660049.pdfBUILDING
DEPARTMENT
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AppHcmt FM
POSTED ON XRO" MAP
P OSTED ON Xp
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PERMIT
NUMBER
In
660049
PERMIT
APPLICATION
Inside Heavy Unes
B A, DO E
TONAUX
OF BUNI N"P)
ea.
7vyeja
L
SIDE YARD SETBACK
STREET SETBACK
EAR YAR13 SETBACK
RE:_.
USE'ZONE
LOT AREA
VAC SITE
IT
A(D
-a-4-s-r
BE'R
LEPHONIG NUMBER
13 YES 13 NO
VARIANCE NUMMM
HEIGHT
ING AREA
PTnM PT.AN APIPRnVED
— aserl it I property (Show Below or Attach icour L;opies)
Legal D 1) On 0
PERO. TEST
Z
FIRE ZONE TYPE 0
—jP—ECIAL INSPECTOR R
YES 0 NO
PLAN CHECKED BY
BUILDING
I
VALUATION
WORK TO BE DONE I
71
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
Z
HEAT & GAS LUM
4
PERMIT ESE
5
SIGN PERMIT
FEE
14EW
ADD
DEMOOLISH
SIGN
El FENCE
OF "'ES
6
DEMOLITION
PERMIT FEE
ALTER
REPAIR
121 RESIDENTIAL
NON-RESIDENTIAL
NUMBER OF
DWELLING
UNITS
7
CHECK
FEE
pRO"O ED USE
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- ATWNTION
ized agent of the owner. I agree to comply with city and state Iowa reffu- TIUS PERMIT
latIng 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 Workmervo compensation insurance. WORK NOTED
(Except Demolitions which shall
NOTE: Permit Limit one Your be completed In ninety days.) INSPECTION
SIGNED
SIGNAT (OWNER OR AG T) DATE DEPARTMENT
CITY OF
IDMIONDS
NOTE: Applicant Subject to Plan Check Fee PR 6-1107
Thin Permit CoVen Work to DO none m private property ONLY.
Any construction on the public domain (curbs. sidewalks, driveways,
marquess, etc.) will require separate Perm'"lon'
YES E3 NO
7ZI
APPLICATION APPROVAL
This application is not a perntit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
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ON' BUILDING PERMIT Appil. No.
MONDS Building Department Permit limit, one year.
�7
ON is hereby made for a Permit to construct the following work, in accordance with the accom,
mitted herewith for api
ind ications. Two sets are sub
Off-st.
......................................... Parking ......................
rep
zone4 ... !� ............... Fire zone ..... .....................
............................. Const. type ................................ UsIE
Blk........................ Addn ......................................
6 .............. Lot ...... .............
......................
...... Area ..... .............. Septic tank..4e.-f-1. �.-
tage� ....... .........................
&M,
W
..................
front ................ 1. side ..... Ilk ..........
side. .... rear
.................................. Tel. No ... .........................
Owner .. ...
......... Tel. No .... ........................
Address ...........................................
..........................
.......... .........................................
......... Tel. No .............................
..... Address .................... ......................
.......... ..................................................
........ . .......................................... ....
R ki ... ............................................ ........................................................................
......................
............................................................... ..........................................................................
.............................
.......................................
. ......................................................................... .......................................
and I agree to comply with all applicable Codes and State laws regulating this
The above, is a, correct.statement
work. Z/ 2�
Signilid Owner/Agen ................. .. ................. ............ Address ............................................ Date-��� ......
.............................. ---
above conditions, and to compliance with the a
PERM for the above work is hereby approved, subject to the �p, A
proved plans and specifications, and Building Department notations thereon.
b)
........... Permit fee ....... 5.Ze .......... Recd.
Valuation ............ ... ..
7ZZ
Zve.-H-re. Date.... . .......................
Building Department, By ........
This Pertnit does 'not cover Plumbing, sewer or Electrical installations.
I
mUT1011c,
EDMONDS
'OF
I
BUILONG MNIT
odwhq Depwhn"t
Appl. No. �33=1.z—
Permit limit, One Year
d,
the acoom
ON is hamby ma& for a permit tDconstruct the following work, in accordan with
and speaflmtxxu. Two acts are minnitted herewith for approval.
alter Off -St.
repair 'Parking ......................
4; C"
a ........
e--� ... .............................. ..................................................... .
..f.Wse ne. 4
Const, type.. I . . Fire zone ............................
q Pr IV (jet e CIL.;.
..................... lea k
............... Lot .... LL: ......... Blk ...............
S;ji. I ........ Addn ..................................
...........................
-4e
e....................................... ArM ...... ............... Septic tank .... 40-�; .............................................
"iet+acks front .......... Z& ........... r. side . .......... ................ 1. side ........ .................. rear ...............................
I V 1;Wood
673 Tel. No....
Add ress. ...... 1.7 ............................. ....... ...... .. ......
er..,.. . . . ......................................... ...
r
'Ider ................................................................... Address,. ................................................... Tel. No ........... .................
... Address .................................................... Tel. No .......... ...................
by!-e .......................................................... .
Rimaiks.................................................... .............................................................................................................................
................................................................................................................................................................................................
Y
The above is a correct statement, and I agree to compl with all applicable Codes and State laws regulating this
:work.
............ Addressj.jj�.o
ner/Agen ................................ D .......
Signed Ow
PEMff for the above work is hmby approved, subject to the above conditions, and to compliance with the ap,
proved plans and specdicationa, and Building Department notations thereon.
Valuation ..................... / - I.. - J& V.... Permit ............ Red. by..,A
Date ..... ......... IG.- ......
Building Department, By .................................. V,
NOTE This permit doesnot cover plumbing, sewer, or electrical M'stallations, nor does it permit any work toibe
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and allays, and plans for future sidewalk development.
BUILBMI MNff
BoUdeg Depw~
Appl. No.
Permit limit, one year
is hereby made for a permit to construct the following work, in accordance with the accom-
itted herewith for approval.
no and specifications. Two sets are subm
Off -St.
alteFtfec.':� jx=�' /I r ....................... Parking ......................
pair ............ ...... ...... ....
one Fire zone ....
...... Const. type ............................... use z ........... .......
...... . R. ..... Eli ......... Lot ....... -7 ........... Blk ........................ Addn ........
............... Septic tank .... 42 . . ...... �- & ...................
...............
................ 1. side .............................. rear ...............................
...................... r. side ........
........ Addres& 3 W- Tel. No...P:r: .............
. ... .......
Address.................................................... Tel. No .............................
...... Tel. No .............................
............................. Address ..............................................
is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
C ..... . ... Address ..................................... ...... Date .......................
S AgA.
igned Owner/
above conditions, and to compliance with the ap,
for the above work is hereby approved, subject to the
-eon.
'proved plans and specifications, and Building Department notations ther
Valuation ..e ....... d ..................... Permit fee ........... .3-11 ......... Recd. by...
Building Department, BY ......... Jq .... . ............ ..... Date..aq
. .............. Z..Ioe .............. . ...............
NOTE — This permit does -not cover plumbing, sewer, or electrical 4utallations, nor does it permit any work to be
done in the Right - of Way areas. Driveways and walkwdYs must be planned to meet the official grAdes of stiects,
and alleys, and plans for future sidewalk de veloPment-
U
LY ON r BUILDING PERM Appl. No...7S—,
............
DMONDS wMI" D"a"Mew Permit limit, me year
made for a permit to construct the following work, in accordance with the acoom.
Two sets are submitted herewith for approval.
off'st.
..... ;�� ......... Parking ......................
Const. type ............................... Use zone ....... .......... Fire zone ............................
...................... ....... ............ Blk ........................ Addn ...................
Area ..... ...... Septic tank ....... ....... . ....... . ...........
....... r. side ............. ........ 1. side ........ !r ............... rear ........ L .... ...............
.......... Address ....... ....... Tel. NAA .. ..............
... .. .. ..... Address. ................................................... Tel. No .............................
........................... ...................................... Address .................................................... Tel. No .............................
............................................................................................................... W .............................................................
i� F
.. . ...... . .. .. . ... ...
The above: is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Cwner/Agen Address ............................................ Date:��=.LE��
PERM 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 ................. ... 429� ........ Permit fee ....... ............ Recd. by..Z� ... �...
... 00 ( ::i -
Building Department, By ............................................... jelu ... 1.4n".. Date .... ...... ......................
NOTE — This permit does not 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 strects
and alleys, and plans for future sidewalk development.
W
A OATION', WILDMG MMIT Appl. No.
FM C
TT OP MMONDS BuIMIM DepWhIWW Permit limit, one year
ON is hereby made for a permit to construct the following work, in accordance with the ar-0001-
- ind specificatiow, Two sew are submitted herewith for approval.
Off -St.
alter
1.. -.44--46:2-4 ... ......... ..... ........ ....................... Parking .......................
�repair ........ C7
zone./) ... n! ...... Fire, zone ...........................
......................... Const. type ................................ Use
...........
..... F: ........ Lot ....... ........... Blk ....................... Addn ..........
..........
tank ... 12-at's. �-- cd
.... Area ........................................... Septic .........................
...........................
front...... 5-4 ............. r. side ........ & ................. i. side ..... 7 ................... rear .... :10 ...................
Addrew./`�`I/A.3.—I.X?.. 0 ........ Tel. NoV�12 ............
..... Address .................................................... Tel. No .............................
er...............................................................
Address .................................................... Tel. No .............................
. . . . . . . . . .
................................................................
........... ............
R ......
arks. ............................................................................................................
........................................................................................................................................................ ......... ........ I ...........
The above is a correct statement, and I agree to comply with all applicable Codes' and State laws re0ating this
work.
..... Address ............................................. Date ................... . ...
Signed Owner/AgenA- 1 J�- I
PERM 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.
17ev 0.0 .................. Permit fee .. ::5Z ................. Recd. by ... At
Valuation .................................. ...... --�----o ... :��
BuildingDepartment, By ...... 16-0 - -A ................................. ................... Date ........ ....................
NOTE — This permit does not 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 develoPmmt-
Appl. No.
FUUTION VIM= MUff
N I DS BuIMIng Deparm"t TermiC'limit, one Y=
i,.6riby made for a permit to construct the following work, in accordance with the accom
gjkl�j�. Two sets are submitted herewith for approval.
. . . . . . . . . . . . . . . . . . . . . . .
.............. . . . . . . . . .
A
Off'St.
Parking ......................
n e.. ........... Fire zone ...........................
Const. type ................................ Use zo
. ..........
........ Blk ........................ Addn...
,�xea
........... Septic
tank ...
..........................
........... ..........................
........ I. side .......
...... 0 ........ ... rear... ...........
Addres&.1
.........
Tel. No..&.
..... ..........
............................ ...
Addrew ............... 0 ...................................
Tel. No .............................
Address..................................................... Tel. No ..............................
K4Mff 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.
.......... 1
Recd. by..ez�
Valuation ................ .. Permit f ......... :;5.5 ...
4 -------- Date....
Building Department, By
cover plumbing, sewer, or electrical installations, nor does it Permit any. work to be
NOTE — This Permit does not ect th of i a es of strects
done in the Right of Way areas. Driveways anti walkways inust be planned to m C f ci I grad
anti alleys, and plans for future sidewalk develoPmmt-
P
BUILOMG MMff
Build
Ing Depotn"H*
19MONDS
Appl. No. 1Z
Permit limit, one
is hereby made for a permit to construct the following work, in accordance with the accom-
ind specifications. Two ads are submitted herewith for approval.
Off'st.
alter
repair ..... �4y," . ................ Parking . . ...................
Const. type ............................... Use zone-.4-nr/ .............. Fire zone ...........................
..........................
T�f Blk . .....
. ....................... of ...... .... ..............
septic tank .......... . . ...........
! ....................................... A .17 .. ............ ..........
front .................. .......... r. side ............ S .............. 1. side ....... S ............ rear ...............................
4acks
Ovs
.......... Tel. No .............................
..... Address..
--------------------------------------- Address ................................................... Tel. No .............................
Address.................................................... Tel. No .............................
...........
..............
R
emarks .................................................................... ...... ..................... ......... ....... ......
..............................................
............... ...... ......
. ............ ..................... ....... ......... .... ......... .
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed.... Address ................ ...... ...... 0... Dat e .................
PEJUM 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 thmeon.
Valuation ...... ............................. Permit fee...A3 ................... Recd. by...
Building Department, BY ...... ........ ......................................... Date ............. . ...................
... ....... .... ... ....
NOTE — This permit does not 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- I
I
3
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