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710054.pdf..... ......... i� BUILDING DEPARTMENT PERMIT APPLICATION NAME t3 �� L. L i� L, i 'T Cz, Is�'n MAl 6 wnDrtESe ✓�z41 0 O Get? E I>i✓Irtii.� r� dTY EL I �b• o,L/J .tin NAME �h1�cR��tn �, owr42 a7 �'^�iQlvlr. i �i, tg C7 b7 ADDRESS a � CITY NAME 01 ADDRESS U 7 Lf, . CITY Y F $ / � r�140-I. WVf0 STATE LICENSE NUMBER 111SSS��� a 3 - 0/-��3 J Legal Description of Property (Show fi 0 ME U t W A or Applicant Fill Inside Heavy Lines RESIDENTIAL GAS LINE © NEW Er �L✓✓��� NNON -RESIDENTIAL ❑ SIGN �) ADD LNG ❑ yALL DEMOLISH EXCAVATE ALTER ❑ ORFILL EliENC.Ex Ft.) REPAIR ❑ PRE-INSP➢fOVE .......... swim POOL (UMBER OF STORIES NUMBER OF DWELLING I UNITS NO.: PERMIT 710054 NUMBER JOB ADDRESS SIDE YJRD SETBACK STREET SETBACK I REAR YARD SETBACK USE ZONE I LUX AREA p VACANT SITE YES ❑ NO HEIGH `` A BUILDING AREA 1 I 23b� I VARIANCE NUMBER EXIS77NO STREET R/W COMP. PLAN ST. R/W it I fit SGZv'8(� [] YES TYPE OF 0(..II Plan Check NO-a..mal BUILDING i PROPOSED USE PLVMBIN6 O PLOT PLAN (Indicate Building setbacks, abutting Streets) HEAT & 6A8 LINE e3 O FENCE SIGN RETAINING WALL ISWIMMING 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 Is correct; and that I am the owner, or the duly author- Ized agent of the owner. I agree to comply with city and elate taws regu- ATTENTION lating construction; and to doing the worst authorized thereby, no person will 6o employed to violation of the Labor Coda of the State of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES THE NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY OTT WORK NOTED shall 6 mpleted In ninety days; MOVED -IN BUILDINGS shall be com- pleted x anths.) IIONA U! (OWN R OR AGENT) DATE SIGNED INSPECTION DEPARTMENT �/ CITY OF N TE: Applicant Subject to Plan Check Fee EDMONDS PR 0-1107 This Permit covers work to he done on private property ONLY. Any construction on the public domain (curbs, sidewalks, drlvowaJe, marquees, etc.) will require separate permission. IA PROPERTY ❑ NO -2 Valuation Fee _ 53a2 .400.00 10&tS APPLICATION APPROVAL No. This application is not a permit until eigned by the Building Official or his Dep- uty; and fees are paid, and receipt is ac- knowledged in space provided. FILE i At 7530 — 212th Street S.W. Building Permit Number 710054 Occupancy established by this certificate: Fire Zone T T No. Stories 1 Floor Load signs Type Const.V—N Basement 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, mast remain posted at all times. THE Dairy Queen HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES. 1 � Issued this day of T971— 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. �• 1� 1