690011.pdfo;
I DIPARTME
APPLICATION
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AppUcant Fill
Indde Heavy 111188
k 1" 01- 535/
RAqmOnJ4 P-1f, &dJeRS
gas
36 q1 15, U),
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[-:ArnonaS, WN. U.Q.5361
TFD—ON KROLL 0.: PERMIT
NUMBER
iT 1 690011
RIUR YARD SETBACK
E YARD SETBACK _dTREVr 13ETBACK
ANT ITE
ZONE LuT AREPA
.0 E3 NO
t+
NUMB
PA LiN4aw,
STRENT R/W
EXISTING STREET R/W .60-Pr- DEFICIENOy THIS PROPERTY
COUP. PLAN ST. R/W 64:2Fr-
REM—ARKB
Driveway slopes not to exceed those
indicated on Standard Drawing #Iud.
C31-2-14M
I
I
Legal Description of Property (Show kwow or Attach Four Copies)
r
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04 Sir 0_"er
it iet A31 TwN 47 14) go 3 C WM
A, 46&w-f, W
�"Ce Al. q0 44 - 44a-it�
E I-R-A-71 ft_
44,fter. S.40 -r+; io en 6.t1%k"VW
45 W-5
Al 4S. IS 4. of -22, Olt 141yMpA',
16"l-
dCC0rJ1jE1 4halt"'f %.q.
GAS
RESIDENTLILL LINE
Qfl NEW
NON-RE=ENTIAL SIGN
ADD RETAINING
DE19OXAM WALL
ALTER EXCAVATE
on FILL
PENCE
( ......... X ..........
PRE -MOVE
REPAIR INSP.
SWIM
POOL
pffM—BER OF STORIES
�INUMBER OF
DWELLING
UNITS
-WA—TURE OFqORK
TO BE DONE
ZONE
U rES
tt
Plan Check No:Q-.-a..=Ja
BUILDING
PLOT PL.%14 (Indicate Building MIR-c", —abutting streets)
PLUMBING
HEAT & GAS LINE
PENCE
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 the In-
formation given In correct: and that I am the owner, or tha duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
i&ting 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
relating to Workmen'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 mix months.)
IN SPEOTION
SIgNATURE (0 OR A ENT) DATE SIGNED
L
DEPARTMENT
"OW6,"ER
1 Q349
CITY OF
EDMONDS
NOTE: APPlicant Subject to Plan Check Fee
PH 0-1107
This Permit coven work to be done a private property ONLY.
Any eonstruction on the public domain (curbst sidewalkso drivOwAYBP
marquees, etc.) will require separate permission.
13 NO
Fee
"o
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-
knowledged in space provided.
', !:;7 -1
MISM
X AA"W.'
"A
lip
CITY OF EDM�Iqlww
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPAN
UNIFORM BUILDING CODE, Sec. 306
At 273 - 4th Avenue South Building Permit Number 0-juu" —
occupancy established by this certificate: Fire Zone III No. Stories 2
H — Apartments I Type Const. V � Basement
Floor Load signs in place (per Sec. 23o8 U.B.C.) — Capacity signs posted (per Sec, 3301 (i) U.B.C.)
Floor load and room capacity signs, when required, inust remain posted at ill tivies.
LN
THE tri—plex at 273 — 4th Ave, South HAS BEEN INSPECTED AND
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UT
Issued this 12th — day of
CHIEF BUILDING OFFICIAL By
This certificate shall be posted in a conspicuous public area and shall not be removed, muttlatc
tained In legible condition at all times. Any change of occupancy requires a
aD AS COMPLYING WITH
BUILDING CODES.
December 969
s
or obscured and shall be main-
.w certificate.
W, t
it
M
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owmqp�
a A I I
12.
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R11
A-2 RECORD OF INSPECTIONS
Date Pass6a
Foundetron
---Plumbing (Partial)
0.11
(Rougt
frame >-i
Furnace 4,Fuell
iA-
rinal
a
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