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670304.pdfIn, "17 BUILDING DEPARTMENT PERMIT APPLICATION NAME (OR NAME OF BUSIN -9MLINGADDRZ6S /0 op gr 7 r , Z-7M IWA 21,1k "' rA Wdip /' -0';r,09 ky 442 40. / 12 40 / 7� rA Applicant M inside Heavy Lines NEW IE L E'SIDENTIA -1 r GAS LINE NON-RESIDENTIALJ r SIGN RETAINING 0 WALL DEMOLISH ALTER EXCAVATE FENCE D OR FILL ( ........ . x .......... rt.) REPAIR PRE -MOVE 1:1 INSP. swim POOL FUMBER OF STORIES NUM33ER OF DWELLING UNITS X" 14U.; PERIM NUMBER 670304 P7 3ACK STREET SETBACK___ RNA.R YARD SETS LOT AREA VA%Jju4w UAWAI 13 YES (3 NO EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............ Pr. [3 YES 13 NO 13 YES [I NO AfAly Aigne :5f— I I Valuation Fee Receipt No. I AP " "12- cle & Plan Check No tnedas e in ................ . ... PROPOSED BE Rol BUILDING as r q gq�e it c PLOTIPL&N (Indicate Building etbackg, abutting streets) % PLUMMLXNG' !Zj HEAT & GAS LINE PENCE 0, t SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the in- TOTAL AMOUNT DUE r 0 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. ATTENTION APPLICATION APPROVAL lattag construcitilon; and in doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington TIUS PERMT This application is not a permit until relaUnt to Workmeas Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Vimit One Your (Except DE51OLITIONS which ONLY TM WORK NOTED uty; and fees are paid, and receipt is ac- shall be egglAted in ninety days: MOVED-11 U111111shall be com. knowledged in space provided. plate r 02t SIONAT (o ER MAMEN DATEJSI NED rX ry INSPECTION DEPARTMENT 1�7 CITY OF EDMONDS DATE­ r/ NOTE: Applicant Subject to Plan Check Fee Pn 6-1107 This Permit coven work to be done an private property ONLY. Any construction on the public domain (curb@, sidewalks, driveways, FILE ca"quees, etc.) will require separate permission. I I t I kii, "t .4 �j I I I LILL Tt 11 1 1 11 1. 1 1 L I I P L I I d tL A .- . . - I . , . I . I . . i - , , . I L ' , .1 1 � t It. LLL'. . L I I- . . . I . L . I � I - I I L I I r . Z� 11 fl`L� LtItI I ILI, 11 1. L',t I I I. ILI, ...... I 1' 0 1 L L I L. L Vill. Ktj�I )td� dt "I 'I' 1 4 ILI ILLL' L 1 11 1 LL. . LL IT" j. LI-4 1, Lo o L, o, 'o rl' It �lft , L I L I , d 4 T It i t I it o I p I I I d It I I I 1 .1 d 4 1 p I I I . I tit,I'L 11 Lp I t. I LIf%V I t I L 1 1. k . P, I I od % I p I ILI o"'tt �4't' tidL I J. I t ILI I L L It t, 'LI, 'LLJ..' 6 6 1 I. I I I 4, 1 11 p I F., .... ..... $ 1 I ; L 1. 41 It YC 11q1VJA) APPLICATI( M WORK PERMIT Application No. ...s r .......... CITY OF EDMONDS Building Department Permit Limit, One Year APPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying plans and specifications: WORK— NewlAxWw . ..... ........................................................................... Ground Arev ................................... No. Stories ..... 4. Plans Submitted .......... ........................................... Const. Type ........ ................ * .... Height ....................... .................................................... Fire Zone .................... LOCATION — Add ...... 2 ............. .... Use Zone.... 61�� ..... re ................ ............. ... .... ...... .. Recorded LOL ................... Block. ................... Addn ......................................................................... . ..................... Sewerage..Xl.a.-K.d.?-� t and Rear .... LN ....... . /� ...... Sides ...... i� .. . ............. idth. ...... . . . ......... Min. Bldg. Setbacks, Fron Lot AM& ....................................... W ... ... .... ..,000rI12 ......... 2.� .... ...... Address ... ............ Phonejt**'r . ....... . ..... Owner .... ..... . ... . . I -el Plansby ....... J1!!f- ...................................... Address ........................................................................ Phone ........................ ....... . .... ...... . ................................ Phone ....................... ........ Bldg. by. ..... ................... Address Plbg. by .................. . ........................................................................ Address .............................. . ........................................ Phone ........................ ....... Heatingby ....................................................................................... Address ........................................................................ Phone ........................ ....... p ............................ Address ........................................................................ Phone ................................ Elect. by ................................................................ The above is a correct statement and I agree to comply with all applicable Codes and State Lai Signed: Owner/Ag Address ............................................................................ Date . .. .... .... ;R�� 3 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 PE]U/M FEES Bldg. $ .......... z -0 7 .............................. ....................... Plbg. $ ................ .................. APPROVED: Heat .... $ ........................................ Date ................ ( .... Elect. $ ........................................ ...................... BUILDING DEPARTMENT Others ... $ ........................................ By ...................................... TOTAL FEE $ ........... NOTES: No work requiring Building Depart3nent 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. ....... ... 1 0 Is Q NDS, WASHINGTON CITY OF EDIVIO BUILDING PERMIT ilicint hereby certifies that a plot, plan, drawings, and sufficient details to indicate jjn tion to fulfill all requirements of this code are attached hereto. '—fication is hereby made for permit to do the following work: p ........ . .... . .... . .......... . .......... . ................................................... . ......... ....................... ...................................................... .................... .............................................................................................................. .. . ...... ....... . . . . . . . . . . . .. ........... .... .......... . ............. .. ...... ............... .. ...... ... ...... . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . .. . . . ............................ Block ............................................... . .... . .... . .... . .... . ...... ......... . .... . .......... . .... . .. . . .... . .. . .. . ................ . .......... . .... . .... . ........... . .... . .. . . .. . . .. . ....... .... . .... ..... . .... . ... . ..... .. ........... : .............................................. -3 61 [imensions .................. . ............ X ..... :;;Ez ................. ...... X ...... ZA10 ............... jill be ........ ............ stories. >Z16 . ... .... ... .... . r of building will be ........... ....... feet from the neaj;est adLoining liw. This Space Is For City inspector Only — ------- -- - vvner a Addresq ......... ...... . ..... ----- - Builder ':Z) .. ... - .. . ................. M ...... ........ $A ... 1.1 .......... BiiildiesAddress. ........ a.171 ...... ........................ . .......... . ................... .... . ............................................................................................. Date. -z)7 ............ 19A-i� ................. Permission is. hereby granted to do the work described hereon, according to the approved plans and specifications pertaining hereto. subject to comp!iance with the ordinances of the City of Edmonds. PERMIT N9 959 Estimated cost $-A Life of permit. .......... 1�e ........ I Plans filed: Yes ER--�"M 0 $ tz ................................... Received,by', --------- - - (Issuing Officer) Department of Buildings 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 for each $I000.00 of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more thin 5%, 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 thin $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 demil.,d 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 general contractors who In turn should obtain release from all sub-contructors. The releases sboult! be Rttested by the Department of Labor and Industries. Tbe above procedures am requirements of the State Industrial Insurance Act. i a BUILBING PEREff Appl. No . .................................. Permit one year Ds Building Department hereby made for a permit to construct the following work, in accordance with the accom- .18 Two sets are submitted herewith for approval. ;f Off'st. . ............................. Parking ....................... ...................................... ............ .. nst. type ............................... Use zone ..... e ........ Fire zone ............................ ............... ................... ........................ Blk ........................ Addn.... ........ Septic tank ......................................................... ........ Area .................................... r. side ............................. 1. side ............................. rear ................................ ............ Y Tel. No.. ................... .................... Address ... .............. .............. Tel. No ............................. Address ...................................... ................... Tel. No ............................. .... Address ................................. .. ..................................... ......................................................................................... .......................................................................... PIP': ............................ .............................................................. ................................................................................ t, and I agree to comply with all applicable Codes and State laws regulating this bb correct 6tatemen a ve, is a wor S i 6r gent ... Address ............................................ Date... gned -Own /A ................ proved, subject to the above conditions, and to compliance with the ap, PERMIT for the above work is hereby aP proved plans and specifications, and Building Department notations thereon. ........ ... ..... Permit fee ........ ................ Reed. by ... ............... Valuation ................. ................... ...... Date ................. .... ... 2��l ................ Building Department, By ................................ This permit does not cover plumbing, sewer, or electrical installations, nor does it Permit any work to be NOTE — done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of strects and alleys, and plans for future sidewalk development