660174.pdf7
BUILDING DEPARTMENT Applicant Fin
PERMIT APPLICATION Inside HOAVY Llnen JOB ADDRESS
NAME (OR N On B) do a/ V_ IF
SIDE YARD SETBJ
MAILING ADDRESS Aee- A4
'1101q — d7 TE NE N
CITY
AE-d #11& co Ift, C/3 HEIGHT
3'X 21t-,)
1
r-A� RoK
NEW DE " SH I F-1 SIGN NUMBER OF
ADD MOLI 7k-FENCE,
ALTER RESIDENTIAL 73 ER OF
WETI : U14G
REPAIR M NON-RESIDENTIAL I UNITS
I hereby acknowledge that I have read this application; that the In-
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-
I&ting 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 Workmen's Compensation Insurance.
(Except Demolitions which shall
NOTE: Permit Limit One Your be completed In ninety days.)
lIGNATURE (OW14mit VIS AGENT) SIGNED
:�v /
DATE
NOTE: Applicant Subject to Plan Check Fee
T;Ts Permit covers work to be done on private Property ONLY.
Any construction an the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
[3 YES
El NO
P No.:
BUILDIN,
PERMIT
NUMBER
STREET SETBACK
BUILDING
1 VALUATION
BUILDING PERU=
2 FEE
PLUMBING
3 PERMIT FEE
HEAT & GAS LINE
4 PERMIT FEE
SIGN PERMIT
5 FEE
6
PLAN CHECK
7 FEE
660174
VACANT SITE
0 YES 13 NO
0 YES 13 NO
8 AMOUNT DUE
AWENTION APPLICATION -APPROVAL
THIS PERMIT This application is not a pernlit until
AUTHORIZES signed by the Director of Building Inspec-
ONLY THE
WORK NOTED tion, or his deputy; and fees are paid, and
receipt is acknowledged In space provided.
INSPECTION I CTOR's S ATURE
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
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BUILDMG FEW Appl. No.... 4L±5 ... . ..
CM Permit I=% one year
InUMag DepOMMMt
OF MMONDS.
01H is hereby made for a permit to construct the following work, in accordance with the accom,
AMWCATI
for approval.
submitted herewith
panyin plans and specifications. Two SM are
9
r
new 01"�alter -Off,st.
...... Parking ......................
workaddn repair ............... ................. .......................................................................
Fire zone .... 3 .................
761 .............. Const. type- U zo e ...... :5 . ... .........
0
. ..... Lot, AddnIS ......
.............
.. .... ....
Prew! . ........................ ..f
.............
Lot frontage ........................................ Area ....... ........ Septic tank ........ ......
'0
Bldg. set4=ks ... ............ .................. rear ............................... .
front ......... 3P ........ r. Side . ....... 4
Tel. No.20 4>S6.
.. ................. Add....
Owner. . . ....
........................ ............................
Builder .................................................................... Adch ............................ Tel. No...
...... Address .................................................... Tel. No ..................
Plans by-1-7 .........................................................
...............................................
Remarks................................................................................................................................... :
....................................................................... ..................
. ......................................................................................................
The above is a correct statement, and I agree to comPlY with all applicable Codes and State laws regulating this
work..
Signed Owner/Agen,,&
.......................................... .
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.
..... �. . Permit fee ..... Z.6 . ......... Recd. by ... ...
Valuation .................
Building Department, By ..................................... lftrlq-en� ............ Date .... MAW .........................
NOTE —This permit does nor cover plumbing, sewer, or electrical installations, "OT does it Permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official irdaes of stree . ts
and allays, and plans for future sidewalk development -
I
V.,
Z
t:
A
BUILDING PERMIT
AT Ilk,
APPIA I
CUT OF EDMONDS BalWing Dep
11
Q_
Appl. NO.
05; . . .....
Permit,
limit,
one year
A"UCATION i I s 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 Off'st.
Workaddn repair ........ .......................................................... Parking ....... . . .. . .......
Coast. type ........ � Use zone ...... ..... Fire zone .. ..................
Occupancy .................. ;� ........ S431
an.......
Addressleo-e ...... ..........
..........
Septic tanLP ......... . ... I .......................
Lot frontage ... 10OX-1-A . ....... Arm ..................................... ..
Bldg. set -backs — front ........ Q ............... r. side ........ 2'0 ............. I. side ............................. reax ...............................
................ Tel. No .............................
Owner.............................................................. * ...... Address. ...................................
......................... Tel. N ... .............
Builderd'.d'---rz�� . ... . . . *2 ... Addres&.4 ...... I
...... ....
Plansby .. 4-4 .... ...................................... Address .................................................... Tel. No ................
................. OACr. 0& Z_
The above is a correct statement, and lagree to ab and State laws
work. gree comply with all applic le Codes
Date.!/-7./*�..Q--
SignedOwner/Agen ... .. .... .. .... . .. . .... .............. ao._A�_Address ...........................................
PERMIT for the above work is hereby. approved, subject tothe above conditions, and to compliance with the ap,
proved plans and specifications, and Building Department notations thereon.
�cwz -AV-
Valuation by ......
Lecd.
..0 ......... permit fee ..... �;?:Zrt ........... P
...........
Building Department, By ............................ &r .. 1 4—, . ...................
RECORD
imSPELMON
This t"' A' * ' 1.� I . I I
ermit covers work
";on'Private pr to be done
I -Y OHIPkam
lzdn,4* ..Q.0n.-t1,tkctoP rt e, OK .................................................... Final, OK .......................................
oil Publl
rbs,
--will re* --t M-IvowaYs, mar U as
irp
gis I enRaphWtot pmfgAting sewer or Electrical installations.
on.'
C,
OF EDMONDSs WASHINGTO�
BUILDING PERMIT
d sufficient details to indicate
Applicant hereby certifies that a plot, plan, drawings, an
the intention to fulfill all requiremeiiti of this code are attached hereto.
Application is hereby made for permit to do the following work:
.....................
... . .... . ...
..... . ......... ..................... ........ . .........
_ZJ . ........ =-- �.--
..... . ............
.................. I ............................................................................................... . .... . . ......... . .........
. .... . ...... . .. . . .... . .........
..... . .................................. . .... . .... . .... . ................ . .... . ................ . ....
.................. . .... . .... . .........
..... . ................ . ...................... . .... . .... . ..................... J ....................
Lot....................................................... Block ........................................................................
WJ.%ffAq[4%6XM4
1. Building dimensions ......... ) ... �= ............... X ..... i:vv:� M ..........
2. Lot dimensions ......... 10 ............... X.... 0
..;r ... ..........
3. Building will be ........................ stories.
4. Basement ............. ......
5. Occup ......
Icy of building will be .......
6 . ..... ZY . ............ feet from the nearest adjoiin �iline.
7. Owner ......... .......... ...... ..........
8. owner's Addr ---- - -
9. Builder . .......
..........
lo. Builder's Address, ..... 4F7--,14..
....................................................
................................ F .............
Date .... 717 ..........................
.....................................
(owner or his agent)
This Space Is For
City Inspector only
Permission is hereby granted to do the work described hereon, according to the approved plans and specifications pertaining hereto,
subject to oompliance with the ordinances of the City of Edmonds.
PERMIT N9 1020
Estimated cost ...... I
Life of permit ..... . (7--z "..,
note
Plans filed: Yes M No [I
3 — 6---W
01
(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 5%, applicant agrees to pay an 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 $1000.00 for which a licensed architect or engineer is not required by
the Building Code of the City of Edmonds, the application for a building permit shall be accompanied by a copy of the contract and a copy of the detailed
specifications.
3. Prior to employing any labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and industries, giving an estimate of
the payroll and make monthly reports of payroll$. 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 C00tractors who in tum should obtain release from R11 sub -contractors. The relesses should be
Attested by the Department of Labor and Industries. 'Me above ptGcedures.sre requirements of the State Industrial Insurance Act.
I