650218.pdfPermit
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B!OINEBS
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JOB ADDRESS
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SIDE YARD
TELEPHONE NUMBER
USE ZONE
BUILDING
PERMIT
NUMBER 650218
REAR YARD
[] YES 13 NO 0
�.OT AREA -VA—RIANUM —NUMBER
ALL BUILDING SETBACKS
NOTE: TO EAVE LINES
n-
ADDRESS -Encroachment Permit PERMIT NUMBER b-rnWjU-r U�� V�U�j
Required
11 YES rl NO
YES 13 NO
BUILDING
VALUATION
BUILDING PERMIT
FEE
NUMBER OF STORIE
PLUMBING
NEW
DEMOLISH
3
PERMIT FEE
ElADD
4
HEAT & GAS LINE
PERMIT FEE
ALTER
RESIDENTIAL
NUMBER OF
REPAIR
NON-RESIDENTIAL
DWELLING
UNITS
4AMOUNT
5
DEMOLITION
PERMIT FEE
01
DUE
I hereby acknowledge that I have read this application; that the in- ATTENTION
formation given in 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- THIS PERMIT
lating construction; mul In doing the work authorized thereby, no person AUTHORIZES
will be employed in violation of the Labor Code of the State of Washington ONLY THE
relating to workmen's Compensation Insurance. WORK NOTED
NOTE: PERMIT LIMIT ONE YEAR INSPECTION
SIGNATURE JPWN19" Wt N�1)
DEPARTMENT
CITY OF
EDMONDS
PLOT PLAN CHECK & APPR . OVED PR 6.1107
FILE
[] YES [3 NO
- O-V
1 1 4 , C-1 V I
APPLICATION APPROVAL
This application Is not a pernilt until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
W
!-rJ
I
CITY OF EDMONDS, WASHINGTON
BUILDING PERMIT
Applicant h byfucerHtifies that a plot, plan, drawings, and sufficient details to indicate
tiolrthe inten to fi all requirements of this code are attached hereto.
Application is hereby made for permit to do the following work:
............... :2t . . .... . .... . ................ . .............................................................................. . .........
... .. ............................................................................... . . ................................
Lot........................ 7 ...........................
1. Building dimensions .................. 1;6 ..... X....
............................
2. Lot dimensions ......... A�:Z-45� ........ X ...... ...........
3. Building will be ........... / ......... stories.
4. Basement ........................
5. Occupancy of building will be .......... ....... ..........................................
6 . ..... I ,? . ...... gf I fro� the nearest ��oining line.
'e * olli�4
7. Owner .... . .. . ... , I
.......... 7 ........
E ..... ...... ........
8. Owner's Address .......... !:r:4! . . .. ....................................................................... . ...............
9. Builder ................
......................................... . ..................
10. Builder's Addre&,, . ..................... .................................... . ......
g. /t') . * ............... ** ... .... ..... * .... ....
Date-�-'.'� . ..............................
.................
(Owner or his agent)
a
This Space Is For
City Inspector Only
I
F
Yranted to do the work described hereon, according to the approved plans and specifications pertaining hereto
Permission is hereby 1,
subject to compliance with the ordinances of the City of Edmonds.
PERMIT. N? .'.910
Estimated cost
.....................
Life of permit ............. z .... >.'?�
..........
date
Plans filed: Yes 2"'�No 0
Department of Buildh
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
Siollo.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 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 Icopy 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. 'rhe releases should be
Rttested by the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insurance Act.
�4
CITY OF EDMONDSo WASHINGTO
BUILDING PERMIT
9"nt hereby certifies that a plot-, plan, dmwings,,and sufficient details to indicate
I I
t I io . n.tD fulfill all requirements of this code are attached hereto.
Q%is hereby made for permit to do the following work:
ri;.*.';i...'. ...................... .................................................. V ....... .... ................................
.... .... . ................ . ................ ...........
.... . ... ............... z ......
........... ....... ...... . ...... . .................. . .. . . .... . ...
a .....
d
M .............
1. Buil ing dimensions ..... ..... ............... X ....
dimensions ........ .......... x .........
2., Lot
3. Build
ing will be ........ .............. stories.
4. Basement .... ......
5 Occu of building will be ................... . . ... ........... .................................
'n
........ T djo ing line.
6. ....... :- feet from the n r t adjo
7. Owner .... ....... . . . .. ..... .... ....................................................................
8. Owner's Address ....... ....... . ................ . ...............
................
..... . .....
9. Builder ............................... .... ... ..... ......... ..............
10. Builder's Address .............................................. . ...................................... . ..................
..................................................................................................
Date ....... .................... 19.�Z
.........
or his aii;�6) A 7
This Space Is For
City Inspector Only
JVQ V
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? 658
Estimated cost $144.5 . .......
Life of permit. .... 4��
.........................
date
I Plans filed: Yes Z[--"'No El I
............................
Received by
(Issuing Officer)
Department of Buildings
City of Edmonds
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 $2.00 for each
Si000xo of cost. U the actual cost of the structure, when finally determined, exceeds the estimated cost by more than 50/c, applicant agrees to pay an additional fee
of $2.00 for each $1000.00 of such excess cost.
2. Whenever a contract for cothtruction 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 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
arrested by the Department of Labor and Industries. 71e above procedures are requirements of the State Industrial Insurance Act.
i