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0 UITY OF EDMONDS <br />1215TH AVENUE NORTH -EDMONDS, WA 98020 <br />PHONE: (425) 771-0220 = FAX: (425) 771-0221 <br />STATUS: APPLIED 01/13/2017 ������ � <br />MINE <br />� � . ��� �J�,�1 '' l WKS, �# 1 <br />„ <br />Expiration Date: 07/13/2017 �� �� '� � �� 9 � . Ol l , u a��r +� r ���, <br />e . m tb� r� n, ,n., u <br />Parcel No: 00450700500013 <br />BAHRAM SAMANIAN <br />22425 100TH AVE W <br />EDMONDS, WA 98020 , <br />(425)678-8262 <br />1JA111\A1Y1 UA1YlA1`IlAlY V VY 1`I Ll� liALIVII 11V3`I <br />22425 100TH AVE W C/O BAHRAM SAMANIAN <br />EDMONDS, WA 98020 22425 100TH AVE W <br />EDMONDS, WA 98020 <br />(425)678-8262 (425)678-8262 <br />11N3UL,A lit'. A1NLJ.L)IC T W ALL t5A3=VlrIN 1 . 1 nAINUC UUi1 W 11NULM D. <br />ALL WORK SUBJECT TO FIELD INSPECTION <br />VALUATION: $3,000.00 <br />PERMIT TYPE: Residential <br />PERMIT 'GROUP: 04 - Alteration/Remodel <br />GRADING: N CYDS:-0 <br />TYPE OF CONSTRUCTION, <br />RETAININGWALLROCKERY: <br />OCCUPANT GROUP <br />OCCUPANT LOAD: <br />FENCE: ( 0 X 0 sFT .I <br />OTHER. ------- OTHERDESC: <br />CODE: 2015 <br />ZONE: <br />NUMBER OF STORIES: 0 <br />NUM13litt OF DWELLING UNITS: 0 <br />BASEMENT:0 1ST FLOOR: 0 2ND FLOOR: 0 <br />VESTED DATE: <br />LOT #: <br />BASEMENT; 0 1ST FLOOR: 0 2ND FLOOR: 0 <br />3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 <br />BEDROOMS:0 BATHROOMS: O <br />3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 <br />BEDROOMS: 0 BATHROOMS O <br />I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE`'WORK AUTHORIZED <br />THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO <br />WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27, <br />THIS APPI "N"105? , IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID, <br />� SP1 ? �; o/ / /7 <br />igna a Print Name Date I Released By ;Date <br />ATTENTION <br />ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL' INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF <br />OCCUPANCY HAS'BEEN GRANTED, UBCI 09/ IBC110/ IRCI 10, <br />ONLINE APPLICANT = ASSESSOR OTBER <br />