670481.pdfBUILDING DEPARTMENT ApplleantFill
PERMIT APPLICATION Inside Heavy Lines
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STATE LICENSE NUMBER CITY LICENSE I
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Legal Description of Property (Show Below or Attach Four C
POSTED ON KROLL MAP NO-:
PERMIT
I NUMBER
670481
JOB ADDRESS
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81DE YARI) SETBACK
STREET SETBACK,
REAR TARE) SETBACK
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USE ZONE
LOT AREA
VACA�NT ITE
69 �S— 17 &
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E�ES 13 NO
HEIGHT
BUILDMG A.
VARIANCE NUMBER 104
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RESIDENTIAL
El
GAS
LINE
ALTER
REPAIR
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SIGN
RETAINING
WALL
PENCE
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swim
POOL
DEMOLISH
EXCAVATE
OR FILL
PRE -MOVE
INSP.
rUMBER OF STORIES
NUMBER or
DWELLING
UNITS
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SW R/W
85TING STREET R/W 4�..P..FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT.
EMARXS
'CRElemsp BY Z
ETER SIZE I SERVIC�,SIZE I CLEARANCE
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EMARKS
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Plan Check No;�W ::J0..
PROPOSED USE
P#J7A-L.,,
BUILDING
PLOT PLAN (Indicate Building setbacks, abutting streets)
PLUMBING
HEAT & GAS LINE
FENCE
t
SIGN
N
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE: INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given In correct; and that I am the owner, or the duly author -
tied 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
ATTENTION
will he employed In violation of the Labor Code of the State of Washington
THIS PERMT
relating to Workmeaa Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
shall be completed in ninety days; MOVED4N BUILDINGS shall be rom-
plated In six months.)
INSPECTION
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DEPARTMENT
CITY OF
EDMONDS
NOTE! Applicant Subject to Plan Check Fee
PR 6-1107
This Perm1t covers work to be done an private property ONLY.
Any construction on the Public domain (eurbs, sidewalks, driveways,
nmrquees, etc.) will require separate permission.
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Valuation Fee Receipt No.
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IR-6-A/ &99r 405-cf,
APPLICATION APPROVAL
This application is not a pernift until
signed 1�y the Building Official or his Dep-
uty; and fees are paid, and receipt Is ac-
knowledged in space provided.
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CITY OF EDMOND9
DEPARTMENT OF BUILDINGS
CON CERTIFICATE OF.- OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
At 424 - 3rd Avenue South Building Permit Number 67049,
Occupancy established by this certificate:
Fire Zone
I 1 —1 No. Stories 3
— Group H
Type Const. V
Basement
Floor Load signs in place (per Sec. 23o8 U.B.C.) Capacity signs posted (per Sec- 3 3 01 (i) U.B.C.)
Floor load and room capacity signs, when required, must remain posted at all times.
THE Edmonds Park Apartments RAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this day of Octobar 19 4.a-,
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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