670552.pdfPermit
Fin
A. HURLEY
D 8
" G AD RE13
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BIDE YAI
rJ.
1050 WALNUT STREET
7
-
CITY
E NUMBER
EDMONDS9W SHINGTOCME
2 2804
NAME
BUILDIN
ADDRESS
HEIGHT
CITY
T LE HONE UMBER
RE
NAME
GAS APPLIANCE SERVICE INC
C4
ADDRESS
Encroach
Required
4242 24th WEST
YES
CITY
LOPHONE NUMB
METER
SEATTLE
AT 3 5555
RXTTi iff5raREF3 i: i MBER
ci UMBER
R:
223 02 2301
BL90128
[3 YES
rodiwo
a.
BUI DING
PERMIT
670 52
NUMBER
60-t
HEAR YARD
VAU"'K
13 YES (3 NO
0
VARIANCE NUMBER
UMDING SETBACKS
NOTE: 'TO EAVE LINES
INSTALL WALL FURNACE
BUILDING
1 VALUATION
BUILDING PERMIT
NUMBER OF 8 TORIE
DEMOLISH
2 FEE
PLUMBING
NE
3 PERMIT FEE
HEAT & GAS IMJ
A ER RESIDENT]AL NUMBER OF
4 PERMIT FEE
E DWELLING L
REPAIR NON-RESIDENTIAL UNITS
DEMOLITION
5 PERMIT FEE
I ROPOBXV Uu� HEAT
6 AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
ATTE NTION
formation given Is correct; and that I am the owner, or the duly allthOv-
,zed agent of the owner. I agree to comply with city and state laws regu-
THIS PERMIT
lating ronstrUctinu; and In doing the work authorized thereby. no person
AUTHORIZES
will be employed In violation Of the Labor Code of the State of Washington
ONLY THE
relating to WorkmeWs Compensation Insurance.
WORK 140TED
NOTE: PERMI T LIMIT ONE YEAR
SIGN L (OWNIDR OR, AGENT) TE SIGNED
111/24/67
INSPECTION
DEPAJ;LTMENT
CITY OF
.ssssss
EDMONDS
CK & APPROVED
I
I
PR 6-1197
FQFOA
or
dBER
ULA.NCE
CRECKE
VERIFIED BY
ERMIT NUMBER
time
TION
I —STREET IMPROVED
0 YES 13 NO
OCCUPANCY
GROUP
008. PERIVILOO. TOTAL FK9
A
APPLICATION APPROVAL.
This application is not a pem-At 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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CITY OF EDMONDS, WASHINGTON
BUILDING PERMIT
Applicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate This Space is For,
to fulfill all requirements of this code are attached hereto. CityL Inspector Only,,
the intention
Application is hereby made for permit to do the following work:
......... ..... ................ .............................. ....................................... J^-A .....
.. 7-1--,0jy-S ................... : ......................................................... M-10 .......
......... . ...... . .......... . .........
............ ........... ............................ .................................................
. . .... . .......... . .. . . .... . .... . .. . .. . .. . . .... . .........
............. . .................................. . ...............
.............................. . .............. . .. . .....
............................
..... . ........................................
.............. Block ....... . .. 6 .. t ......................................................
Lot ......................................... ......... . .......... . .. . . .. . . .... . .. . .. . .. . . .... . .........
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .. . . . . .. . . ... . . . . .. . . . .. . . .... . . . . .. . . .. .. . . . . .. . . . . . .. .... . . .. . . .
. . . . . . . - - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..................
at. . .. .. �
1. Building dimensions ................................ X ................................
2. Lot dimensions ................................ x ................................
3. Building will be ........................ stories.
4. Basement ........................
5. occupancy of building will be ........
--- - — --- - --------------
g i .
line
6 . .......... ....... ,.. eet fro he nojest a joinin
... .... .............................................
7. Owne
. .......... . .......... . ...
e 's Address ...... ... ....... .. .. .
8. Ownx 1,
........ . .... . ...............
9. Builder ...... . ....... ... ... . .... ... ... 7 .... ..... ...... . ....
.44 .. . ... .. . . .....
to. Builder s ess .....
........................... . ...
.........................
/ .................. 19.
...............
. . ........... .. .. .... ......
(owner or his agent)
-\hil n
'bed hereon, according to the approved plans and specifications pertai ing hereto,
Permission is hereby granted to do t e work descn
dmonds.
Subject to compliance with the ordinances of the City of E
00
Estimated cost $ ... 49.0 ..........
.......... . ......
Life of permit ..... 67.2a.
date RictkTd bY'
(Isiming Officer)
Yes UK No 0 Department of Buildings
PERMIT 789 Plans filed: f F dS
city 0 on,
stimated cost of the proposed structure, at the rate of $2.00 foreach
which applicant pays when permit is issued shall be based on e
1. The building Permit fee ated cost by more than w,, applicant agrees to pay an additional fee
when finally dete tied, exceeds the esti.m
of cost. It the actual cost of the structure,
$100(i.00 mated
tl c t
... 49-�
of p
Life ermit .... 6V
ns fil
rPERMIT �IV 9 �7 [Plaed-os Y:esM-
of $2.00 for each $1000-00 Of such excess cost- costing more than $1000-00 for which a licensed architect or engineer Is not requited by
Whenever a contract for construction is executed for any structure a copy of the detailed
2. pplication for a building permit shall be accompanied by a copy of the contract and
the Building Code of the City of Edmonds, the a
specifications.
strial Insurance Division of the Department of Labor and Industries, giving an estimate 0
prior to employing any labor or commencing work, notify the Indu e neatest office of the Department of Labor and Industries.' Before
3. reports of payroll$. Full jostrucdons should be obtained from th obtain release from 911 tub-contractorv- The releases should be
the payroll and make monthly ors who In turn should
final payment, the owner should obtain a release from the general contract of the State Industrial Insurance Act.
mested by the Department of Labor and industries. The above procedures are requirements
A
APPLIOATIDN(� BUILDING PERMIT
Appl. No
CITY OF. EDMONDS Building Department Permit 1=**k one year
APPUCATION is hereby made for a permit to construct the following work, in accordance with the
panying plans and specifications. Two sets are submittid herewith for approval.
new alter Off'st.
o7
Work addn repair ................................ ..... Parking ......... . .. . .......
........... .......... . ................... ...................
Occupancy ................................ Const. type ....... ........................ Use zone.. . Fire zo= ...
Address ....... ....... j4e)� ....................... Lot. ....................... Blk ....................... Addn .... ..................................
.............
Lotfrontage ....................................... Area ........................................... Septic, tank ............................................. . ...........
Bldg. set -backs front ........... r. side; ............................. 1. side ............................. rear ............................... .
N4�.(;?' ....
............. .
Owner. ................................................. Address. ..................................
Builder............................. A .................................... Address .................................................... Tel. No .................... I .........