21227 96TH AVE W (2).pdfI
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CITY OF EDMONDSo WASHINGTON
BUILDING PERMIT
Applicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate
the intention to fulfill all requirements of this code are attached hereto.
Application is hereby made for permit to do the following work:
... ........ 117 ............. ..... .... . ..............
... * ' ' 7'�� � �V 10 ........
I 'a.4 . 72� -"If - -------
1. Building dimensidfis
2. Lot dimensions ...... . /�'
3. Building will be ..... I .........
4. Basement .... . . ............
5. occupancy of building will
6 /..0 ..... feet fr �0
7. Owner .................... .....
8. Owner's Address .................
9. Builder .................................
10. Builder's Address ... 62d
Date.2.— ./::�
........... X.M;E.7 .. a ...........
adjoining
1
............ / ... .
�11
(Owner or Ns agent)
This Space Is For
City Inspector Only
'=9' 1.�n --.2 z�:- .- �:� C_ 6"'J.
Permission is hereby granted to do the work described hereon, according to the approved plans and specifications pertaining hereto,
subject to compliance with the ordinances of the City of Edmonds.
PERMIT N? 722
E A -- ___)
stimated cost $ 4LI",
z
Life of permit.A� ..........................
date ..... Rec i b
(Issuing Officer)
Plans filed: Yes?'-�Nct [I Department of Buildings
City of Edmonds
i. The building permit fee which applicant pays when permit is issued shall be based on estimated cost of the proposed structure, at the rate of $2.00 for each
$I000.00 of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more than 551b, applicant agrees to 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.
3. Prior to employing any labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and Industries, giving an estimate of
the payroll and make monthly reports of Payrolls. Full instructions should be obtained from die nearest office of the Department of Labor and Industries. Before
final payment, the owner should obtain a release from the gcncral contractors who in turn should obtain release from all sub -contractors. The releases should be
Attested by the Department of Labor and Industries. Ile above procedures are requirements of die State Industrial Insurance Act.
I
CITY OF EDMONDS, WASHINGTON
BUILDING PERMIT
Applicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate
the intention to fulfill all requirements of this code are attached hereto.
Ann1;rnt;nn in herebv made for nermit to do the following work:
at....
1. Building dimension ...... 54-17 ...... ...... X-4
2. Lot dimensions ...... Y'F . .......
1. B uilding will be ............ / ........ stories.
4. Basement ...... .....
5. Oc f b ilding will be.
*cupan u'
6. Z.O.. feet fr9w
y ne joini
7. Owner ................... Vt .....
8. Owner's Address.. ... 1�1 .....................
9. Builder ...................... .. ....... .... .. ..
.C940
10. Builder's Address..<;5�-
...................................
Date....... ILO? ...... /..� ......... I ..... 19
line.
-------- - -- - -----
........ .............................
(Owner or
This Space Is For
City Inspector Only
a , " , — C/ a, 14!� a L' - L'o.
Permission is hereby granted to do the work described hereon, according to the approved plans and specifications pertaining hereto,
subject to compliance with the ordinances of the City of Edmonds.
PERMIT N9 .' 723
Estimated cost V4 . . .. ...... .,go
Life of permit .... .. . n-z) . ............... . .......
date Rece'
(Issuing Officer)
Plans filed: Yes JV""NO 0 Department of Buildings
City of Edmonds
1. The building permic fee which applicant pays when permit is issued shall be based on estimated cost of the proposed structure, at the rate of $2.00 for each
$100o.00 of cost. if the actual cost of the structure, when finally determined, exceeds the estimated cost by more than 5%, applicant agrees to pay in 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 $L000-00 for which a licensed architect or engineer is not required by
the Building Code of the City of Edmunds, the application for it building permit shall be accompanied by a copy of the contract and a copy of the detailed
specifications.
3. Prior to employing any labor or commencing work, notify the industrial insurance Division of the Department of Labor and Industries, giving an estimate of
the payroll and make monthly reports of payrolls. Full instructions should be obtained from the nearest office of the Department of Labor and Industries. Before
final payment, the owner should obtain a release from the general contractors who in turn should obtain release from all sub -contractors. The releases should be
Ruested by the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insurance Act.
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