1309 OLYMPIC AVE (2).pdfLOT.IIOR agr........................................ . — --------
d This Space Is For
APPlicant hereby certifies that a plot, plan, drawings
and sufficient details to indicate p
the intention to fulfill all requirements of this code are attached hereto, City Inspector Only
Application is hereby made for permit to do the following work:
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1: Building dimensions X 1
2. Lot dimensions ....1�.�
... X .....,�.�.1
3. Building will be ..................stories.
4. Baeement ...: 444
5. Occupancy of building will be....
6. ....................... feet from the nearest ad' ining e
7. Owner.. .................»..
8. Owners Address ........... » ,...
g, Builder_ ......... .»..... . .............. ...».............»........0...»..................
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10: Builders Address........................».................................................»
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Date ......
..................... 19.
- (thvaee or bb agent) t; �;
Permission is hereby granted to do the work described hereon, according to the approved plans and specifications pertaining hereto. i
subject to compliance with the ordinances of the City of Edmonds.
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1. The building permit fee which applicant pays when permit is Issued than be based on estimated cost of the proposed structure, at the rate of $2.00 for each i
$1000.00 of cost. If the actual coat of the structure, when finally determined, exceeds the estimated cost by more than S%, applicant agrees co pay an additional fee
of $2.00 for each $1000.00 of such excess cost.
2. Whenever a contract for construction is executed for any structure costing more than $1000.00 for which a licensed architect or engineer Is not required by
the Building Code of the City of Edmonds, the application for a building permit shall be accompanied by a copy of the contract and a copy of the detailed
specifications. t,
3. prior to employing any labor or commencing work, notify the In Lsaunace Division of the Department of Labor and Industries, giving an estimate of
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the payroll and make monthly rapers of payrolls. Full instructions should be obtained from the nearest office of the Department of Labor and Industries.Before s.
final payment, the owner should obtain a release from the general contractors who in turn should obtain releax from all sub-coa[racton. The releases should ba,
nnested by the Department of Labor and Industries. The above procedwa are requirements of the State Industrial Insurance Act. ij • ; r .
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