740588.pdfI
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Pian Check No.. ...................
DEPARTMENT
ZONE NUMBER 740588
BUILDING Applicant Fill
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PERMIT APPLICATION Inside Heavy Lines
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BUILDING
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ADDRESS a % 1 7a
NAME (OR NAME OF SUBINESB)
PROPOSED USE
HOP SCOTCH HOUSE (BOB ARMSTRONG)
PERCOVERAIBLEGE A AL
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LOT COVERAGE `�/ COVESYA �n
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MAILING ADDRESS
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PERMISSIBLE H—EIO�T PROPOSED HFrIGHT
22617 76th Ave. W 778-8188
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CITY
TELEPHONE NUMBER
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PLOT PLAN (Indicate Building eetbarkS, abutting Streets)
Edmonds, Was
REQ 1RED YARDS ROPOSED YARDS
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NAME
FRONT HIDE REAR FRONT SIDE REAR
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LEGAL LOT ' VAKIANCE OR CUN I'l'l AL UtlG
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ADDRESS
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P A DEPT. APPROVAL TE:'
SIGN
CITY I TELEPHONE NUMBER
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STREET R/W
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RETAINING WALL
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
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NAME
Ralph Oppliger Constr. Co., Inc.
REMARKH �N ST. R/W ............FT.
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ADDRESS
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314 N 1o4th
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CHECKE
riveway slopes not to exceed �c
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Seattle, Was 98133 1784-8008
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METER SIZE SERVICE SIZE CLEARANCE CB KED BY
PRE -MOVE INSPECTION
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
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C578-87065
117657-7-000
REMAltxB
Legal DeseNpllan ul Property (BhoW Below ar Alta"' Four COPlesl
I hereby acknowledge that I have read this application: that the In.
N.75' of that portion of the S.2
TYPE CONNECTION iVlCEIRIFIED BY
formation given le correct; and that I am the owner, or the duly author.
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Ired agent of the owner. I agree to comply with city and etote laws fella.
Townshi 27N. Ran a 4. E WM Line
PERC. TEST
PERMIT NUMBER
lating construction; and In doing the work authorized thereby, no person
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w•III be employed In violation of the Labor Code of lila Stale of Washington
of State Road #1 except E.
This application is not a permit until
relating to Workmen's Compensation Insurance.
conveyed to Sno. County by deed
signed by the Building Official or his Dep -
Year (E.rspt DEMOLITIONS whlell
NOTE: Permit limit One Ye
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
.hall bo completed In bluely days; MOVED -IN BUILDINGS shall be cam-
recorded lfolume 150 of deed of Pg.
1115 Records of Sno_ CO-, all cit—
REMARKS
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uated in the County of Sno. Common
FIRE ZONE TYPE OFFC�C7OONSTRUCT ON STREET IMPROVED
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SIGNATUfi' (OW Nit Olt A N ) DATE SIGNED
INSPECTION
DIRECT 8 81 T E
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� SIL Ae Ee ❑ NO
Was Change to 22717 Hwy. 99
SPECIAL INSPECTOR QUIR D OCCUPANCY GROUP
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RESIDENTIAL
❑ YES ID I-Zi
NOTE. Applicant Subject o Plan Check Fee
LINE
D DTHIS SITE IS LOCATED IN THE CITY
775-2525
NON-RESIDENTIAL ❑
OF EDMONDS. LOCAL SALES TAX
SIGN
PAREC1
PILE
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RETAINING
WALL��/(.
'SHOULDB�ECODED31.0/4J.'DEMOLISH
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ALTER ❑ O t ILLEXCAVA❑ LENC�..
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SWIM
REPAIR ❑ INSPhIOVE O POOL
P!/ �/1;}%/ Yy (/�✓ ,,,J �� �/Y ���W/e�t'/
NUMBER OF STORIES NUMBER OF
�I/C /r 1.r r it.r7— �IT AjT& 0/2
L G74 [ '`
tF7J�C710
2 DWELLING(
O/ 1JLY
UNITS
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NATURE.OF WORK TO BE DONE
Valuation
Fee
Receipt No.
Convert existin- building to
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Pian Check No.. ...................
Beauty Shop
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BUILDING
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PROPOSED USE
PLUMBING l` .I
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7- 7�0s
PLOT PLAN (Indicate Building eetbarkS, abutting Streets)
HEAT & GAR LINE
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FENCE
SIGN
RETAINING WALL
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SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
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TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application: that the In.
formation given le correct; and that I am the owner, or the duly author.
Ired agent of the owner. I agree to comply with city and etote laws fella.
ATTENTION
APPLICATION APPROVAL
a
lating construction; and In doing the work authorized thereby, no person
w•III be employed In violation of the Labor Code of lila Stale of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZER
signed by the Building Official or his Dep -
Year (E.rspt DEMOLITIONS whlell
NOTE: Permit limit One Ye
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac-
.hall bo completed In bluely days; MOVED -IN BUILDINGS shall be cam-
SIIlowledged !n apace provided.
plcled In'ylz months.)
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SIGNATUfi' (OW Nit Olt A N ) DATE SIGNED
INSPECTION
DIRECT 8 81 T E
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DEPARTMENT
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CITY OF
EDMONDS
DATE
NOTE. Applicant Subject o Plan Check Fee
775-2525
This Pe mit corers work to be done on private properly ONLY.
Any aronelrnrllon en the pahllc domain (curbs, elde—M., drlveways,
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CITY OF EDMONDS
DEPARTMENT OF BUILDINGS
TEMPORARY
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
At 22717 HIGHWAY 99 Building Permit Number 740588
Occupancy established by this certificate:
Fire zone I I No, Stories
F-2
Type Const. V—N Basement
Floor Load signs in place (per Sec. 2308 U.B.C.)— Capacity signs posted (per Sec. 3301 (i) U.B.C.)
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Floor load and room capacity signs, when required, roust remain posted at all tunes.
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THE BEAUTY SHOP HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this loth day of February 1975
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.
Date Passed
Foundation
Plumbing
7�rlSSz (Partial)
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(Rougli) rGe4
Frame
Furnace & Fuel Lines,�d=�
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Final
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