690107.pdfJim
BUILDING DEPARTMENT Applicant FW
PERMIT APPLICATION Inside Heavy Men
NAME (OR NAM OF BUSINESS)
ARCHIE IVERSON & COMPANY
MAILING ADDRESS
1139 N.W. Market
D
-U,—Ty
. WME I
Seattle, 0
Su
NAME
Lawrence & Hazen
41
ADDRESS
8626 Roosevelt Way N.E.
TELE
Seattle, Wn. LA
NAME
Archie Iverson & So.
1139 N.W. Market
CITY
TSLE
Seattles Wna
Su
14
ascription of Property tanow i5eiow or Attaca wour �vincni
All of Lot 1 except the North 1/5
Skelton's
vol. 6 of plats p.219 records of
NEW RESIDENTIAL I
GAS
R LINE
_0
NON-RESIDENTIALI
1=
SIGN
D
K�"
DDEMOLISH
RETAINING
WALL
ALTER EXCAVATE
D OR FILL
FENCE
( .......... x .......... Ft.)
D
REPAIR PRE -MOVE
INSP.
swim
POOL
I NUMBER OF
Two
DWELLING
UNITS
8 Units
4ATURE OF WOM�_T_O BE DONE
Anartment (Building B)
See drawings
I hereby acknowledge that I have read this application; that the In-
format.ion given Is correct; and that I ELM the owner, or the duly author-
ized agent Of the owner. I agree to comply with city and state laws regu-
lating construction; and in doing the work authorized thereby, no person
will be employed In violation Of the Labor Coda of the State of Washington
relating to Workman's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
plated-in six months.) -
NOTE: APPlicant Subject to Plan Check Fee
iiis rermit co,vezz work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate pernilmalon.
ON KROLI, MAP NO.: PERMIT
/ o 16 1 NUMBER 69010
fARD SETBACK STREET biuTBACIC nwA.K YARD SETBA
CA410 VJ
,ONE LOT AREA VAC
yy) X /7/ j� 0 6 J')gJ:yEB [3 NO
T BUILDING AREA VARIANCE NUM
- __ - 1 1 -
EXISTING STREET R/W ............ FT- DEFICIENCY THIS PROPERTY
indicated on Standard Drawing #103.
0 YES
13TREET IMPROVED
[] YES WA416�
Ail/utilities must be underground per
Edmonds City Ordinance #138?.
Plan Check No ... 1.4-T
1411 "IsIckle"
PLUMBING
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
Valuation
Fee
5.
0
P4
Z
I
No.
�� 1-.00 IN?a
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.
I
N
I
N-I
CITY OF EDiT" 0"A 1�b
DEPARTMENT OF BUILDINGS
CERTIFICATE OF OCCUPANCY
UNIFORM BUILDING CODE, Sec. 306
Building Permit Number 6 9-m w
At '83 A g
Occupancy established by this certificate: es
Fire Zone No. Stories
t
V Basemoernt
Type Const.
Apartment — 11.
Floor Load signs in place (per Sec. 1308 U.B.C.) — Capacity signs posted (per Sec. 3301 U.B.C.)
posted at all times.
Floor load and roon; capacity signs, wben required, inust remain
HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
'WITH UNIFORM BUILDING CODES.
THE _2Brk-3allingen-APantMenta
PROVISIONS OF THE EDMONDS BUILDING CODE AND
issued this 2.4j-,h day of
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.
I