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POSTED ON KROLL MAP NO.: I PERMIT 1 1051 b
BUILDING DEPARTMENT AppllcantFM
PERMIT APPLICATION Inside Heavy Linea JOB ADDRESS
NA (OR NAME OF BUSINESS) t�/ L/
SIDE YARD SETBACK I STREET SETBACK I REAR YARD BETIIACIt
MAILING ADDRESS z�
y,O �� �, •y�, Vp LO USE 20Nffi LOT ARE%A� VACANT SITE
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{{G�i CITY•y /f' V TE PFFONE NUMBERG I I `rO 5 I Q YES XNO it
/I/40 /1iD 3 HEIGHT 11011 ING AREA VARIANCE UMBER
NAME 2 v
PLOT PLAN APPROVED
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ADDRESS ' JJ/�I
ot,' Y'M Sb STREET R/W /�
TELEPHONE NUMBER EXISTING STREET R/W (P.O. FT DEFICIENCY THIS PROPERTY
CITY //1►� ..1r��
COMP. PLAN ST. R/W It7i,�f....FT. .........FT. p
p rTc • E % q O0 REMARKS a
NAME
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m ADDREBB
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C1HECKED BY
CITY I TELEPHONE NUMBER14 I �r\
Z METEA SIZE BERVIgQE SIZE CLEARANCE CHEC D BY
STATE LICENSE NUMBER CITY LICENSE NUMBER /4tt I
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114
Legal DescrIPE10n of Property (Show Below or Attach Four CoDles) RE�[,MARKS �'� It1 �L Q • �^ ' e, g,.
ul T J
'2- 7% TYPE CONNECTION I V RItF ED Y/�
(/ L W it I•
�:'T s m � P��T PERMIT N.WIBER (y
REMARKS
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FIRE ZO TYPE YCTRUCTIOZI STREET IMPROVED
•� •N/ � YES NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
GAS ❑ YES NO I F Z
RESIDENTIAL LINE PLAN CHECKED IIY
NEW THIS SITE IS LCV.TED 1N Til!:
NON-RESIDENTIAL ❑ SIGN ('ITV OF Cneene 63 _
El••+�+• �ut,nt p15LG.1
ADD ❑ RETAINING REMARKS TAX SHOULD BE CODED 31.04.
DEMOLISH
ALTER EXAVAT❑ ORCFILL E <ENCx..........Ft.) (FF-M tT (670159
REPAIR ❑ PRE -MOVE swim
INSP. POOL s �+� i. L. LD
NUMBER OF BTORfE9 NUMBER OF
�/ DWELLING UNITS PLOT iVV 60
Oyler.
NATURE OF WORK TO BE DONE Valuation Fee Receipt No.
pLv/79BJwlb Pynr/r/e.✓5 Y Plan Check No ..................... �-
fl��•r I i�171-L—
BUILDING
3' ! D �i�i •—
gOPOB-BED USE
PLUMBING / f
LESTIJR�u/✓7-- ` �y�
Ci PLOT PLAN (Indicate Building setbacks, abutting streets) HEAT d: GAS LINE
nFENCE
SIGN
tRETAINING WALL
1 SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read tbin 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 lawn regu- ATTENTION
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 THIS PERMIT
relating to Workmen's Compensation Insurance. AUTHORIZES
ONLY THE
NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
316N RE O AOE ) DATE SIGNED INSPECTION
DEPARTMENT
10-19- CITY OF
EDMONDS
NOTE Applicant Subject to Plan Check Fee PR OND
This Permit covers work to be done on Private Property ONLY.
Any construction on the Public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate Permission.
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.
/b - 2/
FILE
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rCITY OF EDMONDS
DEPARTMENT OF BUILDINGS;xu
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306 s�
4
505 a 5th Avenue South
'At
occupancy established by this certificate:
?.17w�:
Flom 1, d signs in place (per Sec. a3oil U.B.C.) — Capacliv signs _.— posted (per Sea 3301 (i) U.H C•)
Nluud load and rorrar ruparit y signs, u heu ri-quired, mass nvsuiu potted ut idl !lob's. ' .f
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PLKIIiG PALACE
irHE` HAS BEEN INSPECTED AND APPROVED AS, COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this 7th _ da of Aril Ig 72
CHIEF BVILIDING OFFICIAL. By
Phis certificate shall be posted in a conspicuous public area and shall not be removed, mut ated or obscured and shall be main-
tained in legible condition at all times. Any change of occupancy requires a now certificate.
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