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680223.pdfBUILDING DEPARTMENT PERMIT APPLICATION NANX (OR NAMS OW BUSINESS) a ADDA10511 'a'o& Applicant FM Inside Heavy Lines tion of Property (Bnow Below or Attach Four Copies) r EIRESIDENTIAL n GAS LINE NEW ElNON-RESMENTIAL n SIGN DEMOLISH RETAINING WALL FiALTER EXCAVATE OR FILL PENCE ( x Ft.) .... ..... .. ....... E] REPAIR PRE -MOVE INSP. SWIM POOL NUMBER OF DWELLING UNITS AL WaSTING STREET R/W COUP. PLAN ST. R/W ............ FT 0 YES 13 NO PERMIT NUMBER 6 223 ACK REAR YAJtD BET=CK VACANT SM El YES 13 NO MA I VARIANCE NUMBER 111 DEP70JENCY THIS PROPERTY [3 YES [3 No Walkway aunt be 5' min, arcnissid pools, Pence wolat be installed. A, 33.1in Plan Check No ....... BUILDING PLUMBING HEAT & GAS LINE t FENCE SIGN RETAINING WALL SWIMMING POOL OLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby "knowledge 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; mid in doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington relating to WorkraWs CompaUSLU00, Insurance. NOTE: Permit Limit One Your (Except DEMOLITIONS which shoal be completed In ninety days; MOVED -IN BUILDINGS shall be oom- plated in six Months-) SIONATU (0 OR AGENT) DAT Y!IGNED 7k 9 NOTE: Applicant Subject to Plan Check F e This permit coven work to be done an private, PrOPOrty ONLY - Any construction an the public domain (curbs, s1dawalkso driveways, marquess, etc.) will Main separate permission. Valuation Fee LTMNTION APPLICATION APPROVAL TMS PERMT This application is not a perndt until AUTHORIZES signed by the Building Official or his Dep- ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- knowledged in space provided. INSPECTION D 10 DEPARTMENT CFI!Y OF FMMONDS DATE- PR 6-1107 rum kqo'y —777 .14 iL T n PARCEL A: That portio of the East 1/2 of the NEJ of the SEJ of the M. described as follows: of Section NW* 24, Township 27 N.R. 3 E.W j of the SEJ of the NWJ the Southeast corner of the NE Be inning at 9 00081 West along the East line of said NWg 92.9 feet* ce North then the 89041124" West 170 feet; thence South 0*0 East nee North parallel to East line 92.9 feet to a point on the South line of NEJ of the SEJ of the NWJ; thence soutn 89*41458" Fast along said Sout In line 170 feet to point of beginning. PA RCEL B: ALSO. that port1nn of thR NWJ ofSection 24, Fu-4 and iF W: of Said Section 24, e soutn line of the oi the Stt Of tne N described as follows: The East 170 feet of tbe-following: MEJ of the SEJ of the NWJ, i Beginning at the Southeast corner of the Section 24; thence South 7.9 feet; thence Westerly along a fence line 3 4.82 feet; thence North 6.1 feet to the said South line of the 2 of the SEJ of the NWJ; thence East to the point of beginning. NE ALL situate in the County of Snohomish, State of Washington. RECORD OF INSPECTIONS Date Passed Foundation Plumbing (Partial) (Rough) Frame Furnace & Fuel Lines--Y—z F- 76 Final )F INSPECTIONS RECORD Date Passed Drainage Sewer parking ---- Landscaping Fire Dept. ------------- oil CATY OF EDMONDS, WASHINGTOti BUILDING PERMIT Applicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate the intention to fulfill all requirements of this code are attached hereto. Application is hereby made for permit to do the following work: ----------------------- . .............. I . . ......... Lot....................................................... Block ............................................... OF '_4 .......... X ... $? 1. Building dimensions ... ... 2. Lot dimensions ... WC) ............... X ...... /';L-() ............ 3. Building will be ...... t ............... stories. 4. Basement ... 61 . . .......... 5. Occupancy of building will be ...... P .................................. 6. .../D- ....... pfe,,t frt,.the earest adjoining line. Owner. ............ f .... . ....................................................... 7. 8. Owner's Address. ..... V ... 9 .... .......... . ................ . .......... . ... 9. Builder ..................... r74. *.. E ........... ............................................ . .... . ............... 10. Builder's Address ................................ 7 ...................................................... . ................... ------------------------------------------------- -- - Date. ......................... ............................. I agent) This Space Is For City Inspector Only, C 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 N? .' 635 4o Estimated cost $11rD,040... Life of permit... IPlans filed: Ye/, No 0 s.0.70a ......................... R Department of Buildings City of Edmonds 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 $2.00 for each $1000.00 of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more than 5% applicant agrees to pay an additional fe.e 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 $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 &hill 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 Labor and Indusorles, 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 211 sub -contractors. The releaso should be attested by the Department of Labor and Industries. The above procedures an requirements of the State Industrial Insurance Act. I I -1 HFUCHION & 1�:,ILDING FEW CITY OF EDMONDS Building Departnwat APPUCATION is hereby.made for a permit to construct the following worko in accordance with the accom' panying plans and specifications wo sets are submitted herewith for approval. Off -St. alter.......................................... Parldng ...................... Work addn repair . ..... ........................................ .................. ...... Const. type ............................... t Use zone..Iz.-.� ......... Fire 2;one ........................... Occupancy .......................... Address..7i;:2/-L..— ..g .... ;�.i... Lot ....................... Lft ...... ...... Adqn.. ... . ........ ... NA Lotfrontage ........................................ AA&Im .......... . ............................... Septic tank .... . gi4l(� ...................... Bldg. ad4wjm f t ......................... r. side ............................. I. side ............................. rear ................................ r9n ..... itk Address. ................................................... Tel. No ............................. Owner ... .... .. . . ................... ................ Address ... :7Z z1- � 7:�. !&Tel. .. ................ a 'I "­ ­* .... ......... Builder .. f ......... ... ..... Plansby ................................................................. Address .................................................... Tel. No ............................. tobe done ............................................................................................. Remarks.-T-his.-p-ermit .. QJQIQX�9! ... WS?ft ............................ on Private proportY ONLY. public domain ........ 9 ...................................................................................... .............. .................... mar-4uee sideual!�6,, dr-iveways, L r C V Re.ra.t e ... perm . i . S.8 i.0.n ...................................................................................... . .... .... ......... . . .... . .. . The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating -this worIL ................ D7ao, Signed Owner/Agent.-y4e.-c . .. ... �._�ddressg.Yg'L/Y�--Y 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 th n. Mo .. . .. . ..... Valuatiort ........ ....0 . ............. Permit fee.....3.6= ............... Reod b ........ . ..... . .......... .... ... ..... ...... .... ....... .. ..... . Cm .7 .... . ..... ................... . Building Department, By ......................................... . ................ Date. This Permit does not cover Plumbing, Sewer or Electrical installations. V C CITY OF EDMONDS, WASHINGTO�_N BUILDING PERMIT Applicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate r the intention to fulfill A requirements of this code are attached hereto. Applicatloq is hereby made for permit to do the following work: ...... . .... . .... . ......................................................................... * ", .. .... * . ............................................................. .... . ......... =1- ............................................................................................................ .......... .......... .. ............................................................................................................................ ........................................................................................................................................ Lot....................................................... Block ............................... . ....................................... ........................................................................................... .................................... 7j ..... . ... .................. . .... . ................ . .... . .... . .......... . .... . .... . .......... . .. . . .. . . .. . .. . .. . . .... . ......... ........ . ... ........ .................... �.'. � .................................................................... . . .... . ... X ...... I . Building dimensions ................... . 7 ... .......................... X ...... ......... 2. Lot dimensions .......................... 3. Building will be .......... / .......... stories. 4. Basement .......... I/ ......... 5. Occupanmr of building will be ........ .......................................................................... 6 . ...... .... ........ feet from the neargam-adjoining line. e 7. Owner .... .. I ... .... ...... _a .............................. .............................. ........ 8. Owne ' Add Z�V.e: 96 reps... ­:�5 ... rs .................................... 9. Builder ..... ?�c ............. .... . ............. . .... . ............... 10. Builder's Address. .. . . . ......... ............ ........ ............... .......................................................................... . ........ Date .. ....... ........... ......... . .... (Ownpr 00"s agent) This Space Is For City Inspector Only 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. W? 920 Estimated cost I Life of permit. ....... .. I ate Plans filed: Yes 0_'�No 0 —1 00-6 1�4z_ � $ ................................. Rec M V, ..... ........... Department of Buildings City of Edmonds 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 $2.00 for each $1000.00 of cost. If the actual cost of the structure, when finally determined. exceeds the estimated cost by more than 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 than $10DO.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 detailed 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 -contractors. The releases should be satested by the Department of Labor and Industries. 7be above procedures are requirements of the State Industrial Insurance Act. I