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670206.pdf9 nniinimr. DEPART ENT I A nlle=t M PERMIT APPLICATION F 11JUXU41NO (OR NAME 0 INk" 01 49 W-ILWO ADDREN 7�t _NU CITY 1111MR15RI MI3&R A�_' P /V1 0 1( 0 1 0 YES STUEZiA M/ " EXISTING STREET R/W ............ .)=nCI=CY THIS PROPERTY FT- r a COMP. PLAN ST. R/W ............ Fr- ........ ---..ED BY SIZE CLEARANCE CHZCKIID By RE 1XIMS 3ENSE NUMBER C CENSE NUMBER —6/ — 4( 1"� I/ 1 91 CONNECTION VERIFIED BY ription of Property tunow Below or Attach Your CAVION) L io t I PFUMT MM13ER Im RESIDENTIAL GAS LINE NEW NON-RESIDENTIAL SIGN ADD DEMOLISH RETAINING WALL El ALTER EXCAVATE OR FILL r PENCE ( .......... X . ........ Ft.) REPAIR PRE -MOVE INSP. SWIM POOL JUMBER OF GTOME­S I NUMBER OF DWELLING UNITS c .6 ( r t 10 0 YES plan Check No ........... BUILDING PLOT PLAN (Indicate Building setbac Streets) PLUMBING BEAT & GAS LINE FENCE t ION N RETAINING WALL SWIMMING POOL DEMOLITION pRE-MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 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 186W& regU- ATTENTION IaUng construction; and In doing the work authorized thereby, no person will be employed in violation of the Labor Code of the State Of Washington THIS PERMIT relating to WorkmaWN COMPOnsatiOu Insurance. AUTHORIZES ONLY THE NOTE: Permit Limit One Year (Except DE3101ATIONS which WORK NOTED shall be completed in ninety days; MOVED -IN BUILDINGS shall be com- pleted in Six months-) INSPECTION T) DEPARTMENT 7 CITY OF EDMONDS NOTE: Applicant Subject to Plan Check- Fee PR 6-1107 This Permit covers worK to . done ao private Property ONLY Any construction o1a the public domain (curbs, sidewalks, driveways, marqueeg, etc.) will require separate PermllslOn- YES r] 110 Z� - I., Fee [,-4-, 0 d 1.� 7g, APPLICATION APPROVAL This application is not a permit until signed by the Building official or his Dep- uty; and fees are paid, and receipt Is ac- knowledged in space provided. 1 -1 — FILE i It 11 d E6, 1 4 d I Ltt,— III 'I I", IT L I 'tI I I IT 4 114 Itt, V.VI�144 I A I, dt T Ill T I .... It T TIT 'It" L "t.r d IT I 1 4 ;,1 IT 4 1 ;1 —0t, k I e�t, T I I I I I d IT. . III, pli"', ... ... -,,T, ..df4j , T I I I. It, p k I I k It t IT tu. ITT. If U 1 1, d IT 7. it I �L t T it t 0 . ..... 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C- Permit lurut� one year MONDS Building Deparhmat the ccom is hereby made for a permit to construct the following work, in accordance with a specifications, Two sets are submitted herewith for approval. Off'st. alter --in - -) ....... ........ 46.�.. . .......... Parking ...................... air .. .. �--CAto ne .... ............ Fire zone ............................ . ................. Const. type ................................ Use zo . ................. Lot ...... ............ Blk . ........... ....... Addn.. .......... ... ........ ............. -g� Septic tank ......................................................... ........ Area ...... ---------------- ............................. ........... ... .. .. 'Aacks ...... . 1. side .............................. rear ............................... front ........ ............ r. side. Tel. No... . .................. Address. ... 4"e ...... Y.� ............ ............ 2-2- ... Tel. No.e ....... ...... Address ... .. ........................... .......... ..................................... ............ Address .................................................... Tel. No ............................. Plans b ......... y ................................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remarks ............ .................................... ............................................................................................................................................................. The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. Signed Owner/Agent," ......... 2dress/./49e/ Date ........................ ................ PEMIT 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. ra 0 ............................................... Permit fee ....... �r .. . ................ Recd. by....6.. ...... .. ... ...... Valualion.*d 0 C) Date .......... �.=./.Imk.7 . ...................... Building Department, By .......................................................................... sewer, or electrical installations, nor does it permit any work to be NOTE This permit does not cover plumbing, 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. V a F;V 1_�INDS, WASHINGTON DEPARTM�w OF BUILDINGS CITY OF EDMO BUILDING PERMIT i i cant hereby certifies that a plot, plan, drawings, and sufficient details to indicate itention to fulfill all requirements of this code are attached hereto. ication is hereby made for permit to do the following work: . ............................................... . ....... .................. ............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "r . . . . . . . . . . . . . . . . ....... 777* ............ :72V7 ..................... M. N jr ............................. ............................ ............................ : .................. (Street number or lot and block numbers) "l. Building dimensions are .......... ze .............. X .................... .................. 2. Lot dimensions are ............ 4P_ .......... X ...... ............................ 3. Building will be ........... / ............. stories in height. 4. Number of basements ........ ........ 5. 0 ................... ccupancy of building will be ............. A ......... ........ t� ?0t -Buildingwiilbe ..... r�4 feet from nearest adjoini . ot line. Owner .............. . ................................. ................... ...... .... . . . . ....................................... Owner's Address ....... ...... ..... . . ......... ......... ..... 00-0 ........ Builder .......................... C ............... o .......... ............................. 0 ........ 0 ....... 10. Builder's Address 11. Architect or engineer .................. . W ............ ......... 0 .......................... 0 103 U.5 0 0 W *5: " .0 U "o 0 A 0 .0 04 A -0 > Cn cn 94 rn V4 9W CL4 rn 0 z ....... 11 Estimated cost s ..... eddllt:�_ _Z:1 4C.1 ........ 111=ZZ7 .................. Group No. Life of permit. ................ ... ­­* ............ Plans filed: Yes 13 No 0 Applicant s Signaturel ........................................................... (Owner or his agent)**""*.... 'bed hereon, according to the approved plans and specifications pertaining hereto, e ion is hereby granted to do the work descn bject to compliance with the ordinances of the City of Edmonds. This copy is your receipt for the following fees: 1 L. ho� �zaa I 1. Building permit fee ......... 2. Sewer permit fee .............. 3. Inspection and supervision 4. TOW .................................. PERMIT N? 348 $ ...................................... . ...... $ ....... Ile! ..................... . .......... (lesuins Officer) Department of Buildings City of Edmonds 1 11 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 01.00 for each ,00.00 of cost. If the actual cost of the structure, when finally deternilned, exceeds the estimated cost by more than Solo, applicant agrees to pay an additional fee 2.GO for each $1000-00 Of such excess cost' 'a such event no use permit shall,bP issued until such "discrepancy fee" Is paid. Whenever a contract for construction 12 executed for any structure costing more thin $1000.00 for which a licensed architect or engineer Is not required by the Building Code of the City of Edmonds, the application foe a building permit $hall 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 Libor and Industries, giving an eschnateof the payroll and make monthly reports of payrolls. Full instructions should be obtained (cum the nearest office of the Department of Labor and Industries. OZ ould obtain a release from the general con who in turn should obtrAn release from all sub -contractors. no telex Ltd final payment, the owner sh 1. N � d dustric raq thit Irlate i6dustrial'Ins cc Aar, uraK xttested*by� he DeparcmfAit of, La" !a. The'zbovti-pr�� t j U 0 7, NIL IN ".2 1 14;1. 1 W . N. Vill"" flit L 1p j OCL OoPl I I IN. _itC INN 0 ilitiwitAl IN' IN " Ell I itt"" EV" I I A q polliq Pit I Elfc. olftuitt 111tiOlf"It 018, fill I%j,;IrjJIcrIkI 0 flit I N. Lin liqAttillit IN pplf..Zur I iijilyr, MONERVIll. LI lit.citlito tit)%, tit tllG full tjL a un), OPOt Outfit p)� 1, IN ..Pi px IT OL CUV 'N I NIL i, IN, tilt It fl-t It III. Lin 1: LNE1 vc . -51C.Itit if I lot. lei oilwAYN'41 I ;WIN flat. sthbli . If f (IN it tit b-qlq, 'I 1 0 1 tilt !rlL i U Xtij. fittil-VIlro I U p r, I I I IIIIII(ItUr (IN 1.11CINNItIft lit I ku I If I; � (1% fov,.,i, 7�lcjl ellnintlillch Itcl;tO . I It IN, L IN . p,tEN;j to I - Twot NEAWN04 11CITLINT er j). W(ENI ;4 .1liblICIONNIE 6 Of tilt, 111141 45L I I :' I IN rjt.tN;NI;N it, 113,11 clit. qiry I Ell.,. if ni-rictmW Ifnat tit IS 0 INNr. fill OlNN- Cc�"`N TOWN "I li EV4 f-tic WAR INNIT I. I' S ,It le.r. gelltrT 11"ll Jpe. liflit, 11 1 LI'l Z NIL r IN I. I IN L ujouq, L -Z, 4 1, 11, II(Iju W, ILI I' IN ILI It LIN I.; I L I 1 4 " am , , , I I,,. l.L . .......... TIT ...... I L IN OL I NIL YL - I d. 1 1, 1 NNI, I I- NIL P IfINN., I LIN FE I I IN. I NIL L 4'.. 'I ILI I. LIN NIL I I' jd IN .......... ...... I it ...... IN L,:NL. I .............. ...... 'N., ... ILI LIN- It, I 11� 4 NIL IN I',," N't, IN I I LIN 1 11, IN, . 4 1 N.I IN IN IN r IN NIL L. N, . . ......... L ............... 111.k --- )NLI NIL tL f l? 0 1 4 IN 6 IN . LI, . . I . . . . . . . . m IT 4 It PL. I NIL ix, IN t/Y.r. L ILL.- I.r L, :LL ; IN IN ............. NIL LN,, .... ........ ....... 'NN �141 TINTLINNINN� I IN' I L I I NIL '5JEJ LIN, LOT I L I I LNI C I JLOJJOIY� 2'e'SAL i.,,- - I A 0 IN b Lct 0 NIL NIL- p -4 i rN. L f, ()Till 11 -1 r 0 Litt' 3 t q IN f)m If IN jl�� LIN= v it) ljr.L ....... ILL LL r L�M 0 :N:v TIC, is; LLN,V 'It ........ IT I ---I NI I I LNI I u IN —IN ........ .. NIL L.' IN IN 1p f)IN quCr I L. I ........ I IN, N.. NO LIP I ....... .... NIL I IN 41 1 1 o� � I IN NNW I I . . . . . . . . .1 1 1 111�10 L Eli �L I IN I IN IN LIN If LIN IN; I NIL jl.�LLNI' IN L q IN I I ILI ....... I : IN LILL IN IN: IN 'di I, " ji I.- -1 LIN -(-C, 1 Lit IN, L� IN. I t It ( . I tI.L.N. t-6 it In NIL LIN iL 114- 1. 11 111 - r i I I .......... (LIN it 4 4 J,NN lit' I IN IN I L N-4 I Ittil I I it,"LL �-v .N .......... LIN if ILL IN If If y: "N4 Ni L I TIT I I IN LIN I� U-NI ILI LON INO L IN 11h. LILL— BUILDING PERMIT indicate Applicant hereby certifies that a plot, p an, drawings, and sufficient details to the intention to fulfill all requirements of this code are attached hereto. A.�ftl* #4� in iprn.1%v rnmelp- fnr nprmit to do the followine work: ....... . ................. . ................... . .............. . . .... . ....... . . ......... . . . . .. . .......... . ..... . ....... ................. ...... ...... . .... . . Lot....................................................... Block .......... 1. Building dimensions ................................ X ................................ 2. Lot dimensions ................................ x ................................ 3. Building will be ......................... stories. 4. Basement ........................ 5. Occupan�y of building will be ...................................................................................... 6 . ........................ . f9et f"m the nearest ddjoin' H �ag.. 1. n e. 7. Owner ....... . .... ....... . ... 8. Owner's Address. ......... / ............. 9. Builder ........... .......... . ............................................................................. . .... . ............... 10. Builder's Address ....................................................................................... . ................... ............................................................................................... . ... Date.. ...... ...................... 7 ........... z at or his agent) This Space Is For City Inspector Only FAM 09 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. PERMIT N9 726 L--�� Estimated cost .................. Life of permit. ............................. date Plans filed: Yes 11 No .. ............... Receivedilby .4 Department of ]Buildings City of Edmonds I 1. The building permit fee which applicant pays when permit Is Issued sball be based on estimated cost of the proposed structure. at the rate of $2.00 for each $IoGo.00 of cost. if the actual cost of the structure, when finally determined, exceeds the estimated cost by more than 3%, 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 $10GO.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 detalled specifications. * ' 3. Prior to employing any.labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and Industries, giving an estimate of 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 poentl contractors who in cum should obtain release from all gub-cownctors. The releases should be attested by the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insurance Act. d