710577.pdfC
BUILDING DEPARTMENT Applicant011
PERMIT APPLICATION Inside Heavy Lines
I NAME (OR NAME OF BUSINESS) • A
NO..
PERMIT NUMBER 710571
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USE ZONE I LOT AREA I VAOANT BITE
iO (J T�PHONE N 1tB&R YES „NO
CITY S I P h Js� i� tM FfM HEIGHT BUILDING AREA VARIANCE NUMBER
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NEW
RESIDENTIAL
❑
GAS
LINE
ADD
ElNON-RESIDENTIAL
It.
❑
SIGN
NINE
RETAINING
ElDEMOLISH
❑
ALTER
❑
ORFILL
❑
PENCE
Ft.)
REPAIR
PRE -MOVE
INSP.
.z..........
SWIM
POOL
DWELLING
UNITS
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-
ised agent of the owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorised 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 Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
NOTE: Applicant Subject to Flan Check Fee
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
t STREET R/W ............FT.
PLAN ST. R/W ............FT.
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DEFICIENCY THIS PROPERTY
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FIRE ZONE TYPE OF COrJETRUCT� I ninama� ams
I 13 YES
BP CL1L INSPECTOR REQUIRED OCCUPANCY GROUP
YES :)KNO
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE
REMARKS CITY OF EDM,01 :")S. LOCAL SALE
TAX SHOULD 13E. CONED 31.04.
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Plan Check No....
BUILDING
PLUMBING
HEAT & GAB LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORN; NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR allot
Valuation I Fee
1 60 I` t In
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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.
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►TIC,' & BUILDING PERMIT
IONDS Building Department
Appl. No.
Permit, limit~ one year
CATION is hereby made for a permit to construct the following work, in accordance with the aceom,
and specifications. Two sets are submitted herewith for approval.alter r "
c if C� �•�Gl—r`? t. Off•St.
at repair ........... .. ..........,1 t�C:..`?:-�:- �,1,......... Parking ..� .:
�;. ° (3ccupaticy ..� ............ Const. type.. .... Use zone `-'....L.......... Fire zone
�tt._•,L �/L �.Z.c i-=-lt--c-t.�"�C.. /c T
o�r, ress...,�......................................... �to::........... Blk......../............. ddn. �. �` ......
q r 1 �x�
t frontage ....................................... Area .....v.........: Septic tank . �.ix.. {... ...............:
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Bldg eet backs -- front......... r. side .............................. I. side ..... ....... ... rear ................ ...-'.`
W,
LQ ........ Address.................` .. ?� Tel. No... .
Builder - ... Address .............................. Tel. No ..::.......:...
.........
Plans;b'y::. .......
Tel No :......Address.............................................
The above is ii correct statement, and I agree to comply with all applicable Codes and . State laws regulating this
work. (�- 3 - —ta Z-�
Signed Owner/Agene..0)%t:c.. f >a.."�:`Sl:�:i _l Address ............... ............. Date 7....... ...... G-
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliancewith the aP-
proved plans and
specifications, and Building Department notations thereon.
Valuation ........'........ Permit fee ..:.11. `.?�............... Reed. by ..... .........
Building _Department, By ......................................... ............... Date ......�..�--.::.L?Z........:
` itis Permit does not cover Plumbing, Sewer or Electrical installations. /
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pLICATION (_ BtlILDING PERMIT Appl. No.......................-�z'
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4CItY OF EDMONDS Building Department Permit limit, one year:
I
'PIrLICATION is hereby made for a permit to construct the following work, in accordance with the accom•
"rf ,
4panyuig plans and specifications. Two sets are submitted herewith for approval.
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alter / Off -St.
new: Parking ..:.:. .
.........
Occupancy.-..tye....Use zone.:.4-de. Const. pzone ..... ........
sy T, �Q l % - �CGch•' -.� Lot.. Blk.. ...-....... Addn_. j
�} Address.. .................... ....._..._ .._.
��.
................ Septic tank:...-...�� .t?ti�J`-!`�--
"frontage....'', Area _
i sf ............ 1. side .............................. rear....
Bldg. setbacks —front r. side .................
,s
Address-..-D �- ..
..
....... Tel. No.......
/,, � i• Owner..-b'V k��..... .......... ...... °'/S �"�-�J'
..............
Address ......................... ,........ Tel. No ..-.....
Builder
t
Plana b Address Tel. No.......................
y...............................................
. _
Remar6.................................... ........ :....
........ ....................:•• .. I
.......... -....................
......................
. .
The above is a correct statement, id I agree to comply with all applicable Codes and State lawn regulating this
work. j
z
Address...... . �....�. -.- Date ... ...... .... ... s
Signed Owner/Agent. � ..-........11.-.. I /lD
PERMITfor the above work is hereby approved, subject to the above conditions, and to compliance with the ap•
proved plans and specifications, `and Building Department notations thereon. j
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Valuation ......../.. � j--1t ...... Permit fee .....
Recd. by ...................... .............
p / -.
Building Department, By ...................... .- Date..z...._.(G?r....... ........
i.
This Permit does¢ cover Plumbing, -Sc=- or Electrical installations.
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7771:
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CITY OF MMONDS - BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
this is to certify that the buildings as herein noteds has been inspected
and the following occupancy thereof is hereby approved.
Apartment Building 19_Units Group H Occupancy
Addresss 1041 - 5th Avenge So.s Sdaondss Washington
Legal Descriptions The W. 1401 exaspt the S. 80' of the W. 120'
thereof of the following described tracts All that portion of the P
S.W. quarter of N.W. quarter of Sect. 25s Township 27 N., Range
3 East, W.M.s described as followas Beginning at a point 375' S.
and 30' E. of the N.W. corner of said S.W. quarter of N.W. quarter]
thence S. 246, thence E. 3001 thence N. 946,j thence W. 3001 to
point of beginnings Situated in Snchosish County.
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