660563.pdfBUILDING DEPARTMENT Applicant Fill
inside Heavy Lines
PERMIT APPLICA1
NA3= (OR NA-- or BUSINESS)
MAILING ADDRESS
CITY TELEPHONE NUMBER
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ADDRESS
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CITY TELEPHONE NUMB]
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STATEWCENSE NUMBER CITY LICENSE NUM
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�zalDescrlvtlon of Property (Show Below or Attach Four Copies
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NEW SIGN
ADD I DEMOLISH FENCE
04
a NUMBER OF
ALTER RESIDENTIAL DWELLING
REPAIR NON-RESIDENTIAL UNITS
I hereby acknowledge that I have read this application; that the In.
formation given to correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city arid 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.
Unilt One Year 11,cept Demolitions which shall
NOTE: Applicant Stibiect to Plan Check Fee
This Permit covers work to be done on private property ON".
Any construction on the public domain (curb%, mideivalks, drivewaym,
marquem etc.) will rrquire separate permission.
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I I VALUATION
BUILDING PERMIT
2
FEE
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
5
-ailem-PREAUT
FEE
DEMOLITION
6
PERMIT FEE
PLAN CIIECK.,�,
7
FEE
8
AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PR 0-1107
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VACANT SITE
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VAY.IANCE NUMBER 1 9
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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 acknowledged in space provided.
DIRECTOR'"IGNATU
FILE
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Plans I
Bldg. I
iX.1.7r,Address
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APPLICATIO'�� & WORK PERMIT
CITY OF EDMONDS Building Departmem
ON is hereby made for a permit to
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. ..... �7.�t q.. Un d Area .................. 0. 0 . .............
? I eight .......................
...............
......... zz. .................................. Const. Type ..................... .. n ..............
Fire Zone ....................
Sewerage ........
............................
Width............................ Min. Bldg. Setbacks, Front and Rear ... ........................... Sides ..............................
Limit, One Year
the following
I,- / , �*\ -
plans
-52�DX f-.t�A� sczo-
. ....... ... z �2- .......... Phone .............................. .
OLddress. ... .... .. 1.z . ................ :.&
A,ddress ............ rA0-'- ...... 4 ............... Phone ....................... . .......
.......... 5�:
.....
Address ........................................................................ Phone ................................
Plbg. by ...............................................................................
1X:!,:
KK-
Heating by ............................................................. ..........................
Address ........................................................................
Phone ....................... . .......
Elect. by ...................... . ...................................................................
Address ................................................
........................ Phone ................................
Remarks .. .............................
T ....... ........ 4-1 ...
... . ...... 5� ... Pg�--..................
.
.................... .. . ...
................... /c, ..... M.42. .. . ....
................................................................................................................................................................................................................
. . ... . ..............................
The above Is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work.
....... Address .... ..... .................................. Date .....
Signed: Ownw/Agent.-�.L....
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans
and specifications and Building Department notations thereon.
VALUATION PERMIT FEES
C-7-W
Bldg. .. . ....... .....
0-0
Plbg.
APPROVED: Heat .... $ ........................................
Date........ ............ .................. Elect ..... $ ........................................
BUILDING DEPARTMENT Others ... $ ........................................
By ...................................... dit"010
TOTAL FEB ....................
NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before Inspection and approval.
Twenty-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.
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(614 6th Ave,N,)
All that portion of Government Lot 2
Sec, 24., T 27N, R3Ejq WoMe.9 described as
-follows:
Beginning at a point on the East line of 6th Street as established in the Town
of.Eftonds., 90 feet north of the North line of Glen Streetj, as shown on th
e
Plat of Bracketts Ist Addition to Edmonds., according to plat thereof recorded
n
i Vol. 8 of Platsy page 473 records of Snohomish County.9 said point bei
ng the
running thence north 140 ft.; thence east 480 ft* "41
Northwest corner of the tract of land conveyed Oct. 31., 1927 to Anna Brackett-
.9 more or less to the west line
of a tract conveyed Dec, 17, 1909 to Nellie E. Brackett; thence South 140 feet;
thence west 480 feet$ more or less, to the point of beginning.
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REOMD—Of —INSPEC
Date I�hssed
Found'C
ng (partial)
Ition
plumb!
(Rough)
Frame
furnace a Fuel Line ee
Final
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APPLICATf N & WORK PERMIT Application No.
Building Department Permit Limit, One Year
CITY OF EDMONDS
APPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying Plans
and specifications:
WORK— New/Addn. ........ ................. ... . ....................................... Ground Areq .............................. o.... NO, stories ............
e....... ................ o .... Height .......................
PlansSubmitted ............................... ...................................................................... Const. Typ
ree ....
IAWATIoN — Add .......... ....... 9-f .................. ......................................................... Use Zone.-A&Flre Zone ...........
I
. ..................... sewerage .............................
RecordedLOL ....... ZjZiro/ck ...... 1.-3 ........ Add'n .............................. ...........................................
-7'—' :A -74—
Lot Area ....................................... Width. ........................... Min. Bldg. Setbacks, Front and Rear..Z5-5 ...................... Sides.. ..................
ALddress ... ...................... Phon ...............
owner....... ..................................... .......... ............................... J
Phone................................
.............. Address ........................................................................
Plans by ... /J�-
Bldg. by ....... ......... ......... ...................................... 1,1 Address ....................................................... *** ...... Phone ................................
........ Address ....................................................... Phone ................................
Plbg. by .....................................................
Heatingby .................................................... Address ...................................................... Phone ................................
Elect. by ................................................... Address ........................................................................ Phone ................ I ................
All that portion of Gov't Lot 2. See. 24s T27N9 R3E9
Remarks ... fG1.1Gw-s-t ...... Beglan-ing .. at .. a ... po-kkt..
Town of Edmondsq 901 north of the N line of
on the East line of 6th St. as established in the I I --�X.— ��
La I CA ... - - ng the NW corner
recorded in Vol. 8 of Platsq p. 47, records of Snohomish Cty, said point bei
of .. the ... tramt—of .. land—con:veyed—oct....aly ... 1927 ... to--Aana---graekett-� ... run*iag ... t-he-neew--noxxt-1*---1-401-; ... thence
mcre or less to the west line of a tract conveyed Deco 179 1909 to Nellie E.
east 48019 -beg-i-nn-ing-v ..........
Brackett; ... thence ... South .... l4al.; ... the -ace ... West.-4801--r--more—GrL ... 1-"G-S ... tG� ... the .. polat ... pf--
The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work.
Date .. ... ... .. .......
Signed: ownerla�gentdZ ... A .. ................................... Address....
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans
and specifications and Building Department notations thereon. PERMT FEES
VALUATION
Bldg . .... $1
.......... ..............................
$ 00-� .
Plbg. . .........
APPROVED: Heat .... $ ........................................
Date......... .............. 6 ... .......................... Elect. $ ........................................
BUILDING DEPARTMENT Others ... $ ........................................
By............................................ 1� ...... ....................... TOTAL FEE .............
NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval.
Twenty-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.
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RECORD OF INSPECTION9
Delte Passed
Foundation
Plumbing (Partial) %\
(Rough)
Fra me
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Furnace & Fuel L
Final
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A ICATI" N & WORK PL-MIT
PF(., Application No. 4!.
CITY OF EDMONDS suilding Department permit Limit, one Year
ompanying plans
APPLICATION is hereby made for a permit to construct the following work, in accordance with the acc
and specificationi
woRK — New/
Ground Area ................................... No. Stories ............
..................... Const. Type ........................................ Height .......................
PlansSubmitted ........................................... ................................
LOOATION
Recorded Lot ................
............... me Zone..C2 .......
Sewerage....................................
Lot Area ....................................... Width ............................ Min. Bldg. Setbacks, Front and Rear ................................ Sides .............................. 'i . , , 11 : '. I -
Plans
Bldg. by ....................................................................................... *—
Phone........................ . .......
Phone................................
Ph e ................................
.............................
Address Phone .................... . ..... . ...
P1bg. by ...............................................................................
........................................................................
Address .................................................. ...................... Phone ................................
Heatingby ..............................................................................
Address........................................................................ Phone ................................
Elect. by ............................................................................................
......
Remarks...............................................................................
..............................................................................
....................................................................................................................................................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......................................................................................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The above Is a correct statement and I agFee to crply with all applicable Codes and State Laws regulating the work.
f
Signed: Owner/Agent. Address../ zf� ..... .......
..............
PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans
and specifications and Building Department notations thereon.
VALUATION PERBUT FEES
.2 Bldg . .... .......... ......................
......................................
IVPlbg. $ ........... .......................
APPROVED:
Date................................................................................
ff�
65
Heat.... ........................................
Elect. ........................................
Others. . . $ ........................................
TOTAL FEE .........
NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before Inspection and approval.
Twenty-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.
ARTMENT
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UHL) OF INS,PCC' TfIONS r
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Date Pc
I L 1 4
FOUncration 4
6 11
Plumbing (Partial)
0 4
IL' A q��f�
(Roug1j)
Frame
Furnace &
Fuel Lines
Final
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