650389.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NA.KE OF BUSINESS)
/Yt of 0.4so
MAILING ADDRESS
CITY
NAME
Applicant I=
Inside Heavy lAnes
/Jolt e
C
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FI QMAMW T.T�MWRM WT�R� I V.T� T.W.RNRE NUM
— __ - . - .1. __ � - - " - , - - , - _ .- .., � I .-- - - . - .. _ - _.- . . . � -
a, -;,I -
Legal Description of Property (Show Below or Attach Ifour uoPles)
OCIP.- FERC. TEST
4:22 of 5'4ra"" FIRE ZONE TYPE OF
73' 6V-,Vt,1r0c4r --#P—ECIAL INSPECTOR RE
t4
[J YES [3 NO
/ I ;P,
1
BUILDING
VALUATION
WORK TO BE DONE
BUILDING PERMIT
2
2
FEE
PLUMBING
3
3
PERMIT I=
BEAT & GAG LINE
4
PERMIT FEE
NADWD
SIGN
NUMBER OF STORIES
SIGN PERMIT
5
FEE
DEME0211SH
FENCE
6
DEMOLITION
PERMIT FEE
QALTER
REPAIR
RESIDENTIAL
NON-RESIDENTIAL
NUMBER OF
DWELLING
I UNITS
7
8 8
AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given In correct; and that I am the owner, or the duly author- ATTENTION
ized agent of the owner. I agree to comply with City and State laws regU- TIHS PERMIT
latIng coustruction; 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 Workmen's Compensation Insurance. WORK NOTED
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed In ninety days.)
SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION
es, DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check- Fee PH 6-1107
This Permit coven work to be done onprivate property ONLY.
Any construction on the public domain (curbs, Sidewalks, drivewswe,
marquees, etc.) will require separate permission.
I
PERMIT
NUMBER
[3 YES 13 NO
ER 11 1
MEN
STREET IMPROVED
0 YES 13 NO
IOUP
�67_ .1 �,2_ a_-0 , I
�4 a-fj
APPLICATION APPROVAL
This application is not a permit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is aelmowledged in space provided.
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A &WORK PERMIT 7=6�
'IF .1 k 9 1 !"Ie. 1 11 APPLICATI Application Noe 31
Permit Limit, One Yew
CITY OF EDMONDS Building Department
APPLICATION is hereby made for a permit to construct the following worl; in accordance with the accompanying Plans
and specifications,
Fence Ground Area. ... No.
WORK New/Addn.
Fit
Const.
Plans Submitted . . . . . . . . . . . . . . . . . . . .
1034 obe 8th Avee Sots
]"&MON Mdress ....... .................. . Use Zon ... be 11.1... Me Zone..
Recorded ..... . ........ Addn....."I ... .................. Sewerage.l.mg, ........
d
It
41 height
1111110.11I
Side
Lot . go ........... Width..,111111.111.., .... "I ..... Min. Bldg, Setbacks, Front'and Rearm.5. r It
Zif"Trim Hon props, Ine
1034 8th Ave* Sota FIR &1316
Willi= Lambe Address. PhI
Owner!" t
d
Addressw
Plans go .. . ............ too, ... &*I
1 M
I I
Self
Bldge
Address.. Phone. . . . . . . . . . . . . .
Plbgs
it
Heating14,1.0610 0. Poo
1 66.01
Elect by,611661,0661111I *.a be ............... go .......... V ........ .. I
bet
at 611*11,11,11.11,00 "we" 6600 . . . go a go
go a&& go ago 0 6 bottom a be a memo W be me
Remarks . . . . . . . . . . . t I
It I
*mmI
be $1 . . . ........................................................... 6..06 om*V . be . go got
. . . . . . . . . . . . . . . . . . . . . bee...9 *64,11 0.0".
. . . ..me . . . PI
. . . . go I 111 . . . . . . . . . . . . . . . . . . . we& . . . . . . . . . . . . . . . . . '..,mbeem 00" a*
Codes and State Laws regulating the WOOL
The above is a Correct statement and I agreet to comply with all applicable
Same 3/13/63
... be ............ Date.,. . .
Signede owner/A woo mo*
Plans
ditions, and to compliance with Me approved
PERMIT for the above work to hereby approv4 subject to the above con
and specifications and Building Department notations thereom
VAMUAMON PEUMM Fr_"
Blue 9 0 0 a ec, . . . . . . . . . . .
Plbg1 . . . . . . . . . . . . . . . . . .
Heat 0 0 0 a . . . . . . .
"PROVED
Meet. 0 0 0 0 $1 ...... go """ItI ...... #0 ... #.me
Date.a-�//
Others. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEP &ENT
I M
TOTAL ME '.1 . . . I . . be . . . . . . . . . . . .
.1'.. .9,F. . . . . . . . . . . . . . . . . . . . . . . . . .
NOTES: No work requiring B g Department or City Engineertts hLspection shall be covered before inspection and approval,
requested, Contact the City Engineer prior to construction of all site utilities, such as
Wenty,efour (24) hour notice
curbs, pavingt drivewaysp sewer, water and street connections@
7 -, 77 : mome
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150tome63
APPLICATION & WORK PE:RMh-- Application Nos
41 .�C;4t 111.1
Id
Building Department Permit Limit, One Year
CITV` OF EDMONDS
kf
M ct the following work, in accordance with the accompanying Plans
APPLICATION is hereby made for a pern-dt to constru
ications:
and:specif
Residence Addition No. Stories.,... ... Is.,
.... Ground Area .. ...... ...... .......
wom News/Addn. . . . . . . . . . ................ . . . . . . j
Frame
Const, Type .......... so-* ..... .................. Height... . . . . . .
Plans Submitted Mr.. Um..J.. ..... ........... ........... Is"., ... 04.0
Sone R@s.s6 Fire Zone ... ......... r
1034 ssss 8th Sto ..... . . . . . . . . . . .
IMATION — Address . . . . . . . . . . . . . . . . . . . . .
S /2 of Lot 3p Yost's First Addition Sewerage.. Sewered
Blocks... ....... I ....... I A
Recorded Lo dd'n ................. ....... oa ............... * ........... * ..... . .. . . .. .......
151 . ....... Sides ... 51+
I . . . Is., 1.1.*.0 . . . . . . . . . . . .
Loot .......... Width ............................ Min, Bldg* Setbacks, Front and Rear,,
t
Mr. Uile Lambe ... .... . Asddress 1Q
8th Phone.. .....
Owner., . . . . . . . . . . . . . . . . . . .
......... ...... Phone .......
Plansby,",.. . . . . . . . . . . ................. ....................... A
Selfr r r Is., ....... I ........... Phone ... r
Bldge by ... I I I . I I I . . I . . I I . . 0 0 . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A r
]Phone.,, . . . . . . . . . . . . . . . . . . . . . . . . .
r ............. r Address. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .
PIbg* by... . . . . . . . . . . . . . . . . . . . . . . . .
Address'...., ..... ........................ Phone. I . . . . . . . . . . . . . . . . . . . . .
Heating by.. . . . . . . . . . . . . . . . . . . . . . . . . .
t
.... Phone.. . . . . . . . . . . . . . . . . .. . . . . .
Elect, by,,. ..... ........ ......... ....... ........... Address ......... *so ......... # ..................... so
. . . . . . I . . . sees, 60. 4 . . . . **I, . . . Is,.
Remarks.................... . . . *&so* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.0 . . . & . . . . . . . . . . . . 0.0,0*60. . . I L
00*00..09 . . . so . . . . . . 00. .
44..4*066 . . . 6111.1 . . . . . . . . . . . . . ................ 00 ...................... 1.000 . . . . . . . . & . . . . . . . . . . . . . . . . . . . .
r 4
I..0000 . . . . . . . . . .
............. 000600.0 . . . . . . . . . . . . . . . . . . . . 0.00 . . . . . . . . 100.00 ..............
. . . . . . . . . . . 9.0 . . . . . # ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 . . . . . . . . . . . . . . . . . . . . . . . . % .7 1
. . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work,
The abov
9
4 9
3
Same as above .... Date,V12/6 .....
Signed: 0 Address..,... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . & . . . . . . . . . . . . . . . . . . . .
r P
wner/Ag.4y.Q..
L
PERMIT for e above work is hereby approvedo subject to the above conditional and to compliance with the approved plans
th
and specificatAons and Building Department notations thereom
PERMIT FEES
VALUATION
2900000g" Bldg* 0 s ... 7.469 ..... .........
$ . . . . . . . . . . . . . . . . . . . . . . . . .
I P r
Plbg6 a 0 $ ... ........... ...........
Heat.......... .......... .......
APPROVEDs
Elect. . . . . . . . . . . . . . . . . .
Date.., ....... ...................... ....................
. . . . . . . . . . . .
BUILDING DEPARTMVNT Others . . . . . . . . . . . . . . . . . . . . -
$..7*50
By.. 4L I TOTAL FEE ...... 1.11 ........ ................
. . . L-2
NOTEse No work requiring Building DepartnKnt or �412y4 naVetf;'Os inspe:tion s�hall be covered before Inspection and approval,
Twenty-four (24) hour notice requested, Contact the City Engineer prior to construction of all site utilities, such as
reet connections6
curbs, pavingg driveways, sewer, water and at
k
37 ...............
APPLICATH�'--1 WMW PERMIT
Application No.
CITY OF EDMONDS Building Department Permit Limit, One Year
APPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying Plans
and specifications.
WORK— New/Addn . ..... /P Z.-C, ...... ..................................................................... Ground Area ................................... No. Stories ............
PlaneSubmitted ............. ................................................................................... Const. Type ........................................ Height. ...............
........................... Use Zone .................... Fire Zone ....................
LOCATION— Address. ....... .......................... ..................................
Recorded Lot .... 3 .......... BloclL ................... Add'n ..... ;/.05 r ...... .. . ..................... Sewerage .....................................
............... ...............
riot Area. ......... - ............................ Width. ............................ Idin. Bldg. Setbacks, Front and Rear ................................ Sides ..............................
A'-
141
Owner.. Az ......................... ..........................
.... gin 5 . ......... Phone . ...
Plansby ............................. - ............................................................ Address ............. ....................... ................................... Phone ................................
ddress........................................................................ Phone ....................... - ....... .
Bldg. by .... . .. - ................................................................................ A
................................... Phone ........................ .......
PIbg. by ........... L. ............................................
Address .....................................
Address........................................................................ Phone ........................ .......
Heating by .......................................................................................
Meet. by ........................................................................................... Address ........................................................................ Phone ................................
................................. ................
Remarks............................................................................................................................... ..........
......................................................................................................................... ....................................................... ................................................................
...................................................................................................... . .
......................................................................................................................... ..................
............ .............................. ......................................................................................................................................................................................................
The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work.
Signed: Owner/mwd-16 ... .. kAddress ............................................................................ Date....
PERMIT for the above work Is hereby approved, subject to the above conditions, and to compliance with the approved plans
and specifications and Building Department notations thereon.
VALUATION PEBBIXT IMES
$ Bldg. . . . . $ ........................................
............................
Plbg. . - . . $ ........................................
APPROVED:
JvJuJJ
Date.... ..................................
BUILD Wm. Herbert., Bldiz. CnqZ7�/'
Heat.... $ ........................................
Elect..... $ ........................................
Others... $ ........................................
$ .......
TOTAL FEE ............................
......................................................... --- -------
partment or City E�nVgineerls inspection shall be covered before inspection and approval.
Ing �sten t
NOTES: No work requiring Building
Twenty-four (24) hour notic requested. Contact the City Engineer prior to construction of all site utilities, such as
curbs, paving, driveways, sewer, water and street connections.