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660195.pdfNG DEPARTMENT IT., APPLICATION W/..-1 '657 or Applicant Fill Inside Heavy Lines 13 YES I () ��l I �6 [3 NO BUILDING PERIM 660195 NUMBER IACK REAR YARD BETB =CV [] YES C] NO 0 YE13 [:3 NO 11 1 BUILDING VALUATION 3e9eq, oq-d Z WORK TO BE DONE 0:R3 Z PEP 2 A0 2 BUILDING .MIT FEE PLUMBING 1PROOeo Z—TA4' J2146 3 PERMIT FEE HEAT & GAB LINE 4 PERMIT FEE 5 SIGN PERMIT FEE El NEW I SIGN NUMBER OF STORIES Q I M"'�ENCE 0 ADD DEMOLISH DEMOLaTION — ALTER El RESIDENTIAL or =DWE ELRING 09 6 PERMIT FEE — REPAIR NON-RESIDENTIAL I UNITS 71 PLAN CHECK FEE -2 I hereby acknowledge that I have read this application; that the In- ArMNTION APPLICATION APPROVAL formation given Is correct; and that I am the oymer, or the duly author- Ized agent of the owner. I "no to comply with city and state laws regu- THIS PERMIT This application is not a permit until lating construction; and In doing the work authorized thereby. no person AUTHORIZES signed by the Director of Building InsPeC- will be employed In violation of the Labor Code of the State Of Washington ONLY THE tion, or his deputy; and fees are paid, and relating to Workmen's Compensation Insurance. WORK NOTED receipt is acimowledged in space provided. Ncept Demolitions which shall (E NOTE: �qrm Imit 0 09(ear be completed In ninety days.) TOR 8 URE BIG A U Eft OR-AVENT) SIGNED INSPECTION DEPARTMENT cITY OF TE EDMONDS Applicant Subject to Platt Check Fee APKTE: PR 6-1107 This Permit covers work to be done on private, property ONLY. the donudn (curbs, sidewalks, driveways, FILE Any construction on public marquees, etc.) will require. separate permisolon. I 9 f OF EDMONDS, WASHINGTI, 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: ..... ................................................... ...... ........... ................ ....................................................... ..... . .... . .... . ... ....................... . ................ . ...................... 1.4- Lot..... I .. 0 .......................................... Blockj .... .......... .. . .......... . .... . .... . .................... : ................................................. . .. . . .... . ...... . .... . .... . ......... .............................. ..................................................... ............ . ... . . .. .... .... ...... ......... --- — ---- — ---- — -- — --- ..... . ................ . ............... I ............................................... ..................... . . ..... ... at ... Ulas? ... . ..... . c I 1. Building dimensions Al .................... x .... ................ 2. Lot dimensions ....... X .... CA.170.. .............. 3. Building will be .............. stories. 4. Basement ......... L ......... 5. Occupancy of building will be ...... ............................................ 6 . ........ / ...... feet from the nearest adjoining line. 7. Owner .... R.p .. v.Z>.V.A<.K .................................................................................. 8. Owner's Address ........................................................................................... . .......... . ... 9. Builder .. ............. . .... .. ... . .... . ............... I -- -------------- r"T ' ' 10. Buflder's Address..:;U ... 3...24 ..... ULA ................ . ................... ............. ....................................... Date. ..... .3 .................... 4 ....... ... ...... d..Ze. i6* O*;'li; ... 2'i*e;;"** .......... 7 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 compliance with the ordinances of the C ity of Edmonds. PERMIT N9 610 Estimated cost ..... Life of permit-../ date Plans filed: Yes Q/ No C $214 .............................. Recei .. . ......... ........ - - ---- - ------ - --- ---- - ---- - --- (Iming Officer) 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 ihe proposed structure, at the,rate,of S2.00 for each 0, applicant agrees to pay an additional fee Sl000.00 of cost. if the actual cost of the structure, when finally determined, exceeds the estimated cost by more than W of $2.00 for each S1000-00 Of Such CXCC33 Cost. 2. Whenever a contract for construction is executed for any structure �costiog 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. ent of Labor and Industries, giving in estimate of 3. Prior so employing any labor or,commencing work, notify the Industrial Insurance Division of the Deparem 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 a ment the owner should obtain a release from the general contractors who in cum should obtain release from all sub -contractors. The releases should he P y I Rnested by the Department of Labor and Industries. 71e above procedures are requirements of the State Industrial Insurance Act. it�' IT I I I I - I � - I I . I �, ( ktjpv� ut I I **aj rl�liv; tl;� AIS, tom rtlov!` vin't AI I I tqq, %;Wn . I 111 14, 1 '�ic I . - ; I -I 'fac! juqOU1.4 co It tit' I; It I/ lllnil; I It row i)f r77:potr,� '�rvb� LL 114rojilar. In "I �1It Wr I I TIT it. 10 4� e,;t 52 zu I mWP911 W I I !;r1j J-e 0 1 1 1 11 LIM f.rTjrjtIz j ;,;t CiM� d tm�j J. I' tit -vt�r, al;l 00 1!1;. 1 cp 01 'P 24 1 -tt It I. r. I: I If rl� JIM tV 1 1% 40. LVA IMI I CA j — - - I - - - - - - - - - fir I I ,I It--- IT fir .. ..t,; t 1p t It it IF I r& r Ir I It 10 r ic ..... ........ -APKWATIO� I BUILDING PERMIT CITY OF EDMONDS Building Department IT, 3 Appl. No . ....................... ........... Permit liMitL one year 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 wl"�alter Off -St. Workaddn repair ................ .................................................................................. Parking . . .. . .. . ........... Oc I cupancy ............................... Const. type ............................... Use zone..C::�7i ............ Fire zone. ........................... Address.... /A/0-0 ..... . ..... :�� ... Lot ........................ Blk ........................ Addn ....................................... Lotfrontage ....................................... Area ........................................... Septic tank ...... . ................................................. Bldg. setbacks — front ............................ r. side ............................. 1. side ............................. rear ............................... 10 - - ................ Owner - ......... . ......................... Address. ........... / ... ...... ........ 4 .... No)C —`FO-OLo Builder................................................................... Address. ................................................... Tel. No ............................. Plansby ............................................... Ad�ess .................................................... Tel. No ............................. 41 Remarks.... .... ;f ......................................................... . ................ ...................................................................... The above is a corrVct statement, and I agree to comply with all applicable Codes and State laws regulating this work. Signed Ownef/Age,6 ....... Address ............................................ Da,18 ft M PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the proved plans and specificalti s, and Building Department not tions thereon. .............. Valuation ........... 3K�� ............................ Permit fee ...... �7 ..................... Recd. by...."'�� .... I .............. .. Building Department, By ................... ...................................................... Date .................................................................. INSPECTION RECORD Fdn, OK ............................................ Frame, OK .................................................... Final, OK ....................................... This Permit does not cover Plumbing, Sewer or Electrical installations. 0 A 6 1, Ite ItITY OF EDMONDSs WASHINGT N 'BUILDING PERMIT hereby certifies*that a plot, plan, drawings, and sufficient details to indicate on to fulfill all requirements of this code are attached hereto. a is hereby made for permit to do the following work: . .. . . .... . ......... n� . ............................ . ................ . .... . .... . ............................ . .... . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . .. . . . . . . . . . . .. . . .. .. . . . . .. . . . . .. . . . . . . . . . . . . Lotock ................................. ?4 .............. ....... 1_4 ..... 40.-/ !9W . . ... . -.V .... T. ................ . .... . ...... . .... . .... . ......... i VAR ......... . ........................... . ............ Qd..W---4 .... ...... . .... . .... . ... ........ ...... k ; ..." il 1. Building dimensions .......... .. ... YZ ... R-3-7 ....... CT c.) ......................... 2. Lot dimensions ................................ X ..... 3. Building will be ......... III ............ stories. p 4. Basement .......... r ........... ..................... . ......................... Occupancy of building will be.... 6 . ....... /.2 ......... feet from the nearest adjWining line. 7. Owner ......... JW.: .... D.� .... 6.012Z.&.'r ................................................................ 8. Owner's Address ....... /( ................................ . .......... . 9. Builder .............. ::5 ............................................................ . ..................... 10. Builder's Address ...................................................................................... . ................... Date .... .......... I or his agent) This Space Is For City I ctor Only 'ns e 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. 00 Estimated cost $/a 4,14f -Life of permit ... ........ rPE I N? 61 Plans filed: Yes tf' No 00 ........................... Rec b (Issuing Officer) 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 tile rate of S2.00 for each Sl000.00 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 S2.00 for each StO00.00 of such excess Cost. 2. Whenever a contract for construction Is executed for any structure costing more than S1000.00 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 eitimateof 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 reloase from all sub -contractors. The seleam should be .nuested by the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insurance Act. f I p