670586.pdfa
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Inside Heavy Lines
PERMIT APPLICATION I
NAME (OR NAME OF BUSINESS) 0 7 63 7-
SIDE YARD SETBACK STREET SETBACK jtll;� --LTBACK
Dr. B. P. Deason / I I
ry) I is( rn It t4 0
qt.- USE ZON17 LOT AIM VACANT SITE
2411 5th IP 240-�-- n
0 YES
_61—TY I - I VARIANCE NUMBER CW
Edmonds PR 8-4 -HEIGHT AlfWA
NAME J_S_ IA4
333 F.N APFRVVNU
ADRWaletQn G_ Tol-lef Finn
STREET R/W
CITY 604 West Meeker TE—LEPHONE NUMBER EXISTING STREET R/W ........ .. YT. DEFICIENCY�Ta PROPERTY
COMP. PLAN ST. R/W ............ FT.
Kent UL 2-7298 REMAIMS
NAME
1 91MC19ED z
14
ADDRESS METER SIZE SERVICE SIZE CLEARANCE C BY
CITY WE"rHorilu NUMBER _./ It '5/
:2A . q-t
REMARKS
STATE LICENSE NUMBEII CITY UC—ENSE NUMBER
TYPE CONNECTION VERI 137
IAW%pencription of Foperty (Show Below or Attach Four Copies)
North 116.451 of the South PERC. WEST PERMIT IP
�ER
381.4r)l of Tract #17 willowdale— REMARKS
Gardens subdiviBion #1, Edmoonds,
9z FjpX ZONE TYPE OF CONSTRUCTION STREET IMPROVED
�-'Pfash. according to plat thereof
'zz;?� A-Trs� 0 if 0
E IAL INSPECTOR REQUIRED OCCUPANCY GROUP
recorded in Vol 10 of PlatB, Page 7 SP 0
E] YES M-10
PLAN CHEC BY
kecords of Snohomish,County, Wash.
ZIA /�_' 9.
S
F-1 RESIDENTIAL NE REMAlt
Es NEW
NON-RESIDENTIAL SIGN
ElRETAINING
DEMOLISH WAJ�L
ALTER EXCAVATE FECE
FRI OR FULL
REPAIR PRE -MOVE swim
F-1 INSP. El POOL
-___jf_rN_;UMBER OF
UNITS 4
NATURE OF WORK TO 13E DONE
Construct new building, fencing,
Valuation Fee -Receipt No.
z
0 an -sea ing and bj_acktopping Plan Check No::�'(.Zkl 4-6.1S_ 11061
OPOID uq
BUILDING
bog zi _-L— 0—
ProfeBsional Clinic
PLOT PLAN (Indicate Buildinf PLUMBING
,0,�,bllckll, abutting streets)
cc 00
HEAT & &At-hIKE
411
PENCE ;2 0
SIGN
'D -new,
RETAINING WALL
DEMOLITION
PRE-261OVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT 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-
lzed agent of the owner. I agree to comply with city and state laws regu.
ATTE NTION APPLICATION APPROVAL
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 THIS PERMIT This application is not a permit until
relating to Workman's Compensation Insurance. AUTHORIZES
ONLY THE signed by the Building Official Or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com- Imowledged in space provided.
pleted in six months.)
SIGNAT DATE SIGNED INSPECTION
tjR (OWNER OR AGENT) DIRECTORIP 819NATURE
DEPARTMENT
CITY OF
DACTE
EDMONDS
NOTE: Applicant Subject to Plan Chcch Fce
FR 6.1107
This Permit covers work to be done on private property ONLY.
Any construction on tile public domain (curbs, sidewalks, driveways, FILE
marquees, etc.) will require separate penuisalon.
6S
T&'w 'dab' � E D
ly 01�
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFOJtM BUILDING CODE, Sec. 306
3 / -.,� ��A. A a.
2411 - 5th Street S.E. Building Permit Number- 67o586
cy established by this certificate: Fire' Zone III I No. Stories
Professional Clinic
Type Const. V
Basement NO
.oad signs in place (per Sec. 7308 U-B-C-) — Capacity signs posted (per Sec. 3301 (i) U.B.C.)
Floor load and roon; capacity signs, when required, must remain posted at all tinjes.
Professional Clinic HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this __17th — day of
June
M.
CHIEF BUILDING OFFICIAL By
rtificate shall be posted In a conspicuous public area and shall not 13 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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