680090.pdf2
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BUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
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DEFICIENCY THIS PROPERTY
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CITY LICENSE
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REPAIR
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PRE -MOVE
INSP.
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SWIM
POOL
the buildixa de art
at. Writtea report to
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.;UMBER OF STORI ,
NUMBER OF
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DWELLING
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Plan Check No*_10�4
PROPOSED USE BUILDING
PLOT PLAN (Indicato Building setbacks, but4qDg stre PLUMBING
04 Wig fitn- /S
HEAT & GAS LINE
FENCE
t SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that th� in-
forrogtion 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- ATTENTION
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 THISPERMIT
relating to Workman's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Your (Except DEMOLITIONS which WORK NOTED
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com-
pleted in six months.)
SIGNED INSPECTION
SIGN RE (0 IER OR AEENT) DAT DEPARTMENT
CITY OF
N07V. Applicant Subjcct to Plan Cbcck Fcc EDMONDS
PR 0-1107
This permit covers work to be done on private Property ONLY.
Any construction on the public domain (coubm, sidewalks, driveways,
marquees, etc.) will require separate permission.
Fee
APPLICATION APPROVAL
No.
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
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DEPARTMENT OF BUILDINGS
CERTIFICATE. OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
6800go
At 550 — 5th Avenue South Building Permit Number
Occupancy established by this certificate:
Fire Zone TT No. Stories 1
Grocery Store — F-2 Type Const. III Basement I
Floor Load signs — in place (per Sec. 13o8 U.B.C.) — Capacity signs posted (per Sec, 3301 (i) U.B.C.)
Floor load and room capacity signs, when required, must remain posted at all times.
THE A & IP Q 'ry HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONPNGSS"OF �HE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this 19th —day of Jan"ArY 19 20—
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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4
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60.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE WESTERLY
300.00 FEET; THENCE SOUTHERLY 251.14 FEET; THENCE EASTERLY
300.00 FEET; THENCE NORTHERLY 251.21 FEET TO THE TRUE POINT
&OIL
OF BEGINNING EXCEPT THE SOUTH 15 FEET OF THE ABOVE DESCRIBED'
i RECORD OF INSPECTIONS
PROPERTY TO BE DEEDED TO THE CITY OF EDMONDS FOR THE EXPANSION!
OF HOWELL WAY. Date Passed
)rainage
Sewer
Parking
Landscaping
Fire Dept.
RECORD OF INSPECTIONS
Date Passed
50, Foundation 5,zir
Plumbing (Partial)
(RouSh)
01qy F me
J. Fra L-7-
urnace & Fuel Lines Aou
Final
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