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660185.pdf12 :".]BUILDING DEPARTMENT I Applicant M . PERMIT APPLICA Inside Heavy Lines i2cmel Idl, I I Legal DescrIptior I e-^" yj or r/ �;2 ;L , [3 YES [j NO TO BE DONE 1 I BUILDING VALUATION 2 2 BUILDING PERMIT FEE 3 PLUMBING PERMIT FEE 10FO 4 4 HEAT & GAS LIKE PERMIT FEE N NzW7 E ADD DEMOLISH 1 SIGN PENCE IBUR NUMBER OF STORIES RIES 1 5 SIGN PERMIT FEE DEMOLITION PERMIT FEE ALTER REPAIR RESIDENTIAL NO] UMBER DWELLING UNITS 7 PLAN CHECK FEE 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&Ung cOnEtrUction; 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. NOTE: Permit Limit One Year (Except Demolitions which shell be completed In ninety days.) 6,0 &NOTE: Applicant Subject to Plan Check Fee This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, drivewaysp Marquees, etc.) will require separate permission. 8 1 AMOUNT DUE No.: BUILDING PERMIT NUMPER 61 ;P4 . STREET SETBACK REAR LOT AREA VACAD 1 0 YES NO CBER 14 .ECKED 13Y STREET IMPROVED El "a 0 ITO IOUP ATTENTION I APPLICATION APPROVAL TIUS PERMIT This application is not a permit until AUTHORIZES ONLY THE signed by the Director of Building Inspec- WORK NOTED I tion, or his deputy; and fees are paid, and receipt is acknowledged in space provided. INSPECTION - ZD1 CTOR:�r DEPARTMENT CITY OF EDMONDS PR 6-1107 FILE (roff OF EDMONDSo WASHINGTON BUILDING PERMIT '�licant hereby certifies that a plot, plan, drawings, and sufficient details to indicate theIntention to fulfill all requirements of this code are attached hereto. Application is hereby made for permit to do the following work: ....................................................................... . ...... . . ..... . .... ..... . ................ .. . .................................................................. . ......... Block....... . ...................... . ........... ........................... nsions................. ;2..� ....... X ................................ will be ........................ Stories. �cupancy of building will This Space Is For City Inspector Only feet from thp d* line. . .. ...... near9t a ining 7 Own— er.. . ...... 0 .81 Owner's Address ........... . ....................... .................. . .......... . ... 9. Builder .... . ........................ ................................................. . .... . ............... 10. Builder's Address .......................................................................... . .......... . ................... ................................................................................................... All Da-- r ....... 19. (Owner 0 allerz T i ion is hereby granted to do the work described hereon, according to the approved plans and specifications pertaining hereto, ermiss 'subject to compliance with the ordinances of the City of Fdmonds. PERMIT N? 9,80 atimated cost $./e��roo ........................ Life of permit ......... (e/C7 I Plans filed: Yes 0 No [I I $ ........ ......... ... . , Re Dep=t of Buildings City of Edmonds 1. 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 foreacb p000.0o of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more than 5ch, applicant agrees to pay an additional ift 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 detlW specifications. 3. Prior to employing any labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and Industries, giving an estfinateof 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 it= all sub -contractors. The releases should he attested by the Department of Labor and Industries. 'Me above procedures am requirements of the State Industrial Insurance Act. ow I A, .......... . i I'V CITY OF EDMONDS, WASH GTON 'N", IN BUILDING PERMIT reby 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 6 1 lereby made for permit to do the following work: . . .. . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . ............................................................... ....... ......... . ......... .................................................. . ...... . .......... ............... . . .... . .... . .. . .. . .. . . .... ...... .............................. ensions.... . . ..................... X ..... 4.12� .............. 0 ris .... 76 .................... X ........ .......... w be ............. / ........ stories. ill ment, ........................ upancy of building will be ... / ..... SA�-,q( ........................................ ...... Jeet from the nearest I her ....... 4�j P ......... % Address '�,]`8 Own '7 ....... .................. . ............... B` der .... . ... ........................... . . ... ................. . .... . ......... ... . ........... 7-:7 Ix Builder's Address. .......... . .......................................................................... . .................. Date... .1 ......................... 19 ............. f ............................. (owne—C-0—t ... h* ............ Permission is hereby granted to do the work described hereon, according to the approved plans and specifications pertaining heret% subject to compliance with the ordinances of the City of Edmonds. Estimated cost $.Az ....................... Life of permit ............... do. - t - e ........ .................... . ....... Recqjvt,d by 1-1 PERMIT N9 737 j��Ing officer) Plans filed: Yes T1 No Department of Buildings City of Edmonds 1. 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 th6 actual cost of the structure, when finally determined, exceeds the estimated cost by more thin Wo, 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 accornp�aled 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 lo.dustries. giving an estimate of the payroll and make monthly reports Of Payrolls- Full inumcdons should be obtained from the nearest office of the Department of Labor and Induittles. Before final payment, the owner should obtain a release from the general contractors who in turn should obtain release from all sub -contractors. 7be releases; should be attested br the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insurance Act. I 0 OATION BUILDING PUNIT Appl. No. 'EDMONDS Builcling DepartmeW Permit limik one year ON is hereby made for a permit to construct the following work, in accordance with the acoom-, and, specifications. Two sets are submitted herewith for approval. [T. 12.0 Off -St. ,��x 'air ....... ............ Parking ................ I ...... ................. WA"AL ............................... I ............................ lilt zone ..... e ........ Fire zone ........................... .............. Const. type ............................... Use ........ Lot ........................ Blk ........................ Addn ...................................... . d --- - ----------- .............. is Area ........................................... septic tank .......................................................... 1� ............................... front........................... r. side ............................. 1. side .............................. rear ........................ I ....... P a-,A-JTel. No ............................. . ........ 7.7Z ...... //A-2 .. . ..................... .............. . Addres& ............ dress ................... Tel. No ............................. ............................................................. Ad ........................... by....................................... Address .................................................... Tel. No ............................. "Remarks ........................................................................................................................................................... ...................... ......................................................................................... ................................................................................................ . ............. ................................ ........................... I ................................... ................................................................................. . agree to comply with all applicable Codes and State laws regulating this The.above is a correct statement, and I k. wor gn -Owner/A �Si' ed gent. Address ............................................ D a t e.. ...... ........ .... . .. PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ar proved plans and specifications, and Building Department notations thereon. 0-1-0 ......................... Permit fee ...... ................... Recd. by ... .... z . ....... ......... Valuation ........ ............... Building Department, By ............................. .......................... Date ............ This Permit does riot cover Plumbing, Sewer or Electrical installations-