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660093.pdf3 BUILDING DEPARTMENT I Applicant Fill PERMIT APPU Inside Heavy Lines NAME (OR MAKE or BUSINESS) --- =-40.4—j FNG ADDRESS 40 /0 �/ W 0 GLWT TELEPHONE NUMBER R1 6 r V.'O'n'o Lj NEW SIGN SRI [I ADD I DEMOIJ PENCE NUM33ER OF DWELLING ALTER RESIDENTIAL REPAIR NON-RESIDENTIALI UNITS 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- lzed 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 WorkmanIn Compensation Insurance. (Except Demolitions which shall NOTE: Permit Limit One Your be completed In ninety days.) 3IGNATURE (OWNER OR A)EN DATE SIGNED NOIE: Applicant Subject to Plan Check Fee This Permit covers work to be done On private property ONLY. Any oons4ruction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will re4nire separate permission. 0 YES [3 NO BUILDING VALUATION BUILDING PERMIT 2 FEE PLUMBING 3 PERMIT I= HEAT & GAS LINE PERMIT FEE SIGN PERMIT 5 FEE Ale, k DEMOLITION 6 PERMIT FEE PLAN CHECK 7 FEE 8 AMOUNT DUE ATTENTION THIS PERMT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS PH 6.1107 PERMIT LJLJUU /%j NUMBER YES C) NO 13 YES C3 NO 0 APPLICATION APPROVAL This application is not a pern-At until signed by the Director of Building Inspec- tion, or his depitty; and fees are paid, and receipt is aclmowledged in space provided. FILE I I L.- 9 k/' C. CITY OF EDMONDSe WASHINGTON BUILDING PERMIT nvby certifies that a plot, plan, drawings, and sufficient details to indicate This Space Is For (to, fulfill all requirements of this code are attached hereto. City Inspector Only -dt to do the following work: If hereby made for pem -- --------------- --- ........... .... ...................... .......... ......... . ... . ......... 41 ... .... . .............................................. ...... . .......... . ......... ........... . .... . .... . .......... . .... . .... . .... . .... . . . ... . .......... . ......... ... . .... . .......... . .... . ....................................................... .......... . ............................... Block ....... . .......... . .................. . . .... . .. . .. . .... . ... . ......... . ... .................................................................. ... . . .. . . .. . .. . .... . .... . ......... ................................. W .................................... ......... ',dimensions ........ ............. X .... ..................... dimensions................................ X ................................ -Building will be ........................ stories. Bamsemm ....................... Occupancyof building will be ...................................................................................... rom ee t J .... th eares d'oining line. Owner ...... .......................................... ....... 5 rom. 'O,�mer's Address ....... . ................ . ......... . ... . . . . ........ ...... uild ........... ... . ................ . ............ . ..................... 9. B er ----- - ------- ............. ........ .. . . ................................. . ........... ................... io..Buildees Address. . ....................... .................................................. ..................... 6at� ....... ............... 19.!V:!.d. jo" ............ td...10 ................................... (Owner at his agent) 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" N9 1018 Estimated cost Life of permit .... 6J�.�-- date Plans filed: Yes M/ No [I $ ... t ..... ............ �A (Issuing Officer) Department of Buildings 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 $1000.00 of cost. If the actual cost Of the structure, when finally determined, exceeds the estimated cost by more than 591c. applicant agrees to pay in 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 copy of the contract and a copy of the detailed specifications. 3. prior to employing any labor of commencing work, notify the Industrial Insurance Division of the Department of Labor and laduxtrlt�, giving act estimateof 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 pzynen4 the owner should obtain a release from the general contractors who in rum should obtain release from all sub -contractors, The releases should be Rctested by the Department of Labor and industries. The above procedures are requirements of the State Industrial Insurance Act. J I CITY OF EDMONDSs WASHINGT6A BUILDING PERMIT Applicant hereby certifies that a Plot, plan, drawings, and sufficient details to indicate the intention to fulfill all requirements of this code are attached hereto. Application is hereby made for permit to do the following work: .... ..... ........................................................................ . ........................................... . ......... . .......... . ...................... . .... . ...................... . ...... ..... ....... ........... ............ ................... . .... . ...................... . ...... .................................... 7 ............ ............ ... . . . . . . .. .. . . .. . . . . . . . . . �: ............... ---h��-".�A3iiilding dimensions ....... Se! ...... m': k2 ....... X ............... Lot dimensions ..................... 7 --X ......... .................. ......... / ..... stories. will be ....... 3. Building 4. Basement ............... P ... Pi.- be ....... f building will .... . ....................... 5. OccupanqV0 6. ........ e%eJro;thre nearest adjoining line. .............. wner........ ...... r4l . .... 17 .................... 1�� ..................... . .......... . .......... . ... 8. Owner's Address ........... Y�� 9. Builder ............... ! ------ - . ...................................................... . ........ . ........... . ................... ..................................................................... 10. Builder's Address- .......... ................. . .................. . ... ......................................................... I This Space Is For City inspector Only . 541-ep e? 7 -e-1— C.: .............. Date .. ............... 3 ..................... ............... ................... (owner Zor t gent) Permission is hereby granted to do the work described hereon, according to the approved plans and specifications pertaining hmvto, subject to compliance with the ordinances of the City of Edmonds. PERMIT N9 889 74'-Mv —I Estimated cost s....,7 ........ C.... Life of permit ............. ��= date Plans filed: Yes 01"�No 0 6 � (Inuing 01ficer) Department of City of Edmor 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 e /,. applicant agrees to pay an additional fee $1000.00 of cost. If the actual cost of the structure, when finally determined, exc ads the estimated cost by more thin 50 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 copy of the contract and a copy of the detailed specifications. ustrial insurance Division of the Department of Labor and Industries, giving an estimate of 3. prior to employing any labor or commencing work, notify the Ind 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 Katested by the Department of Labor and Industries. The above procedures me requirements of the State Industrial Insurance Act. I I PUDiTION (�IUILDING FRNIT .:,EDMONDS Building Department Appl. No. Permit limit, one y7 JCATION is hereby made for a permit to construct the following work, in accordance with the accom, and specifications. Twosets are submitted herewith for approval. plan.s ncw alter Off -St. Parking . . ...... . ........... ;,�,,,,.--'addn repair ............................. ............................................................... Const. type ............................... Use zone ..... JO.W=4��... Fire zone ........................... .......................... -7 W-A-0 ............. It ....... ............... Blk ........................ Addn ......................... Area ...... .................................... A ......................... * ............ Septic tank ......................................................... �"L front .......... 1.57 ....... r. side ........... 5 .............. 1. side ......... %V .............. rear ................................ AW ijo.6 ...... �g. Tel. 24 7 .......... .4- Address.4 . ............... -------- - ................ Address, ................................................... Tel. No ........ ..... 17; - ----------------------- Address. ................................................... Tel. No ............................. ve,is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this ............... Date7 ............... . ... ed Address ............................. ign Owner/Agen liance with the ap, roved, subject to the above conditions, and to comp PERMIT for the above work is hereby app proved plans and specifications, and Building Department notations thereon. ........... ..................... Permit fee ...... . ................... Recd.'by... Valuation ...... S.5. Building Department, By ....... (M ................... Date ... T ............................... Fdn, OK INSPECTION RECORD Frame, OK Final, OY, ......................................... . , 'I This Permit does not cover Plumbing, Sewer or Electrical installations. I to 10 APPL"TION &QoUILBING PENT Appl. No . .. ..... ............ one year Building Deparhnent Permit filnit� CITY OF EDMONDS y PF —.- APPUCATION is hereby made for a permit to'�� the fonowipg work; in ac:coaWM with t;heacccoom, ,are i6b1n Or 4 rOV41 panying plans and specification�., Two t616� ittedheM4Af Pi 'alter",, 0 new ......... . ........................ Pa2ii Work addiv,.-�; repair ...... . ................ T..!.. e . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... ........... ne ....... ........ . Fire zon ............................... Use zo occupiricy .. .............. Const, type �� 3 * 3d' Lot.... ........... ...... ............. Addn ...... / ......... ...... ........ 'coe-el v Se ......... JaLm .......... . .. ........ pti Lot frontage ....................... r . .... ............. ........... rea . 4F V-7 d................ .......... Bldg, oft -backs r. side ........... ......... 1. sWe ... ................. Owner..z ress. ...... !S ....... Add .... W2 ....... ...... ��K> I f Address............. ............... ...................... Tel. No ................. ........... Builder.................................................................. N................. Address ......................... ...... ............. Tel- a-- - Plansby ................................................................ ...................................................... ...................... .............. Remarks ........ idoner Oil privatc l'oPC2:,t,,,r MiLy. ............... ..................... ................... I ...... Aln pp' on con dom, n (curbs, ............... .......... ..................... ............ ...... ................. ................... ........................ ........ . If pormission. vill_ require c o r The above is a correct statement, agree to cc ly with all applicable Codes and State laws rePlAU09 this work. Date .................. Address�4/4 ......... 7 ........ A ....... Signed Owner/Agen ... .. .. ... .. .... ..... .. ,ement agree to 1� wit w ..... .. ............... PERMIT for the above work is hereby approved, subject to the above conditions, and tDompliance with the aP, proved plans and specifications, and Budding Department notations thereon. b�y ............... 00 Valuation................ .................................. Permit fee�.?.9 ........................ RZW . ..... .. ...................... ........... ..... Date.Z��7 .. / .. 6 .... .............................. Building Department, BY