680460.pdfBUILDING DEPARTMEN
PERMIT APPLICATION
NEW
ALTER
REPAIR
C' C
POSTED ON KROLL MAP NO-: PERMIT
F AppRowt FM NUMBER 680460
lUddS lffe&VY ll"08 JOB ADDRESS
—4
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. Al; e" 4 `L' 6,1,:; 'k
STREET RIW V
EXISTING STREET R/W ........... XT.
COMP. PLAN ST. R/W ........... XT.
or
TYPE
RESIDENTLALL
14ON-RESIDENTIALJ
DEMOLISH
EXCAVATE
OR FILL
PRE -MOVE
INSP.
ZAS
INE
SIGN
RETAINING
WALL
PENCE
( ........ . x ........ Ft.)
swim
POOL
[3 YES
PLAN
—RE—A
I
DWELLING
UNITS
Plan Check No ................ . ...
BUILDING
PLUMBING
Ilding setbacks, abutting streets)
t
N
HEAT & GAS LINE
PENCE
SIGN
I
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR PILL
I hereby acknowledge that I have read thtx application; that the In-
formatlon 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-
luting 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 Workmans Compensation Insurance.
NOTE: Permit Limit One Your (Except DEMOLITIONS which
shall be Completed in ninety days; MOVED -IN BUILDINGS shall be earn.
plated in
'i, six months.)
V�aaiagu
NOTE: ApPli"nt Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
AmF construction an the public domain (curbs, sidewalks, driveways,
marquess, do.) will require separate Permission.
I
ri
13 YE8
THIS PROPERTY
13 YES
�w
MM
No.
TOTAL AMOUNT DUE I
I e&' U Vil
AT%!ENT1ON APPLICATION APPROVAL
THIS PERMIT This application is not a pernlit until
AUTHORIZES
ONLY THE Signed by the Building Official or his Dep-
WORK NOTED uty; and fees are paid, and receipt is ac-
I Imowledged in space provided.
INSPECTION DIRECTOR' 81 XTIJ
DEPARTMENT
CITY OF MZ
EDMONDS —57A—TE er,�—
PR 6-1107 - 1105) 1
J
I
-called-Itie -purchaser,"
WITNESSETH- That the seller agrees to sell to the purchaser and the purchaser agrees to purchase From the seller the
Snohomish County, State of Washington:
following described real estate, with the appurtenances, in
All that portion of the South Half of the 1464 of SE* of NWj of Section 24, Town -
*lip 27 N., Range 3 E., W.M., described as followall a
Beginning at the SW corner of NW + of SEI of NWj of Section 24; thence South 08
359090 East along the South line of said NW* of SO of NWL 55-7 fast to the East
a North IoI7
nds; thenc
Margin of 70 Ave* extended North from the City of Edmo
East along said Easterly wargi
n 91.81 feet to the true point of beginning; thence
at VIDr4 CC: 1880
Continuing North 10170150 East along Said Easterly margin 82.On fe
by dised
to South.line of tract of land conveyed to Lillian McGibbon, single,
0
7" East 120 feet;-
it�"�": recorded Under sWitor's file No. 11086691 thence South 811 3495
of 7th Avee 132.00 feet;
themion South 1 79150 West peranal with the Easterly margin
margin of 7th Ave. and the
thence Month 86 35103" West 120 fast to the Eastsely
p"nt of beginning.
nt dated Jww 2,
SUU= to essament for electric tCe"Smissign Jim per instnm
ngton.
a No. 883T913, ji4ax-da'af Snohomish Countyp Washi
1"89 reasuded under auditores fil
SUIIIJKV to sessment for drainage and sanitary sewer installation over and across
the Illorth 10 feet of said promises per instrumant dated March 9, 1957, recoxided
a of Snohomish County, Washington,
under muditor's file No. 1228801, record
j
V1014
Jere C,
RECORD OF INSPECTIONS
e- Date Passed
Foundation
Plumbing (Partial)
(Roug,h)
Frame
Furnace & Fuel Lin s
Final
7"
r7
CITY OF EDIVIONLe WASHINGTON — DEPARTMI!Ni-�F BUILDINGS
BUILDING PERMIT
Pi will
;ber of ba
apancy of
rtifies that a plot, plan, drawings, and sufficient details to indicate
ill, all requirements of this code are attached hereto.
iy made for permit to do the following work:
............................................................................................. . .........
...............................................................................
(street
or lot
in height.
it
..... feet fron� nearest
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Owner..
.... ....... A.
Je4. - -!';.o
* S .......................... .......
cost . ....
Estimated ........
8.
Owner's
Builder
Addr;; ...... ....................................
Group No
9.
..............
............... ..............................................................
. ... ....................................
10.
Builder's
Address ............................................................................................................
11.
Architect
or eneineer ...................................................................................................
I Life of permit.44.-nn . ...........
19.s�
Applicant's
........ ..
(Owner or his agent)
date
Plans filed: Yes 42�/ No
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. This copy is your receipt for the following fees:
1. Building permit fee ...............................
2. Sewer permit fee ....................................
3. Inspection and Supervision fee ................
4. Total .......................................................
PERMIT M 527
$ ......................................
$ ......................................
................
Recq by
.......... . .
(Issuing Officer)
Mpartment of Buildings
City of Edmonds
I. The building permit fee which applicant pays when permit Is issued shall b a based on estimated cost of the proposed structure, at the rate of $1.00 for each
Si000.00 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. In such event no use permit shall be issued until such "discrepancy fee" is paid.
2. Whenever a contract for construction If 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 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 eldmateof
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
4umed by the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insurance . Act.
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