750230.pdfUSE PERMIT 750230
BUILDING DEPARTMENT A,pllcmtFM ZONER NUMBER / tIL l
Inside Heavy Lines doH
PERMIT APPLICATION
ADDRESS
NAME�lO E OF BUSINESS)
PERMISSIBLE u OT
IAT COVEROVER LOT LOT COVEAOE
MAILING ADDS PERMISSIBLE HEIGHT PROPOSED HEIGHT
CIrT TELEPHHfON�E•NUMB�EA/ ACTUAL LOT AREA TOTAL BLDG. AREA
D YARDS
,
!�'/✓• .C2 /� 'i>^ / D�REQUIRED YARDS ROP
NAME FRONT SITE REAR FRONT SIDE REAR
lF�
U LEGAL LOT VA IANCE OR CONDITION�USE
N ADDRESS ij YES NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
CITYTELEPHONE NUMBER
STREET R/WO
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY '.
NAME
COMP. PLAN ST, R/W ............FT. ............FT,
REMARKS y
IC A DH' tc
cU �N^� �',rr� _ I CHECKED HY W
F C TY /jam—+�/� TELEPH p`E NUM�BE{R�
U Jar 7 � �C . I �J:2 � T O METER BIZ. SERVICE SIZE CLEARANCE 1
'STATE LICENSE NUMBER I CITY LIC NBNUMHEK I I .rjCHE/CjCED �HY �7`� a,
_ 23— O/—/7//� REMARKS _ itt
Lego] Deserlpllon of Properly (eh, Below or Attach Four Copies) \� ` SC(i� 1 ('• i
TYPE CONNECTION I VVERIFIED BYQ/tr
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PER.. TEST PERMIT NUMBER id
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REMARKS I m
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TYPE DF.Q"8TRUCTI N STREET IASPROVED
— I rz ❑ YES [3 NO
SPECIAL INSPECTOR REQUIRED�J
RESIDENTIAL ❑ GAS ❑ YDS jIO I OCCUPANCY GROUP
F -� Z -5
/
❑NEN LINE PLAN CHECKE BY THIS SITE 15 LOCATED IN THE CITY
NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX -
SIGN SHOULD BE CODED 31.04.
ADD ❑ DEMOLISH O RETAINING REMARKS
WALL (�/� �t�►�^r- �I
ALTER EXCAVATE FENCE V-1,6 -CA.
lJt �G��l-ey�77r'►►1,,,�1J/ r1� 1—/�Q
OR FILL (.....:....x..........Ft.) r`C�. -t ETZNt t 1 So O9
El REPAIR ❑ NSP-BfOVE ❑ POWi
OL i
NUMBER OF STORIES NUASIIER OF
t I UN1 8LINC r.� a , Ir �>f�B _ (.-'15
NATURE OF WORK TO BE DONE -�/ M /--,DB
Fee Reccl pl No,
Pion Check
BUILDING �/1/l Air V O SQ r QV tIl
PROPOSED USE
`�tiGC PLUMBING '
QPLOT PLAN (Indleato Building setbacks, abutting streets)
HEAT A 6A8 LINE
q
J
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
_
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
/2&sF m0
0,00
TOTAL AMOUNT DUE
55, CI
I hereby acknowledge that I haus rend this application; plN
at e In•
a` �,j O
formation given le correct; and that I am the owner, or the duly author.
•
ized ,.gent of tha owner. I agree to comply with city and state laws r.go.
ATTENTION
APPLICATION APPROVAL
Loring construction; and to doing the worst authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Imurence.
signed by the Building Official or his Dep-
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
utyi and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be cem-
knowledged In space provided.
:
pleted In six mon .)
GN TUItE ( ER OR E DATE 81GNEU
INSPECTION
DIREC B A U
/Z�
DEPARTMENT
J
CITY OF
NOTE: Applicant Subj t to Plan Check Fee
EDMONDS
DAT
775-2525
This Permit c ork In Ir don n private Property ONLY.
Any rnnei tori inn o tarP.1 dmm�ln (caths, eleewnike, drk'ewaye,
"III r•nnl r. ernnrnl:. inleelnn.
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CITY OF EDMONDS
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
At 184 SUNSET AVENUE SOUTH Building Permit Number 750230'
Occupancy established by this certificate:
Fire Zone I I No. Stories I -
F-2
Type Const. III – i HOUR Basement NO
Floor Load signs in place (per Sec. 2308 U.B.C.) — Capacity signs 75 posted (per Sec. 330t (i) U.B.C.)
Floor load and room capacity signs, when required, mist remain hosted at all tittles.
THE RESTAURANT HAS BEEN INSPECTED AND APPROVED .AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this 3rd day of June 1975
CHIEF BUILDING OFFICIAL By
f, 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.
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YES [] NO
SPECIAL 1N.PECTOR REQUIRED OCCUPANCY GROUP Is-O,4D
1
RCBIDENTIAL ❑ GAS
YES�y70
�— -2—
U PERMIT ''
� 50230
C_NUMBER l —150
PLAN CHECKE Bx
THIS SITE IS LOCATED IN THE CITY
BUILDING DEPARTMENT Applicant Fill
2O g
OF EDMONDS. LOCAL SALES TAX
Inside Heavy Lines
PERMIT APPLICATION I
aOB
REMARKS
SHOULD 8E CODED 31.04.
ADDRESS
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NAME (O EON BUeINEfie)
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LOT CO8IBLE LOT Co
LOT COYERAOEe LOT COVESYAGE
A
C
MAILNG ADDR
PERMISSIBLE HEI6IIT PROPOSED HEIGHT
O
AREA
CITY TELEPHONE NUMBER
ACTUAL LOT AREA TOTAL BLDG.
LIN6
—/•f ►• / I T
REQUIRED YARDS PROPOSED YARDS
a
UNITS
NAME
FRONT BIDE REAR FRONT S1DE REAR
Ii
NATURE OF WORK TO BE DONE
Valuation
Fee Receipt No.
—
Plan Check NO.L.//y/v.l..O.....
LOT VARIANCE OR CONDITIONAL USE
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N
ADDRESS
LEGAL
0 YES NO PERsfIT NUMBER
32, 00
`
O BUILDING
PLANNING DEPT. APPROVAL DATE:
PROPOSED USE T 1/+v �
CITY TELEPHONE NUMBER
U
aPLOT
STREET R/W
�
HEAT & GAS LINE
EXISTING STREET R/W ............Fr. DEFICIENCY THIS PROPERTY
y
NAME
COMP. PLAN BT. R/W ............F'C. ............FT.
W
W '.
SIGN
REMARKS
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A DRE
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x
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CarpI
CHECKED BY
C
C T'Y TELEPHOKE NU�MDCE,{R�
N
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V
,(ter / + r+� J x'17 7 0
METER 81LE BERViCE 1SIZE CLEARANCE
CkiEC ED SY
..
CITY
ATE LICENSE NUMBER TY LCENBE NUMBER
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r 3 �-7�
y.
23.- 0/
REMARKS
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formation given le correct; and that I = the owner, or the duly author-
Legal Description of Property (8ho Below ar Att¢ch Four Copies)\
_
, ��'(��
APPLICATION APPROVAL
luting construction; and In doing the work authorized thereby, no p. ... n
TYPE CONNECTION VERIFIED BY
will be employed In violation of the Labor Cede of the State of Washington
THIS PERMIT
This application is not a permit until
-7-
AUTHOIHZES
o A!5 • �
PERC. TEST
PERMIT NUMBER
!
.hall be completed In ninety days; MOVED -IN BUILDINGS shall be nom•
knowledged in apace provided.
WC'T/A/
IlEbfARIC9
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ick s T.
DEPARTMENT
-
r/i p.tA.F�I�n/o itliJ A!
CITY OF
NOTE: Applicant SBhj t to Plan Check Fee
iJGCT.e s /A A e 1, n S .
F11tE,ONE I TYPE OFf.GNSTRUCTIQN I STREET IMPROVED
II
�� I y.%
YES [] NO
SPECIAL 1N.PECTOR REQUIRED OCCUPANCY GROUP Is-O,4D
1
RCBIDENTIAL ❑ GAS
YES�y70
�— -2—
LI NE
NEW
PLAN CHECKE Bx
THIS SITE IS LOCATED IN THE CITY
`
NON-RESIDENTIAL ❑ BICN
OF EDMONDS. LOCAL SALES TAX
!
ADD RETAINING
REMARKS
SHOULD 8E CODED 31.04.
DEMOLISH O WALL
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EXCAVATE FENCE
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2L�C ?Glc -HIT
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ALTER
OR FILL (.........x..........Fl.)
r -f) ►J S` U O
REPAIR ❑ HP MOVE ❑ POOL
� C���
NUb1BEIt OF STOItIEB NUMBER OFDWEL
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LIN6
—/•f ►• / I T
^ ^
UNITS
�./�1 ��•,'_I 1
p
/'�DIJ 1 J
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NATURE OF WORK TO BE DONE
Valuation
Fee Receipt No.
—
Plan Check NO.L.//y/v.l..O.....
r G
32, 00
`
O BUILDING
��br CO—
PROPOSED USE T 1/+v �
PLUMBING
U
aPLOT
PLAN (Indicate Building setbacks, abutting streets)
HEAT & GAS LINE
9
O
FENCE
SIGN
RETAINING WALL
_
N
i
SWIMMING POOL
DEBIOLITI0N
t
I
PRE -MOVE INSPECTION
EXCAVATION OR FILL
/LA�S� o�0
3e40 _ I
TOTAL AMOUNT DUE
I hereby acknowledge that I have read lhle application; that the In.
ass O
formation given le correct; and that I = the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
APPLICATION APPROVAL
luting construction; and In doing the work authorized thereby, no p. ... n
will be employed In violation of the Labor Cede of the State of Washington
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHOIHZES
Signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TH
WORK NOTED
_
uty; and fees are paid, and receipt 1S ac-
.hall be completed In ninety days; MOVED -IN BUILDINGS shall be nom•
knowledged in apace provided.
pleted In six mon .)
ON TORE l ER Oft DATE SIGNED
INSPECTION
DIRECT 8 A U E
c
DEPARTMENT
-
CITY OF
NOTE: Applicant SBhj t to Plan Check Fee
EDhIOND9
7
., _7
778-2525
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This Permit covers work to bo done on private property ONLY.
Any construction on the public domain (curbs, Sidewalks, driveways,
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PLOT PLAN (InUlertto 8 \ i et IU ulting streets)
HEAT do GAS LINE
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FENCE
SIGN
RETAINING WALL
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SWIMMING POOL
BUILDING DEPARTMENT Applicant Fill
USE PERMIT -If
ZONENUMB:
OC� n
DEMOLITION
j
PERMIT APPLICATION Insldo Heavy Linos
JOB
ADDRESSNAME
EXCAVATION OR FILL
(ORryAME OF BUBINEed)./�PERMISSIBLE
^ ACTUALJLOT COVERAG^IOTCOVEliAGEMAILING
TOTAL AMOUNT DUE
L� .[• Q
ADDRESBh
PERMISSIBLE HEIGHT' PROPOSED HEIGHTCITYLEPHONE
formation given In correct; and that I am the owner, or the duly author-
I¢ed agent of the owner. I agree to Comply with City and state laws ragu-
NUMB1`RACTUAL
LOT AREAREQUIRED
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State or Washington
THIS PEB511T
This application is not a permit until
YARDSNAMDRONREAR FRONT BIDEc1LEGAL
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITION8 which
ONLY THE
µ•OnR NOTED
Hty; and fees are paid, and receipt is so
shell be completed In ninety days; MOVED•IN BUILDINOS shall be eons•
LOT ARIANCI+ OR CONDITIONALUSEADDRES8 0 YE9 r]NO PERMIT NUMBERPLANNING
Imowledged In space provided,
i
plated in six month..)
INSPECTION
DEPARTMENT/P
DEPT. APPROVAL �, f7
t---•
i
S ONATUIiE (OWNER OR AAAII{yyyENT DATE 816NEU
(j
C CITY
TELEPHONE NUMBER
EDMONDS
DAT
I
NOTE: Applicant Snhjbct to Plan Check Fee
STREET G ST O
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
Thls Permit covers work to be done on private property ONLY.
NAM/E.
COMP. PLAN 9T. R/W ............IT- ....
Any enn sl rnrt inn nn lbo Public dmm�ln (Sarna, sid<laalk., drh'ewe.ys,
/ ,(
C•f:LII,� / l /� yam._-.. �_lJ
REMARKS
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C A ORE
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CHECKED BY I'
/:as:
C C 1•Y '"`
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T------- E NUMBE.[R�
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—,F, /Y G
RiETER L•'�
SIZE 8RVICE SIZE
CLEARANCE
CHEC ED BY
,
D STATE LICENSENUDIBER�7'
Y LICENSE NUMHElt
—/Ir / �J
REMARKS
Legal Description 01 Property (Show Below or Attach Four Copies)
['\ ; `-
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TYPE CONNECTION VERIFIED BY
n l--/%i��a-
PERC, T; ,
t ! M NUMBER
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FIRE ZQNE TYPE OF'�I STRUCTl4tN�j STREET 1ASPROVED
1W' . I [] YES ❑ NO
!.
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
❑ YES �`.f ja0 — - 2 - /
IN THE CITY
`.
❑ RESIDENTIAL
CA8
❑
❑ NEW
LINE
PLAN CHECKED HY THIS SITE IS LOCATED
EDM ONDS. LOCAL SALES TAX
NON-RESIDENT IAL
❑ SIGN
OF
SHOULD BE CODED 3104
❑ ADD ❑
❑ WALLKING
REMARKS
/� -
I!
DEMOLISH
FENCE�c-�I
�nR7KS
t��/] 2
—
"1 �
❑ ALTER EXCAVATE
❑ OR FILL ❑ i......... at ......... Ft.)
{"' -r��•l'/ I
t Y(E l214 IT 1 JO
`
❑ REPAIR ❑ IRE- IOVE ❑ POOL[
NUaIHER OF STORIES NU MBE.' OF
t I DWELLING
y, .-r-'' ((�� L `
I
UNITS
NATURE OF WORK TO BE DONE
Vnlu¢tlon Fec RecclPt No.
I
Plan Check
1
BUILDING
S�YJ� 6Q
[p
Y PROPOSED USE _
a
PLUMBING
1
PLOT PLAN (InUlertto 8 \ i et IU ulting streets)
HEAT do GAS LINE
j
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
j
PRE•a[OVE INSPECTION
EXCAVATION OR FILL
-
TOTAL AMOUNT DUE
L� .[• Q
I hereby acknowledge that I have rend this application; that the In-
formation given In correct; and that I am the owner, or the duly author-
I¢ed agent of the owner. I agree to Comply with City and state laws ragu-
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 or Washington
THIS PEB511T
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITION8 which
ONLY THE
µ•OnR NOTED
Hty; and fees are paid, and receipt is so
shell be completed In ninety days; MOVED•IN BUILDINOS shall be eons•
Imowledged In space provided,
i
plated in six month..)
INSPECTION
DEPARTMENT/P
..
DIRECT dIONA U 1
i
S ONATUIiE (OWNER OR AAAII{yyyENT DATE 816NEU
(j
CITY OF
J/¢�
EDMONDS
DAT
NOTE: Applicant Snhjbct to Plan Check Fee
775-2525
Thls Permit covers work to be done on private property ONLY.
Any enn sl rnrt inn nn lbo Public dmm�ln (Sarna, sid<laalk., drh'ewe.ys,
INSPECTOR
':
rnll,•,•x. ,•1 a'.1 1,111 r� Inlr,• ce nnrnl^ nrrinlnelea.
rrglr wwewl■e�lra�
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