TELEPH ONE NUMBIlAt
At,
NAME
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CITY
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TELEPHONE) NUMBER
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STATE LICENSE NUMBER
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CITY LIUNNSE NUMBE
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Legal Description of Property (Snow Below or Attach Four Copies)
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WED ON KROLL MAP NO-: PERMIT
NUMBER
3 ADDRESS
SIDE YARD SETISAIJA
STREET HETJ
—USE _ZONE
LOT AREA
HEIGHT
BUILDING AJ
'414 V.
PLOT PLAN APPROVZO
STREET R/W
EXISTING STREE7r R/W
COMP. PLAN ST. R/W
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FIRE
REAR YARD SETBACK
VACANT SITE
I ---
(DYES 03 NO
I VARIANCE NUMB11'K
DEFICIENCYJHIS PROPERTY
, I C!
YES EJ-NO
1471
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PLAN CHECKED BY
ElALTER
NEW ,
REPAIR
I EPD"�R.ESIDENTIAL
10
0
D
1:1
NON-RESIDENTIAL
DEMOLISH
EXCAVATE
OR FILL
PRE -MOVE
INSP.
E]
GAS
.LINE
_ I
SIGN
RETAINING
WALL
PENCE
( .......... x.... ...... Ft.)
swim
POOL
REMARKS
&-'
Thi;'l pvnxi� ioaued fslibject
to
o' J).
j
NUMBER
OF STORIES
NUMBER or
DWELLING
UNITS
ff 1116"1 1111 111: ]1,%%
11, Hj
II.P
111 11
11 r. I* I --Ul:
11;
1
Plan Check No... ..................
PROPOSED USE
BUILDING
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
PENCE
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
LEXCAVATION
OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given in coire.9t;'and that I am the owner, or the duly author.
Ized rgont of the own er.- I:agrpa to�comply with city and state laws regu-
ATMNTION
toting conatructfon; and in dolhg'& work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS,PERMIT
relatlnglto'W�rkmen-i Compan*s-ation Insurance.
'AUTHORIZES
'it '
014LY THE
NOTE: PerMit Lim e Year (Excpt DE31OLITIONS which
On
WORK NOTED
shall be completed in ninety daYs;,MOVED-IN BUILDINGS shall be com-
plated In six months.)
NATURE (OWNER 0 AGUN ATE SIGNED INSPECTION
DEPARTMENT
6 CITY OF
EDMONDS
NOTE: Applicant Subject to Plats Check Fee PR 6-1101
This Permit covers work to be done an private Property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Valuation Fee Receipt No.
0
130,olo
C'
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
Imowledged in space provided.
DIR;ECVO,,'S SIGNATUR4
DATE
INSPECTOR
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9
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