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650111.pdf9 f) ar oo.L,57 5�7 DDRESS 2, — /47 rbe f ADDRESS IP ME r W &_S ff 4V %57 -t6 -T L I:_, /001 Al 46"111jo-711 0/-28 SIR � PERMIT NUMBER 6501 1 1 YES ALL BUILDING SETBACKS NOTE: TO EAVE LINES Required NEW DEMOLISH AMD I / ALTER RESIDENTIAL NUMBER OF I REPAIR NON-RESIDENTIAL DWELLING I UNITS I hereby acknowledge that I have read this application; that the In- formation given is correct; and that I am 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 Code of the State of Washington relating to Workmen!s Compensation Insurance. NOTE: PERMIT LIMIT ==aw-.*#AVj PLOT IVAN CHECK & APPROVED F71LE 13 NO STREET IMPREVED 13 YE ri No [] YES 0 NO BUILDING I VALUATION BUILDING PERMT 2 FEE PLUMBING 3 PERMIT FEE HEAT & GAS LINE 4 PERMIT FEE DEMOLITION 51 PERMIT FEE —6 1 AMOUNT DUE ATTENTION APPLICATION APPROVAL THIS rEnMIT This application Is not a pernilt until AUTHORIZES signed by the Director of Building Inspec- ONLY THE WORK NOTED tion, or his deputy; and fees are paid, and receipt is aclmowlejlged in space provided. INSPECTION DEPARTMENT CITY OF EDMONDS PR 6-1107 I APPLJOATION �'%UILDING PERMIT R.. CITY OF EDMONDS Building Departmen? foll g work, in accordance with the accom, APPLICATION is hereby made for a permit to construct the oviin d specifications. Two sets are submitted herewith for approval. panying plans an Off,st. er -e new alt e_C--c --� king ............ V___ " ..... .............................. . .......... Work addn repair ....... ez4�ev—....,4 .................... Par Use zone ....... ...... Fire zone ............................ Occupancy................................ Const. type ............................... Jo t ........................ Blk ........................ Addn ...................................... Address ..... ay. ................................. .......... A-- S tic tank ........................................... ............................................ Lot frontage ........................................ 1. side .............................. rear ............................... Bldg. set -backs front ............................ r. side. ........................... No ............................. ..... .. Address. ...... 6.�aZ n r.. . ...................... .. .......... Ow Bu *el. N .. .............. ........................ Address..-,.�2-3 ei�� ................... ...... Address .................................................... . Tel. No ............................. Plans by ........................................................... ...................................... .................... Remarks ........................................................................................................... ......................................................................................................................................................................... 77 ............... The I above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. Address ............................................ Jgl� e-,� -------- - --- Signed Owner/A and to compliance with the ap PERMIT for the. above work is hereby approved, subject to the, above conditions, proved plans and specifications, and Building'Department notations thereon. . . . . . . . . . x ................. .............. Permit fm ............... Recd. by ......... ri.. Valuation .............. ........ Building Department, By ............................... - Date. ................. ..... NOTE This permit does, -not cover plumbing, sewer, or electrical irstallationsolor does it permit any work, to be. done in the Right of Way areas. Driveways and walkways must be Planned to meet the official grades of streets and alleys, and plans for future sidewalk development - Appl. No . ................. .......... Permit limit, one year Pass fe, CITY OF EDMONDS, WASHINGTON BUILDING PERMIT 4 to indicate This Sp that a plot, plan drawings, and sufficient detail ace Is For *61i t' hereby certifies p of 'this code are attached hereto. City Inspector Only le intention to fulfill all requirement" do the following work: Application is hereby made for permit to ........ . ......... .. . ...................................................... : ........ ............ . ......... ..................................... ..... . ....... .............................................................. . ......... ............................................ ............ . .............. .......... . .......... . .... . ...... . .. . . .... . ................................ . ................ . ...................... . .. . .... . ......... .. . ....... ............... ....... . .... . .......... . ......... ................................................ / .............. Block ....... . ........... i .................................................. LD .... I.Yffi .. . . .. . . .... . ...... ..... UJt .... 7] ww( -2-7- ... . . .. . . .. . .. . .... . .... . ......... ................ . .......... . .. ...... . .......... . ................ . ................ . .......... . .. . ...... . .... . ...... . .. . . .. . . ......... . ............................ . . . .... . .... . ................ . .... ..... . .... . ... ....... . .................. . .. . . .... . ... .......................................... at .... .. 4-JO. .............. 1. Building dimensions ..... J.0 ................. X ..... 2. Ut dimensions ........ ... .... X .... ................. ....... .................. stories. 3. Building will be ...... 4. Basement ........................ ..................................... occupancy of building will be ........ g me. et front the nea d* i i li r3bidjoinin 6 . ......... ............ ...................................................... 7. Owner. . .......... . ... ..................................... 8, Owner s Add 6 ......... z4z� ..... S ....................................... ...... ... ........... 9. Buil der ......... ........ 11 .................... .......... .................................................... . ................... 10. Builder's Address. . .... ............ . ... ..................... . . .......................... ................. T ---- - - ------- Date.. ..... .......... . ........... ..... .... e ............ (o"er or his agent) ork described hereon, according to the approved plans and specifications pertaining heretor Permission is hereby granted to do the w th the ordinances of the City of Edmonds. subject to compliance wi FPERM1ffT INK? 1021 )ays when permit is issued shall be based on estimated cost of the proposed structure, at the rate of $2.00 for each 1. The building Permit fee which applicant I than 5%, applicant agrees to pay art additional fee $1000.Oo of cost. if the actual cost of the structure, when finally determined, exceeds the estimated cost by more of $2.00 for each $1000-00 Of such excess cost- to costing more than $1000.00 for which a licensed architect of engine" is not required by 2. Whenever a contract for construction is executed for any structu the Building Code of the City of Edmonds, the application for a building Permit shall be accompanied by a copy of the contract mind & copy of the detailed specificadoas. 3. Prior to employing any labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and Industries. giving an estimate Of Full instructions should be obtained from the nearest office of the Depart cat of Labor and Industries. Before the payroll and make monthly reports of payroll$. e from all sub -contractors. The releases should be ayment, the owner should obtain a release from the general contractors who in turn should obtain releas final P Ores are requirements of the State Industrial Insurance Act. attested by the Department of Labor and Industries. Ile above proced J� "0. AVW�, NJ DEPARTME�j OF BUILDINGS CITY OF EDMOLS. WASHINGTON BUILDING PERMIT �2 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. Z. 41 0 Application is hereby made for permit to do the following work: C b 13 ................. .. .................. ........................................................................ .............. . ........ ............................................................................ ...... . ........ . ........... . .................................................................................................................. > �j 0 rn..... . .............................................................................................................................. P., *zJ 0 :4* .. .................................................................................................. P4 ................................................................ PQ .. .............................................................. W . . ......... .................................................................................................................................... -B *t U ................................................. .......... . .................................................................................. U .......... ................... .. .............................. . ........ ..... iwx: .2 >', at.... . .......... ........... A V, ..................... . ......... (Street number or lot and block n C14 en PQ 0 FL . ............. X 7.� . . .............. In Pk rn 1. Building dimensions are .......... 2. Lot dimensions are .... ............ X ....... ....................... en :D L 3. Building will be ..... / .................. stories in height. r. 0 0 4. Number of basements...., -.-I- . ....... z I be ....... ............................ . ...... ..... 5. Occupancy of buildin Building� be .... .... ... feet from Wne.a est acdHoiningia line. 9/7" 0_4/ ge C& ......... ............... Estimated cost $ .... X .. ...... 7. .... . ......... .. ... 8. Owner's Address ... A-10 .. ........... 4� ........................................ 9. Builder .......... Group No . ................................................ ........................................................................................................... ....... Builder's Address ............................................................................................................ 11. Ard�tect or en ......................................................................................... Life of permit-... gmeer .......... .... . . ... ..... date Date./ Plans filed: Yes' No 11. Applicant's Signature ................................................... 1 ............. (Owner or his ageni), ..... Permission is hereby granted to do the work described hereon, according to the approved plans and specfficationg pertaining hereto, subject to comphance with the ordinances of the City of Edmonds, This copy is your receipt for the, following fees: /VOO 1. Building permit fee ......................................................... $ ... /..v ........................... 2. Sewer permit fee ............................................................ $ .......................... ............ 3. Inspection and supervision fee ........................................ $ ...................................... 4. Total .................................................. ...................................................... . .......... . .... . .. .............. . . ....... r�> Receivd&by Ar 1. 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 $1.00 for each Sl000.00 of cost. if the a . crual cost of the structure, when finally determined, exceeds the estimated cost by more than 5%, applicant agrees to pay an additional fee of $2.00 for each $1000.00 of such excess cost. In such event no use permit shall be issued until such "discrepancy fee" is paid. 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 s, building permit shall be accompanied by a copy of the contract and a copy of the detailed specifications. 3� labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and Industries, giving an estimate of the a reports of payrolls. Full las't'ructions should be obtained from the nearest office of the Department of Labor and Industries. Before final d obtaln-a-releaseJEom the gen",contritctors who in turn shoulf-phtaiNte.�easj from all sub -contractors. 71c releases should -be 'tuened 't. Labor i6d-lndustr1es;- The Ab6ve ocedures are requirements of kt,State- n ustrial Insurance Act.