660418.pdfBUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
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SIGN I
NUMBER OF
DE...
PENCE
MADD
ALTER
RESIDENTIAL
MB R OF
NDUWEnN
REPAIR
NON-RESIDENTIAL
L 0
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-
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 Workman's Compensation insurance.
(Except Demolitions which shall
NOTE: Permit Limit One Year be completed In ninety days.)
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NOTE: Applicant Subject to Plan Cbeck Fee
Tide permit covers work to be done on private property ONLY.
Any construction on the public domn3n (curbs, sidewalks, driveivaYs.
marquees, etc.) will requl". separate permission.
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13 YE13 [] NO
BUILDING
VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS IJNE
4
PERMIT FEE
SIGN PERMIT
5
FEE
DEMOLITION
PERMIT FEE
PLAN CHECK
7
FEE
8 1 AMOUNT DUE
ATTENTION
THIS PERAUT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 6-1107
BUILDING
PERMIT 660418
NUMBER
EET SETBACK
REAR YARD SETBACK
AREA
VAUAziw tjrKju
13 YES Cl NO
LDING AREA
NCE NUMBER
E CLEARANCE CHECKED By
VERIFIED BY
PERMIT NUMBER
,NSTRUCTION I STREET IMPROVED
10 -0
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 aclmowledged In space provided.
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APPUGATION L.,, JUILONG FEW Appl. No...,
.........................
CITY OF EDMONDS Building Department Permit lin1% one yearj.'.
AP . PLICATION is hereby made for a permit.to construct the'following,work, in accordance with the'�
accom-
p plans and specifications. Two sets are submitted herewith for approval.
anying
Off -St.
new o""I"Ialter
Workaddn repair .......... .................................................................................................. Park.ing
.......................... Use zone.. ... UP zone .........................
Occupancy ................................ Const. type ......
... Je-1-1
Blk....................... n I. ........................... i .........
Address ............... .... ......
-1.1.7 ..... A. ..1t4septic tank. 4� ..........
Lot frontage .......................................I. A..../ 0
"00
front ........................... r. side ............................. 1. side ............................. r r ... ......
Bldg., set..backs ea
..,r ............. T ...................
Owner(T 4'.4-Ix .... .. I. te. 61. No-OZ::,
..................... Addrees.. ................................................... Tel. No ........... ...................
Builder ....... .......
Plans by ................................................................. Address .................................................... Tel. N
0 .....................
Remaiki........................................................................................................................ .........................................................
................................................................................................ ................................................. I .................................................
tate laws regulating: this,
The above is a correct statement, and I agree to comply with all applicable Codes and S
work.
Signed Owner/Ager.'.. �.. Address ..................................... ...... ......
PE I RMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the a
p,
proved plans and specifications, and Building Department notations thereon.
Valuation ........... ... 49 ......................... Permit fm ....... ;5.�At ............... Recd. by. .......
Building Department, By .......
................. Date ........... ..................................... ..........
........... ........ . ............
NOTE This permit does not cover plumbing, sewer, or electrical installations, nor does it permit any work to be
I grades, of stre
ets
done in the Right of Way areas. Driveways and walkways must be, planned to meet the officia
and alleys, and plans for future sidewalk development-
MEW11 11
AFKJOATION & BUILDING PERMIT Appi. No. .61::�
.. ...................
OF EDMONDS Building Department Permit limit, one year.
�-APMMATION 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.
ffSt.
newkt"� alte.r 0
r addn repair
(Sre4,e . . .... .................................................. Parking .............
.'Occupancy; ................... . ....... Const. type ............................... ............ J
Use zone ........... Fire zone ...........................
e2
.... Lovo ... . .......... . V. k .............
Address.-�, . . .... ........... ....... ....... .
1Z
Lot frontage,...
.................................... Area.91A ..... K.142jfLL ...... Septic tank_,4�2�.P02_21: -R ..... �,
Bldg. set .1, 7.
front .... Z side ............ . ......... 1. side ... .............. rear ... / ...............
. ..............
Owne . . ................ oa!!�qa ................... Addivs&.;X..-// 4� ..... Tel
T,�
JBu ............. Ad
ilde C ...... . .
..... .......... .. 7. e Nat.,1Y ....................
plans .......................... Address .................................................... Tel. No ..................... .......
- .....................................
h1s permit covers work to be done
n :,)2:-ivdt0 ProportZ
Remajp .. g�_N-
7-� . ..........................................................................................................................
J, r 'FlY61*1on on the public domain
-C, sidowalins, drlt.�icy:ajrr
(cur'
........... ..................... . .... ............................................. .......................... ................
a il
e n�c pormission.
The above -is a correct statement, and I agree to comply with all applicable Codes and State. laws regulating this
work.
Signed Owner/Agent ... f� ... ------- - --- ........
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.
.... . ................. Permit fee .. k! .. . .............. Recd. b .. .......... ...........
Valuation ......
Building Department, By .... Date ........
...... .......... - — ----- ------ ... .. 3 ..................
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 streets
and alleys, and plans for future sidewalk development.
0
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