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650340.pdfA !J, DEPARTMENT APPLICATION / (I 10k 10 K d aNG ADDRESS A/ , 9" 77t4 r, E Rmas f 300 /0/�Ur— gui-s TI E 9 1-; K S v Z 61 R A, CITY E)9 7TI _rTATE —LICENE EC A/. W. Seg. 11'a AV //0 _3 L9 (/ I... - I -------- ­ - -.11 ;11 ------ - ----- - ............. Applicant FM ]Inside Heavy Lines I IkIR A, Al / �J 95- TELEPHoNE NUI I / 0 cy— a CITY LICENUM V rty (Show Below or Attach Four C001 5'a c F Ulf AZLTi 0 IQS_121�_g _r&Alt I., � '771�. - ^ Uz:r NEW E] SIGN ADD DEMOLISH PENCE NUMBER OF DWELLING ALTER RESIDENTIAL REPAIR NON-RESIDENTI.AL 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 Workman's compensation Insurance. (Except Demolitions which shall NOTE: WRot Untit One Your be completed In ninety days.) /- / I NOTE: APPlicant Subject to Plan Check Fee _7 This Permit covers work to be done on private pwPeAY ONLY - Any construction on the public domain (curbs, sidewalks, driveways, marQuees, ate.) will require separate permission. TYPE YES BUILDING VALUATION BUILDING PERMIT 2 FEE PLUMBING 3 PERMIT FEE HEAT & GAS LINE PERMIT FEE SIGN PERMIT 5 FEE DEMOLITION 6 PERMIT FEE PLAN CHECK 7 FEE 8 AMOUNT DUE ATTENTION TIUS PERM" AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS PR 6-1107 PERMIT W I NUMBER IT SETPACI 7/-- 7 'r <2 0 REAR YARR SETS VACANT SITZ 13 YES 0 NO [3 YES 0 NO - '9 �7 2 06) APPLICATION APPROVAL This application is not a perndt until signed by the Director of Building Inspec- tion, or his deputy; and fees are paid, and receipt is acknowledged In space provided. F�4i�3 r� I 4 . 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Builder's Address .................. .......... Date...... ................... ... ........ .... .. ..... Ve ZD ..... . k.,f ...... 1030 4! - - ---- .... . .... . ... . .... .... . . . . .. . . ...... . .... . .. . . ......... Wo. ............................................... ...... .... X...... 5_� .................. .X .... 1_6.n ............... 1. wh� .......... . . ......................................... :st adjom'ijn:::'g "Ime r__: . . .. . ... ..- W_ ....................... . .... . ............... ........................................................... . ................... ................................................................................ .(owner or his agenti I This Space Is For City Inspector Only C 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? 729 Estimated cost 'r..0.0.0 .... Life of permit .... k7tw ... ­' due IPlans filed: Yes ?�_ No 0 00 $.2v .................. Received b .. . .... . ...... (?F. (Inning Officer), Department of Buildings City of Edmonds i. lie 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 Wo, 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 Sl000.00 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 estimatecif 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 paymenti the owner should obtain a release from the general contractors who in tura 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. I I BUILDING PERMIT Building Departmeni PLICATION CITY OF EDMONDS T, APPUCATION is hereby made for a permit to construct the following work, in accordance with the accom, All any , ing, plins and specifications. Two sets are submitted herewith for approval. Off -St. alter ............... Parking ...................... repair...... ..................................................... Uye zone ...... V—:.� ..... ..... Fire zone ............ ccup ................................ Const. type .............................. !- el JIIr 7 S Z"/ '0 C'. Xt/7 T Addn . .................. .. . .... d..? ..... I Lot ...................... Blk ......... ............... 7 . ..... ;�4'e S '. 1, ptic tank.. .............................. .......... ...... e:� ....................................... Area. ear....................... ... .......... :i;La ...... r. side .................. ....... 1. side .............................. r .......... Address.... ............. ..................... Tel. N . . ............................................... .................... Address .................................................... Tel. No ............. ............... ................................. ............................................................. Address ....... ............................................ Tel. No ............................. ................................ emar................................................................................................................................... ................................................................................................... .............................................................................................. I.. ................................................................................................................................................................................................ The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. ............... Address ............................................ Date.*.,;.�— Signed Owner/Agent :�2 PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap, proved plans and specifications, and Building Department notations thereon. Valuation ................... 6.0-0-0 .......... Permit fee ........ ............ Recd. by.. .. ............ By ................................................. . 14.6 .. ;i ... ;P ..... Date... ! -Z�� Building Department., ....... This Perinit does not cover Plumbing, Sewer or Electrical installations. Appl. No. ........ Permit limit, one year I I MI. "APPLICATION BUILDING PERMIT Appl. No . ................... . ...... . jj�i6MONDS Bvikling Deparrmwt Permit limit, one year it'hereb ade fo a permit to construct the following work, in accordance with the accom- r 7. Two sets are submitted herewith for approval. ter Off -St. air ............ ............................. ................................................. ............... Parking . . .. . .. . ........... ............... Const. type ...... ....................... ........ Fire zone ..................... ................. ........................... 7-d Lot ....................... Blk ........................ Addn ......................... . ............ ......... Area ........................................... Septic tank ......................................................... ...................... nt........................... r. � side ............................. 1. side ............................. rear ............................... 16L-4�s.. Address...e�.2:�X.�� ................. Tel. No..2Z ..i� ..... . . . .. .............................. -------------- ........... Addrem ................................................... Tel. No .............................. *Ire ... Address. ................................................... Tel. No ............................. ... .............................................................. Remarks . . .................................. . . ................................................................................................................................... .. ...... Th 'abo a,correct statement, and I agree to comply with all applicable Codes and State laws regulating this C ve is work. Agent.. Date... Signed Owner/ ...... ..... .............. ......................................... ... PERMIT for the above work is hereby approved, subject tDthe above conditions, and to compliance with the ap, proved plans and specifications, and Building Department notations thereon. Valuation .... . ........ ... Permit fee ........ JA .............. Recd. by. ........... 7 ........ . ................ Building Department, By ............................ ..................... Date ....... ....... '-&Z? .................... INSPECTION RECORD Fdn, OK ............................................ Frame, OK ............................................. . ..... Final, OY . ...................................... This Permit does not cover Plumbing, Sewer or Electrical installations. I I CITY OF EDMONDSo WASHINGTON BUILDING PERMIT t he reby certifies that a plot, plan, drawings, and sufficient details to indicate ,tion to fulfill all requirements of this code are attached hereto. Lon is hereby made for permit to do the following work: . . ..... ..................... '*"*'7"** .......... ""]; .. . ... .... ......... . .... . ........................ ................ Block ....... ................. X . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . . . . .............. /9!?� ....... X ..... . /.6� A ... .................. ........ I ............ stories. t........................ zy of building will be ................................... ........... . feet from the neare§t.,adjoining line. W ............................................... . .... . ............... Budder.� ... . .......... . . ................. ............ . ................... Builde?s Addresi .......... ............................ ........... .. ....... 77 ................................................................................................... I wp� ................. .............................. a agent) Permission is hereby granted to do the work descnl)ed hereon, according to the approved plans and specifications pertaining hereto. subject to oompliance with the ordinances of the City of Edmonds. PERMIT N9 780 Estimated cost I Life of permit. I Plans filed 0 date Yes 0/"ONo 0 S-Jp� ...... . ......... Department City of Edr i. The building permit fee which 9131311cant Pays when permit Is Issued shall be based on estimated cost of the proposed structure, at the rate of $Z.00 for each $1000.0o of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more thin $%, applicant agrees to pay in additional fee of $2.00 for each $1000-00 of such excess cost- r Is not teq ed by 2. Whenever a contract for construction Is executed for any structure costing more than $1000.00 for which a licensed architect or enginet Ulf the Building Code of the City of Edmonds, the application for a building permit shall be accompanied by a copy of the contract and a copy Of the detailed specifications. 3. Prior to employing any labor or commencing work, notify the Industrial JAzurance Division of the Department of Labor and industries. giving an estimateof the payroll and make monthly reports Of Payroll$- Full instructions should be obtained from the nearest office of the Depart cat of Labor and Industries. Before final payment, the owner should obtain a release from the general contractors who in turn should obtain relessa from an sub -contractors. The releases should be arrested by the Department of Labor and Industries. 'Me above procedures an requirements of the State Industrial Insurance Act, V I APPUCATION (�., BUILBING PERNff CITY OF EDMONDS Building Departnmt Appl. No. .11' ....... permit ljmit� one year rdance with the acoom, APPLICATION is hereby made for a permit to construct the following work, in acco j%wo am are submitted herewith for approvaL panying plans and specifications, Off -St. new c,� alteF Parking ...................... .......... & �f or addn repair . . ........ e zone ..... ICY ................... Const. type ................................ Us . ....... ire ZO 0� C ............................ I*Iibntage �Ider ....... Plans by-fi��' .................. ..... IWd n. ... Lot ........................ Blk ....... / ......... e......................... Area........................................... Septic tank .................................................... ** ... * front........................... r. side ............................. 1. side ...................... rear ........................... eL ZZ.A. ............ ............... Address..---�� ...... .... Address............................. . . ........ worL Address ............................................ Dati-f Signed owner/Agent the above conditions, and to compliance ap PERMIT for the above work is hereby approved- subject to proved plans and specfications, and Building Department notations ther"n- .. ....... ... 7 . Valuation .... J . . ................................... Permit fee ....... ................... Recd ....................... _�Fj� )!� . . . ........ ................... Date ............. ...... .... .. . ..... Building Department, BY .............................. r .............. This permit does not cover plumbing, Sewer or Electrical installations. M a I irBumomo morr a S Bulwbg Depa""Hat Appl. No . ... . .............. . .............. Permit limik one year is hereby made for a permit to construct the following work, in accordance with the accom, spedficationg. Two sets are submitted herewith for approval. Off'st. ............. Parking ......... ............. ........................... f . ................. . . .................... ......... .......... Z9 ............... ................ Coast, type ............................... Use zone ..... ......... Fire zone ............. ............. ..... Lot ....... . ............... Blk ....................... Addn ........................ .................... Septic tank ......................................................... ......... Are& ....................... front........................... r. side ............................. L side .............................. rear ................................ A. No ............................. ................................ Addres& .... ZZ.e.. ........ .... el. 3 e r. .... . .. ..... ... ... r-d... Addres&.Ia-f-%�-k .. ....... ------------------------ Address .................................................... Tel. No ............................. NC)TE This permit doesnot cover plumbing, sewer, or electrical installations, nor 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-