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BUILDING DEPARTMENT Applicant Fill
PERMIT
NUMBER
Inside Heavy Lines JOB ADDRESS
IDIA1,04 'a
IRMIT APPLICATI
NAME (0164W MONSION
YARD AR YARD ISETUACK
IDE SETBACK FFIREET
Z;�e:-ry _ofp/ Z="O�
a ADD 88 778r
NAWCANT 0 TE
—USE _ZONE LOT AREA IV CA
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ONE MBALK n No
mwn —,nlnll VARIANCE NUMBER
HEIGHT UREDING AREA
L
AFVal? &7 T
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NAME
P T A 0 E
A4 7-
as
8TRJ*w R/W
MBER E&*U RE (ePO .. FT. DEFICIENCY THIS PROPERTY
TELEPHONE NU
COMP. PLAN ST. R/W FT. ...... FT. a
P, 6-2 REMARKS
NAME
No XDDREI38
4ELEPRONEMB1111,
CITY
11, 1
1111,11114 '11 ;7- 2 E SERVICE SIZE CLEARANCE ICHECKED BY
0 NUMBER
�TATE LICENSE NUMBER Y LICEN13E
aZ 74— 1 -REMARKS
Legal i or rroperty (Show or Attach Four Copies)
TYPE CONNECTION VERIFIED BY
Z �ewav— se*k
See A ;r;-rAr- 4664> PERC. TEST PERMIT NUMBER I
REMARKS
FQ
FIRE ZONE rYPE OF CONSTRUCTION STREET IMPROVED
&ITS 13 NO
SPECIA SPECTOR REQUIRED OCCUPANCY GROUP
a Li NO
GAS
El RESIDENTIAL LINE PLAN CH
q NEW r
NON-RESIDENTIA SIGN 0
lie- Ll F]
RETAINING
DEMOLISH El WALL
El ALTER EXCAVATE FENCE Special inSPOcti on earth fill.
E] OR FILL ( ........ x .......... Ft.)
PRE -MOVE swim of Planning
REPAIR El INSP. POOL Permit issued subject to approval
NUMBER OF STORIES NUMBER OF
DWELLING Dept. on landscaping -
UNITS
RA—TURE OF WORK TO BE DONE Valuation Fee
/C-,E Plan Check No..
Z BUILDING
0 t #
IPRO*0T_ PLUMBING OF
Q
a - Ing streets) HEAT & GAS LINE
0 PLOT PLAN (Indicate is 11aing setbacks, abutt
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
F
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. ATTENTION 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 Wasbinliton THIS PERMIT This application is not a permit until
relating to workman-5 compensation Insurance. AUTHORIZES eigned by the Building Official or Ids Dep-
ONLY THE
NOTE: Permit rimit 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- knowledged in space provided.
pleted in six Months-)
I g,�GNATURE(OWNER OR AGENT) DATE SIGN D INSPECTION DIRECJ��FOrSIGNZ
DEPARTMENT
CITY OF
NOTE: Applicant Subject to Plan Check Fee EDMONDS
PH 6-1107
_�Thla Permit covers work to be done an Private Property ONLY -
Any construction on the public domain (curbso sidewalkso drlvewjLYst FILE
marquees, etc.) will require separate permission.
01
I
DEPARTMENT OF BUILDINGS
�Z_
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
700450
t., 614 Sth Avenue South Building Permit Number
'Occupancy established by this certificate:
Firo Znni% No. Storkm
r
—2
Type Const. V Basement- no
iA
Load signs in place (per Sec. 2 308 U.B.C.) Capacity signs posted (per Sec 3301 (i) U.B.C.)
st remain posted at all times.
Floor load and room capacity signs, whets required, mu
BASKIN RUBBINS 31 FLAVORS HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
11th February 72
day of 19
Issued this
CHIEF BUILDING OFFICIAL By
- certif . le I a I te sh all be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall be main-
ires a new certificate.
tained In legible condition at all times. Any change of occupancy requ
�Date vassea
--j-770 .40
Foundation
Plumbing (Partial)
Rough)
Frame,
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-F rnb -WFUO—;�R
Final 42
RECORD OFINSPECTI
tr
Date Passed
Drainage
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FSAI
Landsbi'piliik'
Fire Dept!