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660237.pdfI UILDING DEPARTMENT I Applicant Fill PERMIT APPLICATION Inside Heavy Lines e"W I I - '4 PO nl or S-./ 401 46_27 j 6:3 7 P NEW El " SIGN ADD I DEMOLISH Pul I Link PENCE ALTER RESIDENTIAL "UMBER OF REPAIR NON-RESIDENTIAL DWELLING 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. 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 Workmen's Compensation Insurance. (E,,,,l Demolitions which shall NOTE: Permit Limit One Year be completed In ninety days.) 41� 6 Ic NOTE: Applicant Subject to Plan Check Fee Tims Permit covers work to be done on private property ONLY. Any construction an the public dunu4n (Curbs, sidewalks, driveways, marquees, etc.) will require separate permission. [3 YES Ej NO BUILDING VALUATION BUILDING PER3nT 2 FEE PLUMBING 3 PERMIT FEE HEAT & GAS LINE 4 PERMIT FEE SIGN PERMIT FEE DEMOLITION 6 PERMIT FEE PLAN CHECK 7 FEE 8 1 AMOUNT DUE ATTENTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS PR 0-1107 PERMIT NUMBER 312-ce �?4 - 0 YES 0 YES M11 c;2., &rO APPLICATION APPROVAL This application is not a permit until signed by the Director of Building Inspec- tion, or his deputy; and fees are paid, and receipt is aelmowledged in space provided. BUtEMOR'S SIGNA—C—U- M-9 __z_l FILE L LA� I Applicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate er the intention to fulfill all requirements of this code are attached h eto. Applica is hereby,made for rmit to do ft following work: Ye -Aw .. 44—,Irec ................ ..... .. ................ ..... ........................... ( ...... ....... .. ....... .. .. .. . ...... CITY OF EDIYIO�-i, WASHINGTO N � DEPARTMEAI�612 BUILDINGS BUILDING PERMIT t: 0 0 io 04 Ic a,, > Cd 0 rn P4 0 1 4 C3 1: 1. 9-.0 q P4 en FA 04 0 A .9 0 0 PQ . ..................... (Street number or lof-add blocic numocrsl 0 -ZJ 1 0 %n P4 1. Building dimensions are .................................. X ....................................... cJ0 2. Lot dimensions are .................................. X .................................. 0 3. Building will be ............... 0 ............ stories in height. R 42 z 4. Number of basements ....... — .......... o ............. 5. Occupancy of building �611 be ................... ........ 0 ................. ..................... ................. ro nearest adjoining lot line. :J� ,...fee -Nor 6. Building r- ....................... 3 Estimated cost "k .................. 0 ........ 00 .................... 7. Owner..2 . ... . 8. owner's Address .......... ...... .... 0 ............. 00 ....................... 0 ................... 9. Builder ... o ....... ................ ..... ................. ...... o .......................... Group No . ................. ............. 77.... 10. Builder's Address ............................. ....................................... 0 ............ ........... Life of permit... ---- --- - .... ........ f 11. Architect or enginor .............. .................... ......... .......................... due Date .. ........... Plans filed: Yes 13 No uoX" ......................... wpplicanes signature ...... owner or his; agent) ertainifig hereto ibied hereon, according to the approved plans and specifications p Permission is hereby granted to do the work descn City of Edmonds. This copy is your receipt for the following fees: subject to compliance with the ordinances of the - i7. - , , $............................. 1. Building permit fee .... .... ........... ......... — ...... ............... $ .... ......... 0 ................... 2. Sewer permit fee .......... - .......... o ...................... Y 3. Inspection and supervision fee ........................................ $ .... ............................. ............................. 4. Total .................... ...... .................................... ................... —0--o ......... . .......... . . Re c5ill based on estimated cost of the proposed structure, at the rate of $1.00 tor eacti 1. The building permit fee which applicant pays when permit Is issued shall be $1000,00 of cost. If the actual cost of the structure, when finally deteri6incil, exceeds the estimated cost by more than svh, applicant agrees to pay an,addlilo'llid fee b Issued until such "discrepancy fee" is paid. cost. In such event no use pettrilt-shidl, 0, of $2.00 for each $1000-00 Of such excess noj�reiliiire:4 by: �,.,thzn $1000-00 for which a licensed architect or engineer Is 2. Whenever a contract for construction is executed for any structure costing more atract and a copy of ithe ddialled a building permit shall b* accompanied by a copy of the co the Building Code of the City of Edmonds, the application for specifications 3. Prior to employing any labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and Industries, giving sm istimate"Of tied from the nearest office of the Department of Labor and Indusorjes.�,-Beforell, the payroll and make monthly reports Of Payroll$. Full Instructions should be obtai ontractors who In turn should. obtain release from all sub -contractors. The relissis', should be final payment, the owner should obtain a release from the general c equirements of the State Industrial insurance Act. by �e Department of Labor and Industries. The above procedures. are 9 A X.� r Uri IT M 4 f,q 4v G . Emit p - 1i sAr. fit 11 r. tj I, L, lirt� IfIdOlt, If, ri v z JAI 6, � i tiltu . .. .... -Vxq. :tPq -i)c;b�jtwGjr nj I jpof; kfUt;, e'll "jjf:j ajj�nfq� ciputiv (".,G 111-11.rx. 11; 1,:c. PG �tt. L �, r imuric PUOjq VU� ZIAMutUL V r1pin t144 ki N I IC Juci lut Li a I I 'L lb L Ep 4 ipt, A C.Oul II�Jmr %Vol v colj,� CIL g1r. (11 ".. ill 11VOO)o tOL "jimp'll, 11p.owl t 1� cnri!Wl Ct IQU it I; It"t IT I obnoc). InCil _jn itfl, !f�f&ftr.l io fit ...... .. . 14 pi fIf to i !411 u I . "' fit c4t�.? C.'Ot CU-;Ic iVOLC 2Z�I If emlinvoo <It an it 114 fit it !�Jluu tluvji�. (1,;". LR; . ..... j_ErIC jAU.jj r(ftL r.k tpo 'Atiwv 17 pq Ehur K , Um I I R UT. .......... ........... . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.4i . . . . . . . . . . jjpjt;t-.f�re?j joiq L A I)cijj,, ir tri "Lv, . . . . . . . . . . . . . . . . . . . . bis oij ir �GG . . . . . . . . . . . . It' Wi lb '61 ol J-�i ju W — I T 111 "31 `tjCC--qir4bqA N If' ill L( CrI [ I I i '� ;, . . r , 1. 1 r '. - I , . , r, I, bbl.;4j. it: i;r., J (.0 (if) 4-in. tw,)!.'J� -;'I . ..... Nil . . . . . . . . . . . vl, -e. �i'I;I it 7 k t IS 0 t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r..j I vq I, ........ ...... ... If It ...... v- 4r ly D 1 t I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . It, I j ir, o 13 rI I I r.a tv -.I 1 0 r� . unuip'l JOE . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . .. . . . . . . . ty, . . . . . . . . . . Ir- rrr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . 0 Q ........... . . . . . . . . . . . 41 F, 7 CITY OF EDMONDSo WASHINGTO' BUILDING PERMIT A..,. I hereby certifies that a plot, plan, drawings, and sufficient details to indicate .1 "App 'cant requirements of this code are attached hereto. .�T_`ihe.intention to fulfill all plication is hereby made for permit to do the following work: ..... ......... . .... .. ....................... 7' �7 .7i� 77 �. 7, V ......................... .................. . . .... . ............ . .............. . .. . .... . .... . ......... .... . ................ . ........ .......................... ................... . ......... ..... . . . ............ .. ...... ............................................................................... Block....... Z ............................................................. . . .... . .... . ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ........... X .... / 1. Building dimensi( ,g V uneftSIOnS ........ 2 Lot di i ...... V.53.1* ........ X .............. stories. .3. Building will be ....... 4. Basement of building will be ....... r5 Occupanc F from the nearest, . ........................ r: 7. 0 wmn e,k .... . ........ . �'6wnerls d -2.4d '?�V 9.,, Builder ..... .. A .. .. .... ..... 4.A,, 10. Builder's ddress. ........... ... /-6-2tk ........................ 19.d Date .... 4 .. .................. line. 9/ — ... ....................... ....... . ................... r, This Space Is For City Inspector Only (Ov�tter or his agent) ertainin ereto Permission is hereby granted to do the work described hereon, according to the approved plans and specifications p gh subject to compliance with the ordinances of the City of Edmonds. PERMIT N9 1010 Estimated cost 03app ........... Life of permit... date Plans filed: Yes No $..0Z1 ...................... R .Zed j ............. ssuing 6ificer) Department of Buildih 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 far,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 in a4ditional 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 at engineer Is not recildred.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 WOM, notify the Industrial Insurance Division of the Department of Labor and industries. giving in esdautteof the payroll and make monthly reports Of P2Yt011s. Full instructions should be obtained from the nearest office of the Department of Labor and lndustrles.� Before final payment, the owner should obtain a release from the general COOttActors who In turn should obtain release from all sub -contractors. Ile releases,should be nuested by the Department of Labor and industries. The above procedures are requirements of the State Industrial Insurance Act. .... .. & WORK PERMIT APPLICATI Application No. .. 7.61 CITY OF EDMONDS Building Department Pern-dt Limit, One Year Ir ICATION Is hereby made for a permit to construct the following work, Jn accordance with the accompanying Plans APPL and specifications: ........... .................................... Ground Area ................................... No. Stories.' New/Addn . ....... Submitted............ ........................................................ .................... Const. Type ...... ...... ............ Height. ...... . . .......... ............................................ us Fire Zone .................... :.LOCA.TIION Address ..Z.: a ZonX . . . . . . . . . . . . . . . . . . . . . . . . . . . . ecorded Lot ...... f .......... Block. ...... Z Sewerage ........ .......... Add'n... .9 .. .. . ..... ...... k'� ...... . ........ Sides .... r:�! .... ....... /� ..... .0 ............. 110fin. Bldg. Setbacks, Front and Rear.. ....................................... Width.... Owner.. ....... ... ..... . . ............................... .............. ........ Phone./.2.:�/.A... ... ...... .. .... . Plans by ......................... : ........................................................... Address ........................................................................ Phone ..................... Bldg. b hon b Address ........................................................................ Phone ................................ 'Plbg. Address........................................................................ Phone ................................ Heating by .................................................................. .................... 'X Elect. by ........................................................................................... Address ........................................................................ Phone ................................ Remarks............................................................................................................................. .......................................................................................................... ........................................................................................................................................ .................................................................................................................................................................................................................................................. ....................................................................................................................................................................................................................................... .......... The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. Signed: Owner/Agent-.6*. ......... Address .... Lm.�..z ..................................... ................. Date.. PERMIT for the above work Is hereby approved, subject to the above conditions, and to compliance with. the approved plane and specifications and Building Department notations thereon. VALUATION P=MT FEES Bldg. $ .......... 0 .............. .......... Plbg, $ ........................................ . APPROVED: Heat .... $ ........................................ Elect ..... $ ............ Date......... . ... 7-0-3 ..................................... ............................ BUILDING DEPARTMENT Others ... $ ........................................ bert.,1 Bldg. .Wm,, Her E $ &7,) By......................................................... ............... TOTAL FE ...................... NOTES: No work requiring Building 1)'e'partment or City Engineer's Inspection shall be covered before inspection and approval. 111%venty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as curbs, paving, driveways, sewer, water and street connections. VM. 6 J 1K 14 APPLICATI(A & WORK PERMIT Application No. CITY OF EDMONDS Building Department Permit Limit, Ono Year W. P PL I IC , ATION Is hereby made for a permit to construct the following work, in accordance with the accompanying plans Ications: New/Av&lft. A� ........ ..... ............................... Ground Arco. ............... ................... No. Stories .... ......... Const. TypeSlte�... Submitted.......................................................................................................... ....... Height. ....................... 11-2 ......... ...... Fire Zone .................... WA ... < . .. ............ Address ... cezw ... . ................ Use Zone. .................... ed Lot ................... Block ................... Addln ............................... .......................................... . ..................... Sewerage. ....................................... Width. ........................... blin. Bldg. Setbacks, Front and Rear ................................ Sides .............................. ddress.. ......... Ph A f ........ ... ... on Owner . .... ..... e� . ... ..................................... ....... ................................. Address .................................................................... Pi ....... . .. .... .......... Phone ....................... . ....... Address ........................................................................ Phone... /7 Bldg. by ... .. . ... .. .... ........................................... Address ........................................................................ Phone..� ................... . . ....... by ............................. . ..... .............................. H 'fin by ....................................................................................... Address ........................................................................ Phone.. ea 9 .................... Address ........................................................................ Phone ................................ Elect. by ....................................................................... ..................... Remarks .................. ....................................................................................................................................................................................... ......................................................... ........................................................................................................................................................................................ ....................................................................................................................................................................................................... ..................................... ........................................... ........................................................................................................................................................................................................ The above is a correct wo& statemTt ano-I� agree to Xel th all applicable Codes and State Laws regulating, the ress Signed: Owner/Ageft . ...... . . ............................................ ............................. .... Add nlana c PERMIT for the above work Is hereby approved, subject to. the above conditions, and. to complian e with the approved and specifications and Building Department notations thereon. VALUATION PEI01IT FEES $ ........................................ Bldg. $ ......... ........................ .. 1 10, Plbg. $ ........................................ APPROVED: Heat $ ........................................ Elect. $ ........................................ Date ................................................................................ Others . . . $ ........................................ BUILDING D 4PARTME .......... TOTAL FEE $ ....... .... . .......... .......................... .............. iring Building Department or City Engineer's inspection shall be covered before inspection and approval. NOTES: No work requ construction of all site utilities, such as Twenty-four (24) hour notice requested. Contact the City Engineer prior to curbs, paving, driveways, sewer, water and street connections. rz, �)I� 4 -1 1 S, d, 'I �jf�; *It I - T r 7t f,I IVA �,e I t It. r I r,, JV It, I . . , . , I 1 1 . . . . jj* r . tl qI ..... .. I r 4 '4 C�'j� J�ej, t)�j I A I L 14 1 1 q-7 . . . . . . . . . . pal. a le L L I r r r 0 1. r, _L r a . . . . . . . . All' r Lj h'I r r "L, Z it I L r I L.L 'L Islrrl r L I L oz, i'. N tl L4 It RECORD OFL; INSPECTIOM vp L L L' r Date L L j�� `!,44N? _L A r , 1 11 r Foundation L Ir L r 1, "1' L t. 1 4 L L Plumbing (Partial) L 1 4- r L L L L L I A4 4 I P. L_ 4 L 4 (Rough)" L L �I. 1�%,, I I I , I p I L L 4 L I L Frame 4' 1 . I . . , . , . I I t - I — , 44 11 L Furnace & Fuel,:Llneb I . I I I, h .4 L I I , r 4 Final r ff j f 14 V'I' I J.j i 0 1 �',I L r I I I L t 1 4 Z', 3 I I r . L I I ' I I