660140.pdf—r-P'OSTEDON KROLL MAP NC
BUILDING DEPARTMENT Applicant FM
PERMIT APPLICATION inside Heavy Llnej JOB ADDRESS
/ Q 41/
I -NAMW ODR NAjd30 OF BUSINESS)
HESS
0 A"DDF
0 (31 T LEF;HON1003UMBER
CITY ��W
er-370 V
NAME
ADDRE a
PERMIT Mu 1 44tj
NUMBER
PA_CK__jREAR YARD SETBAUJI]
0 YES 0 NO 0
S MR I
:VAtRIANNuig IMWM"� owl
Legal Description
of Property (Show Below or Attach Four Copies)
PERC. TEST
PERMIT NUMBER
FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED
1
1 [3 YES El NO
LILL INSPECTOR REQUIRED
OCCUPANCY OROUr
YES [3 NO
PLAN curCKED BY
VALUATION TOTAL F99
BUILDING
WORK TO is. am
1 VALUATION
BUILDING PERMIT
c)
r
FEE
PLUMBING
3 PERMIT FEE
0
HEAT & GAS LINE
4 PERMIT FEE
riumijElt up, STORIES
NEW SIGN
SICLN PERMIT
I
5 FEE
DEE38111 PENCE I
ADD MOLI rff-
DEMOLITION
Lj RESIDENTIAL MBER OF
NDUWELLrNG
ALTER
6 PERMIT FEE
L
REPAIR F] NON-RESIDENTIAL UNITS
I
PLAN CHECK
7 FEE
Z�j�
I hereby acknowledge that I have read this application; that the In-
formation given to 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-
litting 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 WorkmeWs Compensation Insurance.
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed in ninety days.)
W M,
r4
NOTE: APPli"nt Subject to plan Chech Fec
This perallt coven work to be done on private Property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways.
Marquees, etc.) will rrquire separate permission.
81 AMOUNT DUE
ATTENTION
THIS PERMT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
L -)6
APPLICATION APPROVAL
This application Is not a perinit until
signed by the Director of Building Inspec-
tion, or his deputy; and fees are paid, and,
receipt is acknowledged in spE�ce provided.,
DIRE Mb Ulu"^ 011
- 7 DATE
71
FILE
ME
6' sk, APKIIIA'
_;A__
A�pp . .. . .. . .............
�OF EDMONDS BuIMIng Departmeet Permit limit, one Year
ON is hereby made for a permit to construct the following work, in accordance with the a
and specifications. Two sets am submitted herewith for approval.
'n alter off'st.
"Ad.
a n repair ................. ........................ Parking ......................
........... ......
ncy ................................ Const. P ...... .................. Use zone ........ t Fire zone ............ * ................
Blk ....................... Addv_4?�_:
r................................................... Lot ....... i.
7,0
frontage ....................................... . Area..... .. ........................ Septic tank ............ ............
setfront ........ ......... r. side ............. ........ I. side .............................. rear ........... ::�A/
'e
"Own 't -,-X'�L ....... Address ... Tel.
er ................................................................
-'Build ... Address .................................................... Tel. No ..............................
Plans by..
Remarks..
................
Address .............................
Tel. No, ....................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed A9wfter/Agen
31 � e_5 Z
PERMff 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.
Valuatim ............. /?-'O-Vt� ......... Permit fee_-....]5Z . ............ Recd. by. . . ........ .
Building Department, By ......................................... 47_14-fi4 ... ............. 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 street$
and alleys, and plans for future sidewalk development,
E
ION C, BUILDING PUNIT C
ffY OF EDMONDS Building Depaftme
Appl. No . ..................................
Permit limik one year
ON is hereby made for a permit to construct the following work, in accordance with the accom,
'irid specifications. Two sets are submitted herewith for approval.
Off -St.
new alter
. ...................
addnrepair ....... ... . ............... ............................................................... Parking
V, ..............
...... Use zone .... ....... Fire zone ...........................
ancy................................ Const. type ..........................
13 30 ...........
. ........... AA� .......... Lot ........ Blk ........................ Addn.t�
.................... _7 ...........
60
................. Area .................. )( ............. .............
... �1.0 ......... I... Septic tank .....
�_,,',Lbt frontage ......................
2— 1
rear...............................
............ r. side..
front ....... ......... V ............... 1. side .............. ;Lk . .......
9. ......
Bid set+acks
vg"
vi,
Address .. ...... Tel. No ......
...........................................
----------- .... ..... -- ----------
L L el
IL
..................
......... Address. ................................................... Tel. No ...........
...........................
Builder ......
........................
..........................
Address .................................................... Tel. No—:
Plans by....
Remarks.............................................. .... ......................................................................................
................................................................................................................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Date...
Signed Owne
IF
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 ........... -5 .................. Reed. by....
............ Permit fee....5.
Building Department, By .............................. ................. Date ... ......... .....................
nor does it permit any work to be
NOTE This permit does not cover plumbing, sewer, or electrical installations,
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and plans for future sidewalk development.
and alleys,
'7777,
APPLICATION C BUILDING PERMIT Appl. No . .................. ..........
EDMONDS Building Deparhnent Permit JiMitL one year
is hereby made for a permit to construct the following work, in accordance with the accm-
and specifications. Two sets are submitted herewith for approval.
Off'st.
alter
repair ........ /eL
.................................................................. Parking ......................
zone..Av .. 0 ................ Fire zone ...........................
............................... Const. type ............ .................. Use
. ...... .... ................... Lot ..... .......... Blk ........................ Addn ... Y��j
...... ...... .......
nk ......... I ..... . ..... ..........................
...................... Septic ta
ge....................................... AArra .....................
1'3'
front ........ ............. r. side ............. LS ......... 1. side .............................. rear.. ...................
backs
................ Add ............. .....
.... Tel. No ..... e ..... . -4�
er.
.. .... ... .. .
Builder ...................................................................
Address .................................................... Tel. No ................ �L
............. Address .................................................... Tel. No ............................
Plans by .....................................................
Remarks ....................................... /.A�. ....
Z ..................................................................................................
................................................................................................ ................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owr-@r/
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.
ecd. by ..... x .. ....
.............
... ... .. ...... R
Valuation .0 .......... permit fm .....
................ .......... Date... .! . ..............................
Building Department, By ..............................
NOTE — This permit does not cover plumbing, sewer, or electrical installations, nor does it ptrmitany 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
7"W
MO
UTI & BUILDING FMMIT
Appl. No. ..........
Building Departnnut Permit limit, one year
itlereby made for a permit to construct the following work, in accordance with the accom.
specifications. Two sets are submitted herewith for approval.
�-:,alter Off -St.
ir ... ............................................................ ................
. .... Parking ......
.. ..... ............ Const. type ................................ Use zone .... eAV ............... Fire zone ...........................
ddress...... ....... . ............................... TdOt ........ F ........... Blk ........................ AdddPl ...... .. .... �1..
................ ........................ . 94?PP.0 ..................... SQFaQ..t6a* .........................................................
front....... ........ r. side ....... ........... 1. side ...... .............. rear .. .............
'r-1 XT,
..................
. . ........... Address. ...... Tel. No ......
e......................... .
Ole-
de-
. . .... .. ....... Address .................................................... Tel. No., ..... ................
.... Address .................................................... Tel. No ............ ................
iilans by* ..... ... ...................................................
Remark& .............................
.....................................................................................................................................................
. .................................................................................................. .................................................................................................
........................................................................................ ...............................................................................................
The.above is a correct statement, and I agree to comply with all applicable Codes and State regulating this
work.
I
Signed-Qww/
.............................. I Date..I/:��7�.-.�L—
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 .............. /!�� ....... Permit fee ......... 6.1-0 .......... Reed.
Building Department, By .............................................. ....... Date .....
.................................. I ..........
This Permit does not cover Plumbing, Sewer or Electrical installations.
41
IWIA 11T 4111
la. Lo
OATION BUILDING PERMIT Appl. No. Z�i ........ . .........
�MONDS Building Department Permit limit, one year
td
the following work, in accordance with the accom,
:ie hereby made for a permit to construct
%mcifications. Two am are submitted herewith for approval.
Off'st.
ter
................................................... Parking ......................
...............................................
se zone ... e(4? .............. Fire zone ...........................
............. Const. type ................................ U
........ Addn.fr-,(-� .. �-ilw
Lot..�='.7 ........... Blk ................
10c)
................................. Area ................... .......... Septic tank ..........................................................
front........ 1.2 ............. r. side ....... . ............. 1. side .......... ............... rear ...............................
.. ........ Tel. No....
............ Address .... dr .............
A .................................
11X . . . . . . .
................ Address ......... ........ ................................. Tel. No ....... .....................
...........
B der...
.. . ... . ............... Tel. No .............................
Ad ..................................
-�,`P""by ... .............................. ................. — ..........
.......... ....................................... .................................. ...........
............
.................................................
-�S-.Remar
............................ ........................................................................................................ ......... ................................................
I The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
..... .... .. . . ............. Address;A��7 ......... late.:
Signed 00wrrer/Agenv.4,�4 .... .......................
the above conditions, and to compliance with the ap,
PERMIT for the above work is hereby approved, subject to
proved plans and specifications, and Building Department notations thereon.
.... . ..... .. ......
by...
Valuation ....... ................ Permit fee ...... .. 4 ............ Recd.
Bui Iding Department, BY ..................................... Date..��/7.1+...A6Z� . ............................
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. DHvewdYs and walkways must be planned to meet the official grades of streets
and plans for future sidewalk development.
and alleys,
BUILDING PERMIT
WIMIng Department
Appl. M6 ...........
Permit limit, one year
APPIWICATION is hereby made for a permit to construct the following work, in accordance with the accom-
N �`,;�%'j�anying. p 'and
lans specifications. Two sets are submitted herewith for approvaL
alter Off -St.
... . ........................ ................................................................. Parking .......................
Const. type ................................ Use zone ..... Fire zon
. ....... . ....................... ela ........... e ...........................
Jo . ........... Lot ...... ............ Blk ....................... AddnRa—,x��--C?"
....................................... liaiirm ...... �LR ..................... Septic tank ... ............................
............... r. side ... sA.j� ................. 1. side ....... ............... rear ... Z..i.,,.-C7 ................
..... .. ............ .. ..... .... .. ...... ... .. A d d r e s Tel. No .... E.. ... 4.=92fl
it
.... Address .............................. ...... ............. Tel. No ........................
................................................................
ans;
.................................................................. Address .................................................... Tel. No .............................
k& ............................................................................................................................................................................ .......
................................................................................................ ................................................................................................
.......................................................................................... ................................................................................................
th
.7.1e above is a correct statement, and I agree to comply wi all applicable Codes and State laws regulating this
work.
gent��....... ...... .,eZZR2�dldress ............................................ Date.5""
Signed rQWW/A 16�e
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 ............. ........ Permit fee....,"V .............. Reed. by.. .72Z.
'14 ) --, 1!� �--
Building Department, By ........................................... C.0 .... I .. Jb .........................
................ Date....
This Permit does not cover Plumbing, Sewer or Electrical installations.
I
M�
s4
N
Appl. ................
Permit limit, one Year
ON is hereby made for a permit to construct the following work, in accordance with the accom,
plans and specifications. Two sets are submitted herewith for approval.
Off'st.
new alter
repair.... .................................................................... Parking ......................
... .......
Co ty ................................ Use zone..4� (a Fire zone ...........................
............................. L?ns Zp
. ............
................. ................ .... .............
................. Lot ..... / . .............. Blk ......
.... . ............
.................
4�rea ........................................... Septic tan ........................... .........................
........................
........................
t........................... r. side ............................. I. side ............................. rear .......
o.......... .......
................. �: ... —
........ Tel. N
. . . . . . . . . . . . . . . . . . . .
Address.......... ............ . ........ ...... Tel. No ...... — ..................
............... Address ......... ..................................... .... Tel. No .... ....................
........... .................
..................................... .............................. ..
... ......... .................................................
s mit covers work to be done
............ 0 ............................ .................... .......... ................. ........... —
Any construction on the public domain
(curbs, sidewalks. drivewayq.,..
.......... .............. ..................... ..........................................
....................
7� quire separate permission.
d State laws regulating this
statement, and I agree to comply with all applicable Codes an
e above is a correct
......................... Date/.
jr ......... Address ... / ............
Signed Owner)
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 thereom
Recd. .. ............
Valuation ... .... 0 ",Ir ..................... Permit fee.'.>C ... ... ...............
. . . . . . . . . . . . . . . . . . . . . . . . . .
Building Department, ... Date../ ..... ............ .........
PLIOATION & BUILDING PERMIT
P FDMONDS Buflding Depaftwmt
V".,. 1.� � 1. . i �. � . . , I ,
MOMON & CILDING PENIT
Op EDMONDS BuIlAng Depafflmmt
TO=
t
ereby made for a permit to construct the following work, in accordance with the accom-
fications. Two sets are submitted herewith for approval.
Off -St
.. . ............ cle ..... .................................................................... Parking ......................
..................... Fire zone ....... �2 ... ..............
Const. type ................................ Use zone .......
..........
Lot ....... / .......
�-o
w� . ..A ........... ..... Blk. .....................
.......... ................. Septic tank .........................................................
........... A 4Lrea . ..............
........................... r. side ............................. 1. side .............................. rear ................................
. .. .... ...............
Address. ... /,? -.7
Tel. No/ .. A4 ............
;7
��OAddress...r . ....
Arlfirem------------- -------------------------------------- Tel. No .............................
...............................................................
R,
........... . ................. .
. .... ......
.......................................................................................
Thin permit covers work to be done'
.. .............
'I. q..Imozuer-ty .. Ony.
................ ............. ......................
Any cOnstrUction on the Public domai
n
cui-bs ,
. . . . . . . . . . . . .
... ina-rquelErS
. . . ..................... ....... "'
I'c-ciui-0 scparate Pei:
� 1� I Aff&icable Codes and
The above is a correct statement, and I agree to cOmp y WA
work.
laws regulating this
Signed 4)wrzer/Agen,,,.!.��,/,-.d.-r AddrW-;�05�" ............... Dati�
and to compliance with the ap,
subject to the above conditions,
PERMff for the above work is hereby approved
proved plans and specifications, and Building Department notations ther00IL
.............. Recd.
Valuation ................................... Permit fee.-c;?20 ................. ..........
Date. ....
Building Department, By. .... . ...... . . .. ..... ........ ...
This Permit does not cover Plumbing, Sewer or Electrical inSWIlations.
Alaimo 4A..
APPLIOATIC & BUILDING PERMIT Appl. No. -2.0-4 . ..... . ..........
CITY OF EDMONDS Building Department Permit limit, one year
7�
APPLICATION is hereby made for a permit to construct the following work, in accordance with the accom-
panying plans and specifications. Two sets are submitted herewith for approval.
new alter Offst.
Work addn repair ......... /&
... ............................................................................................... Parking ......................
Occupancy ................................ Const. type ............................... Use zone .... ............. Fire zone ...........................
Address .... ............... Lot ........ Y/ ......... Blk ........................ Addnj ...... .. 4rl�
traC) ............... .....
Lot frontage. ....................................... Arm .... V ..................... .......................
Bldg. setbacks — front ........................... r. side ............................. 1. side .............................. rear ................................
....... Tel. No .............................
Owner.
A -A .. .... ..... .
Builder................................................................... Address ............................. ...................... Tel. No ................. ....
Plans by .. . ............................................................. Address ...................................................
Tel. No ............... ...........
Remarks ......................................................................................................................................................
..............................
........... ....
... .................................. ...................... .............................
................................................................................................ ................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State lawa�, regulating this
work.'
Signed............................................ Date� .......................
PERMIT for the above work is hereby approved, subject to the above conditions, and tDoompliancewith the ap,
proved plans and specifications, and Building Department notations thereon.
Valuation ......... ZZ2.4?�� ..... Permit fee ....... ....... Recd. by ... . ...... "...
Building Department, By .................................................... ZV—+47r. Date ..... .... (b-Z .. ........................
This Permit does not cover Plumbing, Sewer or Electrical installations.