690111.pdfBUILDING DEPARTMENY
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
ARCHIE IVERSON & COMPANY
MAILING ADDRESS
1139 N,W. Market
0
CITY
Seattle, Wn.
Lawrence & Hazen
POSTED ON KROLL MAP NO.: PERMIT
NUMBER 00 111
Applicant Fill
Inside Heavy Lines JOB ADRPESS
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41 —
SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK
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USE ZONE LOT ARUA V F SITE
.'-ELEPHONO NUM1311IR Z- el? -$( YES E3 NO
SU 2_7600 HEIGHT BUIL Z U ARZ
DIN vAIUANCE NUMISER
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PLOT PLAN
Roosevelt Way N.E. STREEXH/W
EXIS7Z,N ....... FT. DEFICIENCY THIS PROPERTY
TELEPHONE NUMBER Pr STREET R/W .....
..........
job&j Seattle, Wn.
W
LIT4
LA 3-0114
COUP. PLAN ............
REMARKS
Driveway slopes not to exceed those
& Company
indicated on Standard Drawing 103.
et
CHECKED BY
TELEP116NE NUUBER
SU 2-f600
METER SIZE SERVICE SIZE CLEARANCE
CHYED BY
;R
CITY LICENSE NUMBER
REMARKS �j
Legal Description Of Property (Show Below or Attach Four Copies)
All of Lot 19 exeept the north 1/5 Of
TYPE CONNECTION VERIFIE
Z
Skelton's Lake McAleer 5 acre tract as
PERC. TEST V
per plat rec orded in vol. 6 of plats
REMARKS
records of Snohomish County.
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
YES
SPECIA EQUIRED OCCUPANCY GROUP
YES [4_1<0�
GAS
RESIDENTIAL LINE
NEW
PLAN CI,17E0KFD,.#aY
NON-RESIDENTIA SIGN
17,L
ElADD RETAINING
0 El WALL
REuAhRXl
DEMOLISH
utilities must be underground per
DALTER EXCAVATE FENCE
OR FILL x FnL.
.......... ..........
REPAIR PRE -MOVE swim
INSP. POOL
Edmonds City Ordinance #1387.
NUMBER OF
DWELLING
6
Two
U14ITS
NATURE OF WORK TO 13E DONE
Al2nrtments (Building G)
Valuation Fee -Receipt No.
-
0
Plan Check NO.14_17
PROPOSED USE
BUILDING
ro Z4 56
a(Indicato
- AeMla4 Building setback$, abutting streets)
PLUMBING 00
HEAT & GAS LINE
PENCE
t
SIGN
See Dravrings 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 liven to correct: and that I am the owner, or the duly author.
lzed agent -if the owner. I agree to comply with city and state laws regu-
ATTENTION APPLICATION APPROVAL
lating conttruction; and in doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PER511T This application Is not a permit until
relating L) Workman'A Compensation Insurance.
AUTHORIZES signed by the Building Official or his Dep-
NOTE: Permit Umit One Year (Except DE31OLITIONS which
ONLY TIM
WORK NOTED uty; and fees are paid, and receipt is ac-
shall be completed in ninety days; MOVED -IN BUILDINGS shall be com.
knowledged in space provided.
pletedfin six months.)
(
INSPECTION DIRECTO
DEPARTMENT
SIGIZ 1) WNE�ft AGEZ
DATE SIGNE
CITY OF
rLPITLONDS
Plan Check Fee
NOTE: Applicant Snbject to
PR 0-1107
This ]permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs. sidewalks, driveways.
FILE
marquees, etc.) will require separate permission.
CITY'OF EDMONDS
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
At 229Q6 76th Avenue West Building Permit Number 690111
Occupancy established by this certificate:
Apartment — H
Type Const. V
Basement
Floor Load signs in place (per Sec. 2308 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 Park Ballinger Apartments HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND 'WITH UNIFORM BUILDING CODES.
Issued this 14th — day of April 19 7D—
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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RECORD OF INSOECTIONS
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