650379.pdfw5q
BUILDIN 0 DEPARTMENT
PERMIT APPLICATION
zi
NAME (OR NAME OF BU
SJIM17nons,
M=LING ADDRESS C/
CIT
NA�
MY
cyll
NA
0 Z e L-, /-/, a, o � vs e, n
DRESS
n 1
�7'4.2 6, -.2,2 0 5.
Applicant Fill
Inside Heavy Lines
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LP NO.: BUILDING
.:;t PEmnT 650379
N 'MBER
U
M 0 J12 41�5
Pki 6, 111.4a.
1 Cf
REMARKS
ACENSE NUMBER
I q / /i"/�.7
Clwy LICENSE NUMBER
I
TYPE CONNECTION
scription of Property (Show Below or Attach Four Copies)
'22 6/01, 2 0/ X io, k
—fE—RC.TEST
S..4740,
PE 0
-SPECLALL INSPECTOR R
[3 YES NO
PLAN CHECKED BY
I
BUILDING
VALUATION
rO BE DONE
07
t1ve e, rdil,,?t-ter
6
z
BUILDING PERMIT
FEE
3
PLUMBING
PERMIT FEE
4
5
HEAT & GAS LINE
PERMIT FEE
SIGN PERMIT
FEE
NEW
ADD
DEMOLISH
SIGN
El FENC
rORIES
6
DEMOLITION
PERMIT FEE
ALTER
REPAIR
RESIDENTIAL
NON-RESIDENTIAL
N LE or
UMB R
WEL 14G
UNITS
7
PLAN CHECK
FEE
3ED U813
8
1 AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
ATTENMON
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-
THIS PERMIT
latLng construction; and 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 WorkmeWs Compensation Insurance.
WORK NOTED
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed in ninety days.)
SIGNA RE (OWNER OR AGENT) SIGNED
INSPECTION
DEPARTMENT
% 7
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PH 6.1107
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
ouLrquees, etc.) will require separate permission.
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ATION BUILDING. PERMIT Appl. No . .. . ............. ... . .. I ....
Building, DePailment Permit limit, one- year.,.
MONDS
accom-
.�','��..APPUCATIQN'is'hereby made for a, permit to construct the following work, in accordance with'the
lain and'specificitions. Two sets are submitted herewith for approval.
Off -St.
new re"'alter
I A Parkin . .................. .. .
............ I. ..
repair ......... . . ............................ ........................................ 9
zone ....... K.�24�2�. Fire zone ....................... .
................... ... Const. type.. ............................... Use
T- nil. AAA�
. . . . . . 0 1. ...... ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
r . . . . . . . . . . . . . . . . . . . . . . . . .
LotI.................... . 14aea ............................................. Septic tank .......................................................... .
rontage .. ...............
B g set, ........................ rear ............................... .
front ............................ r. side . .....
........................ 1. side ......
Address. ................................................... Tel. No .............................
6�rn ei ............................ ...........................
....... Address. ................................................... Tel. No .............................
.................................. : ..........................
................................................................. . Address ................... . .............................. Tel. No ...............................
e
. . . . . . . . . . . . . . .
................................................. ........ ................... ......... I ............................ .................. .............................. ......
The above,is a correct statement, and I agree to.comply with 91 applicable Codes and. State. laws reg�alating J*
work
Address .............................. ............. Date ...........
Ow r/Age-
Sign ed ne nt I. ..............
A th
PERMIT for the above work is hereby approved, subject to the above conditions, andto comp ance wi e ap,.
proved plans and specifications, and Building Department notations thereo'
n.
fee ....... ............. Recd. by ........... ........................................
Valuation .......... 4 .... ......................... Permit .....
Fdn, OK ............................................ Frame, OK .................................................... Final, OK .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
V
.. ........ I
... . ......
Z'
CITY OF EDMONDSs WASHINGT04i
BUILDING PERMIT
.."Applican't1triby certifies that a plot, plan, drawings, and sufficient details to indicate This Space Is For
'intentio irements of this code are attached hereto. City Inspector Only,
n to fulfill all requ
pli6ation, is,hereby made, for permit to do the following work:
.................................... ;;�'
. ................. .............. ...............
............... ........
........ .....................................................................
................ ......
........................................ . ...... . .......... . .........
..................................................................
.......... . .......... . .... . .... . .. . . ...... . .. . . .... . .........
...... . .... . ........................................ . .... . .... . ......
..... . ... . .. . .....
...................................................
. ..............................................
.. . ................
......................................
............. .. Block .............................................................. * .......
............................. . . .... . .... . ...... . .. . . .... . .........
..... . .... .
.... . .... . .......... . .... . ...................... . ...
. ............................
..... . .... . .... . .... . .... . .... . .......................... .
.. . . .........
. ........ . . . . . ...... . .. .
et". . ...........
....... . ..............
...................................
. ........ . . ....... .......... . .........
J-0 .... ..............
Building dimensions ....... .............
4 ....................
Lot dimensions .............. 4 .......
3. Building will be ............ ......... stories.
4. Basement ........ .............
y of building will be ................................................
ccupa%
5. 0 ...... 7 ........... . . ..
I ff f 7ee near adjoining line.
.,Jeet r
6 . .........
...........
. ........................................................
.........
7. Own
......... .........
Ag� ....... .................... . ................
8. Owner's Address ....
7 ...... ......
9. Builder ........................ ............................... I ......................... . ....
------------
10, Builder's Address ............................ ................................... * ....... *"'*"* . ..... .......
...................................... . ...........................................................
Date ..... .................... 19.0...
.. .......
. .. .. ........
or his a COO
Permission is hereby granted to do the work descri6ed hereon, according to the approved plans and specificatio I ns pataining hereto�
the ordinances of the City of Edmonds.
subiect to compliance with
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.eRch
to pay to additional fee
applicant agrees
$1000.00 of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more than 511b,
of $2.00 for each $1000-00 of such excess cost.
engineer is not required by.
2. Whenever a contract for construction Is executed for any structure costlag more than $1000-00 for which a licensed architect or 4
py th tract and a copy of the detailed
the Building Code of the City of Edmonds, the application for a building permit shall be accompanied by a co of e COO It
specifications.
ustrial Insurance Divisloo of the Department of Labor and Industries, giving an estimate Of
Prior to employing any labor or commencing work, notify the Ind
ly reports of payrolls. Full instructions should be obtained from the nearest office of the Department of Labor and Industries. Befo
the payroll and make month from all sub -contractors. The releases should he
old obtain a release from the general contractors who in turn should obtain release
final payment, the owner 2110 rial Lisursince Act.
'Me above procedures are requirements of the State Indust
Rttested by the Department of Labor and Industries.
9
b. J
7 f"
. . . ...... ......
f
CITY OF EDMONI)Ss WASHING706
BUILDING PERMIT
A?
Z�J sufficient details to indicate This Space Is For
Applicant hereby certifies that a plot, plan, drawings, and
the intention to fulfill all requirements Of this code are attached hereto.
City Inspector Only
g work:
Application is hereby made for permit to do the followin
. ................... . ........
------------ -
......... ........... ... Z:A
:::t . . ........
.......... * .... ................. ............................................. ............
. .... . .........
....................................................................... . ....
........... . ..................................
. .......... . ...................... . ............ ... . .... . .... . .. . .. . .. . . .... . .........
..... . ............................. : ..........
..... . ........................................ . .... . ..............................................................................
.....................
LOt ....................................................... Block ....................................................
.. . .. . .... . .... . .........
.......... . .......... . ................ . .......... . ...........
. .... . .......... . .... . .......... . .. . . .. . .... . .. . .... . .... . .........
.......... . ................. ..................................
..... . .... . .. . . .........
7 ..........
..... . .... --------
Q. ....... . .......... . ................
at....
. .............................. I ....................
1. Building dimensions ....... ..... ....... .... .... .....
2. Lot dimensions .............. X.
3. Building will be ........... �L ..... stories.
4. Basement ........................
et
5 ccup of building will be ... .. ...................... = .............
0
:gva jQinmg in
d* h e.
6 ........... D. feet fro th ear i
..............
... ...........
M.
7 ... A
7 Owner..
s Address ....... ........ Z . .......
8. OWner'
9. Builder ................... zv/ ................... .......................................... ..........
10. Builder's Address. ...... ................. . ................................ . ...................
.... . ............. I .........
..........................................................
.........................................
Date....."o . ........... ................ 19
J/'
............. ............................. . . ............
................ wrier at his agent)"
Permission is hereby granted to do the work described hereon, according to the approved plans and specifications pertairtingleretol
subject to compliance with the ordinances of the City of Edm6nds.
Estimated cost
0
$ .... ................ ...............
ReC
Life of permit. .......................... 7d
date Rec
(I Stu as Officer
PERMIT N? 873
Plans filed: Yes 1-1 N di
0 Departmen o Buil m9S
City of Edmonds
which applicant pays when permit is Issued shall be based on estimated cost of the proposed structure, at the rate of $2.06 for each
The building permit fee
timated cost by more than-m applicatit agrees to pay an additional fie'
$100�.00 of cost. if the actual cost of the structure, when finally determined, exceeds the es
of $2.00 for each $1000.00 of such CXCC33 cost.
r construction is executed for any structure costing more thin $1000.00 for which a licensed architect or engineer Is not required by
2. Whenever a contract fo
In ermit shall be accompanied by a copy of the contract and a copy of the de railed
the Building Code of the City of Edmonds; the application for a build S p
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
hot and Industries. Before
as should be obtained from
the payroll and make monthly reports Of Payrolls- Full InSU`UctiO
specifications.
the nearest office of the Department of La
-contractors. The releases should be
final payment, the owner should obtain a release from the general contractors who in turn should obtain relem from all sub
ores are requirements of the State Industrial Insurstice Act.
Rucsted by the Department.of Labor and Industries. The above proced
f Offi;
en FofBud
Y'
a
C
CITY OF EDMONDSs WASHINGTON
V: BUILDING PERMIT
s, and sufficient details to indicate
This Space Is For
Applicant hereby certifies that a plot, plan, drawing
Ifill aU ents of this code are attached hereto. City Inspector'Only
the intention to fu requirem.
do the following work:
Application is hereby made for permit to
........ IM ................... ... ................ . .........
............. $-
_a_ .1 . .........
--- -- - ---- . . ........................................... ... . .
............... ......
. .... . .........
......................................................................................... .. ..........
. .... . ............................................... . ...................... . .. ..... . .... . .... . .
J9
.............................................
........................................................................
......... Block ........................................................................
LOL ..............................................
................. . ...................... . .......... . ...................... . .......................... . . .... . .. . .. . .... . .... . .........
................ . .. . . .. . .... . .. . .. . .... . .........
.................... . ..................
..... . .... . ............ I .... . .... . ......
........ . .... . ...... . .. . . .. . . .. . .....
........... . . ...... . .......... .
.................................. .........
... ..... '.
at ....... ...... .. ....
....................... .......
Building, dimensions ......... z .....
2. Lot dimensions ............... ..... ..................
be ...... I ............... stories.
3. Building wiU
4. Basement ............ ......
L
4e�
.......... ..........
.............. 7_
............. . . ...
...........................
5. Occupancy, of building will be ............. ........ ......... .....
roT,
Jget fi Ae nearest adjoining line.
7. Owner. ..... ----- ...............................
8, Owner's Address ...... .. . ........... .............. . ................ . .......... . ...
. . .................................... . ..................... 0,1
9 Builder .................... ............
... ......... .................................................... . ...................
10. Buildees Address .. .................
Lite ot permit .............. —...
Re ived b
�n ... ..... .... . ... .
(Issuing fficer),
: rn il ir
PERMIT 199 842 : '
Plans filed: Yes T-1 No Er Department of uildings
nt
City of Edmonds
roposed itructure, at the rate of $2.00 in r each 2,
I. The building permit fee which applicant Pay$ when permit Is issued shall be based on estimated cost of the p
red cost by more than 5%, applicant agrees to pay an additional fee
$1000.00 of cost. if the actual cost of the structure, when finally determined, exceeds the estima
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 $10oo.00 for which a licensed architect or engineer is not, required by
detailed
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
specifications. e Department of Labor and Industries, giving an estimate of,
Prior w employing any labor or conunencing work, notify the Industrial Insurance Division of th
3. the nearest office of the Department of Labor and Industries. Before
the payroll and make monthly reports of Payrolls- Full Instructions Should be obtained from
uld obtain release from all sub -contractors. The releases should be
final payrnentv the owner should obtain a release from the general contractors who In turn sho
tatested by the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insurance Act.
C
CITY OF EDMONDS, WASHINGTON
BUILDING PERMIT
is to indicate Tids Spac
es that a plot, plan, drawings, and sufficient detai e Is For
Applicant hereby certifi
the intentio -ulfill all requirements of this code are attached hereto. city insociar Only
n to f
g work:
cation is hereby made for permit to do the followin
Appli
... ................................................. * ...... * .. .... - - --------
...........................
7C
2.2 .....
= . .. .......
. ..... ...........
........................................................................ . ...... . .......... . .........
.........................................
. . .... . .........
... . . ...... . ..
..... . .... . .............................................. . .... . ...................... . .... .
........................... . .... . .. . .....
. ..... . ................ . ......................................................................
..................... Block ........................................................................
Lot ..................................
. .... . .... . .........
..... . .... . ............................ . ...................... . .... . .. . . .... . ......
......... . .... . .... . .....
. .... . .... . .......... . .... . .... . .......... . .. . . .. . .... . .. . .. . . .... . .........
.................................................
. . . . . . . . . . .
... ...... .
. ...............
......... . ............
...............................................
...................................
1. Building dimensions . ....... X. ... ..
2. Lot dimensions ......... ........ ?�X-11...
..... stories.
3. Building will be ........... ........
.............
4. Basement .......... '
5. Occupancy of building will bc-.-e-� . ........ ............
6 feet from the n line.
S&Eest a4Lqining
7. Owner .. ................ e ..... <P� ......
71170::.1 ........ . .........
a. Owner's Address ............. .... 09.41 ..............
. .... . ...............
9. Builder ..................
. .................................................
. ...................
10. Buildees Addres& ... : ................. ......................................... . ..........
...................................................................................................
Date,._,J
....... 19
(6wner or his agent)
'bed hereon, according
to the approved plans and specifications pertaining heiew,,;
Permission is hereby granted to do thework descri
aidniect to comnlianCe with the ordinances of the City of Edmonds.
PERMIT 828
each
issued shall be based on estimated cost of the proposed structure, at the rate of $2.00 for
i The building permit fee which applicant pays when permit is tintated cost by more than 50/b, applicant agrees to pay in additional fee
$1006.00 of cost. If the actual cost of the structure, when finally determined, exceeds the es
of $2.00 for each $1000-00 of such excess cost' quired I by
2. Whenever 2 contract for' construction is executed for any structure costing more than $1000.00 for which a licensed architect of engineer Is not re
the Building Code of the City of Edmonds, the application for a building permit &hall he accompanied by It copy of the contract and it copy of the detailed,
specifications.
3. Prior to employing any labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and industries, giving an esdamateof
the payroll and make ran ithly reports of Payroll$- Full imoructions should be obtained from the nearest office of the Department of Labor and Industries. Before
n should obtain release from all sub -contractors. The releases should be
final payment, the owner should obtain a release from the general contractors who in turn
Attested by the Department of Labor and Industries. The above procedures are Mulrements of the State Industrial Insurance Act.
N
....... - -------- - -
PPLICATION BUILDING PERMIT 0--
Appl. No.
A
Building Department Permit limit,., one year
OF EDMONDS
A PPLICATION is hereby made for a permit to construct the following work, in accordance with the acoom
plans and specifications. Two sets are submitted herewith for approval.
panying
Off -St.
new alter
...... ... . .................................................... Parking ......................
Work addn repair ..........
.... ....... Const. type ................................ Use zone....-,.01(� Fire zone ............................
Occupancy ...
..........................
Address ...... . ............ t ........................ Blk ........................ Ad.dn ....... .....
............... ............................
Lot frontage ........................................ Area ........................................... Septic tank .............
Bldg. set -backs — front ............................ r. side ............................. I. side .............................. rear ................. .......... . . .
..(t2., Tel.
Owner..OQ. ....................... -ff:=447-07
)61 Address...
Buil er..:iQ&. ... .. ........ N
d
..... ...................
'A"'r
�'2
. ....... .... .. .....
t1bn!.,.,:o
, � 1 1, 11 1. �
1184 *S86i'.Y 23-r"TWP -7N `R3
?v q�that?
%,r1beM-,,,as. �T.0,-.
MI.
SJ ........... ................
enoe,:
SV.
S
inei,
thervi�, r ........ ..............
rjd6t `bbU!,! Zo
N-1
iting 'this
-3' Wen', regul
Signed Owner/Agent... ............ Address..�L,/.Aq*4:d� .... I . .........
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.
pr
Recd. by
......................... Permit fee .... Iff ...................... ... /<�x .. �.* ...
Valualion 2
Buildin Department, By ....... .............................. ................... Date ........ ................................
9
This Permit does not cover Plumbing, Sewer or, Electrical Installations.
V.
... . ...............