700399.pdfW
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BUILDING DEPARTMENT
PERMIT APPLICATION
NAME (Oft fiftNid WO_ 0_1J_
) Rd B' , WAqAJc
MAI NO ADDRESS
14 17 0 9 2 AA AF.
CITY I
S JT'4V1r- I
POSTED 0 ROLL MAP NO.: PERMIT 0 99
MBER
NUMBER
Applicant Fill 700399
'Fin �J d4o
Inside Heavy Lines JOB ADDRESS -7 CtD0_f1L_1'XJ L�;Ls_s
,E-10 4 - 9 Z7 7
1<0jegT y
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ADDRESS
'XJ *7f 5r
0 T HONE NUMI
Z— 3 /9
Al ADDRESS
'*.0 �7 0 9 28 A"E
CITY
Z
STATE [,ICENSE NUMBER
29LR -0 / —90 9 2
Z
Q
j5.oV4 - � 2-.7,F
Below or
14 6,(-
On RESIDENTIAL
El
AS
Gmrql.�
NEW
1:1 NON-RESIDENTIAL
SIGN
ALJL)
FIDEMOLISH
RETAINING
WALL
D ALTER El EXCAVATE
OR FILL
F
FENCE
( x Ft.)
.......... ..........
PRE -MOVE
1:1 REPAIR F-1 INSP.
swim
POOL
IUMBER UF STORIES NUMBER OF
DWELLING
C' UNITS
4A`ri�RE OF WORK TO BE DONE
C70 4 7:�/Ex
t
N
I
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-
ized 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
will be employed In violation of the Labor Code of the State of Washington
relating to Workmen*s Compensation Insurance.
NOTE: Permit Umit One Year (Except DE51OLITIONS which
shall be completed In ninety days; BIOVED-IN BUILDINGS shall be com-
pleted In six months.)
NOTE: Applicant Subject to Plats Cbeck Fee
This Permit covers work to be done on private property ONLY.
Any conitruction on the public domain (curbs, sidewn1ka, driveways,
marquees, etc.) will require separate permission.
f
T
EXISTING STREET R/W
COMP. PLAN ST. R/W
ex
SIZE I SERVICE E
It J J/
1EMARKS
0 NO
PROPERTr
F91
0
Z
2
Z
FIRE ZO�!.� TYPE Of_.9ONSTRUCTION
YES 13 NO
—/J I 0��' 4�' ' �' _
SPECIAL INSPECTOR REQUIRED OCCUVAN x GROUP
[] YES )(51 NO _F-1
PLAN CHECKISI) BY
REMW
/2' (5:41Z,� ��AXA71401J
676&C7- 419 1,1eZ_f
Plan Check No.
BUILDING
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
63E-60
Fee
19/ a
Z
14
No.
TOTAL AMOUNT DUE
CW
Sol
ATTENTION
APPLICATION APPROVAL
TIUS PERMIT
Tws application Is not a pem-At until
AUTHORIZES
signed by the Building official or his Dep-
ONLY THE
uty; and fees are paid, and receipt Is ac-
JVORK NOTED
Imowledged in space provided.
INSPECTION __D_JR_E`CTOiT8_81 MNAIJ
I
DEPARTMENT t
CITY OF
DATE I V
EDMONDS C�_Se�
-'70
PR (1-1107
FILE
I
r1i 4-!PT'11'1 751M
r
P.
"'I'S P
kV
7900 — 236th Southwest
At
Occupancy establislied by this certificate:
Ho F-1
lioilding Permit Number
Fire Zone III
Type Const. V—N
700399
No. Stories 2
Basement
Floor Load signs -_ ill Place (per Seci z3oll UjI.C.) — Capacity signs.,— posted (per Sec. 3301 0) U-11-C-)
Floor lt)ad and romn raliarilY sigils, When requirs-il, mn%l reinain /Povled al 'ill lifil"s.
01BRIEN FOURPLEX HAS BEEN INSPECTED AND APPROVED AS COMPLYING WIT14
THE PROVISIONS 01' THE EDMONDS IIIJILDING CODE. AND wiTH UNIJURM BUILDING CODES.
issued this 12th of June 19 Z2
CHIEF BUILDING OFF
ICIAL fly
,emoved, milt ated or ob, hill] be main -
This certificate shall be posted in a conspicuous public area andshall ni)t be i icured and 9
tained in legible condition at all times. Any change of o(:cupanvy requires a new certificate.
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