690301.pdfI
BUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAMID OF BUSINESS) ,
co,jw'-el C S E- _D.
AI[AILING ADDRESS
CITY TEI
Applicant FiU
Inside Heavy Lines
ED" o.-i :>-s I t-' 6c/;)-25—
ADDRESS
3 -2 o /-/4
CITY TELEPHONE NUMBER
L�-DA-e 0,#J t/.2 "7,5—
or
27 Al JeW6
3 6ZA&I ' 1,20" 5 6f
SCO
6WM4
C jao'
axcc�-Pr
Ajce7w 4�v'
NEW
RESIDENTIAL
GAS
LINE
NON-RESIDENTIAL
SIGN
F
RETAINING
WALL
DEMOLISH
EXCAVATE
PENCE
ALTER
1:1
OR FILL
( Ft.)
REPAIR
PRE -MOVE
........ . x ..........
swim
r_1
INSP.
El
POOL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
&P11;CCCJ9OL>) FouuLx4V,-'Af
po'ec"I J&_P1--4CC7 A_e0A1r_
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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 lawn regu-
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be oom.
plated in six months.)
NOTE: Applicant Subject to Plan Check Fee
This Permit coven work to be done on privaU property ONLY.
Am construction on the public domain (curbs, sideirsIks, drlvvways,
marquees, ate.) will require separsta pennisslan.
P N 67
EXISTING STREET R/W ............ FT.
0 YES [I NO
Plan Check No ............
BUILDING
PLUMBING
BEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
ATTENTION
THIS PZRI%[IT
AUTHORIZES
ONL THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
PH 6-1107
PERMIT
NUMBER 690301
IACK REAR YARD SETBACK
VA ANT 131TE
(:I YES 13 NO
ZA
VARIANCE 14UMBER
THIS PROPERTY
Cd
13 YES [:I NO
Valuation Fee Receipt No.
'go
I &,�, r_6-jo-ab
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-
Imowledged in space provided.
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APPLICATION � BUILDING PERMIT Appl. No. .2!!�Z� .............
CITY OF EDMONDS Building Department Permit limit, one year
APPUCATION is hereby made for a permit to construct the following work, in accordance with the accom-
and specifications. Two sets are submitted herewith for approval.
panying plans
new alter Off -St.
Workaddn repair ........... ............ ......................................................... Parking .....................
.................
.... Const type .......... r ............... Use zone ... . ..... Fire zone ....
Occupancy ........... I .............
—9—/ — .4-1. ..,W : ...... Lot ........................ Blk ........................ Addn ......................................
Address ... �2 ......................... ........ ........ .....
Lotfrontage ........................................ Area ........................................... Septic tank .................................... I .......................
Bldg. setbacks — front ........................... r. side ............................. 1. side .............................. rear ...............................
I Tel. NI
............. Address. ...................
Owner
. ..........
drers................................................... Tel. Nla4�1 ... ...............
Builder/ ...... ................... Ad
Plans by .......................... ....................................... Address ...................................................... Tel. No ........
....................
Remarks..................................................................................................................................... ..........................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . I . . . . . . . .. 7 . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . I . . . . . . ..
The above is a correct statement, and I agree to comply with all applicable codes and, State laws regulating this
work.
Signed Owner/Agentl�.�/� ............................................ Date .
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 thereon.
P
permit fm ..... ...... oej� .................
Valuati . . ............ ...................... . ...................... Recd. by
BuildingDepartment, By .................... WCO .................................. Date ................... . ... I .. .... ...... ................... .
This Permit does not cover Plumbing, Sewer or Electrical installations.
Lv P%r. at its niume
CITY OF EDMOnaSs WASHINGTON � DEP Inim
BUILDING PERMIT
h I er6y certifies that a plot, plan, drawings, and sufficient details to indicate
fulfill all requirements of this code are attached hereto.
is hereby.,made for permit to do the following work:
................................................................
y
..............................................
....................................................................................
.................
................ V ..............................................
................................. . .........
.......................................................................................
............................................
. ................................................................................
S& Ar 694T .......................... . .........
. ............ .. * .......
(Street number or lot and block numbers)
�A',# ;L 4.
1. Building dimensions are .... ... ......
X .................. .......
...........
X .........................
2. Lot dimensions are .............. / . .... ......
3. Building will be .... /..*& . ....... stories in height
i Number of basements ......... 7 .....................
Col
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5. Occupancy of building will be ..............................................................
6. Building will be .......... a ... feet from nearest adjoining lot line.
e..
.Cy ...............
7.' Owner ............. A4-2,s& ...... ...................
Estimated cost $..,/, ................................
W ...................
8. ovmees Address ........... .................................
9. Builder .................... : .. ... . .................................. M ................. ..........
Group No . ............................. w ...............
10 Builder's Address ................ . ............................................................... W ....................
tecgineer I .......................
t or '***"* ... * ....... ...... .......... ........ 7* ....
Life of permit .............................................
date
Date.... r .. 1�2 . ..............
9
Plans filed: Yes 0 No 0
......... ... ... . ......
Applicant's Signature .................... w ................. (Owner -- or -- his -- a - gent)- ......
is h I ereby to do the work described hereon, according to the approved plans and specifications pertaining hereto,
Permission granted
subject to compliance with the ordinances of the City of Edmonds. This copy is your receipt for the following fees:
$ .............
1. Building permit fee ........................................... W ........... ----
.
2. Sewer permit fee..... ................. m ..................................... $ ......................................
3. Inspection and supervision fee .................... W ............. $ ......................................
4. Total ................. w ............................................................... 0*00006444 . .......... W ..... ......... . ........
Rec .... .................
PERMIT N? 320
Al - � 1954
(Issuingp%r) -
D;pdtment of Buildings
Citv of Edmonds I
1. The building permit fee which applicant pays when permit Is issued shall be based an estimated cost of the proposed structure, at the rate of st.00 for each
$1000.00 of cost. If the actual cost of the structure. when finally determined, exceeds the estimated cost by more than 50/c. 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 is executed for any structure costing mo:e than $1000-00 for which a licensed architect or engineer Is not required by
the Building Code of the City of FAmonds, the application for a building permit shall be accompanied by a copy of the contract and a copy of the detailed
�qcatlons.
N ?Clot to employing any labor or commencing work, notify the Industrial insurance Division of the Department of Labor and Industries, giving an estlmateof
Ils. Full instructions should be obtained from the nearest office of the Department of Labor and Industries. Before
roll and make monthly reports of payro should be
�ozyment, the owner should obtain a release from the general contractors who in turn should obtain release from all sub -contractors. The release:
n"ested by the Department of Labor and Industries. The above procedures are requirements of the State Industrial.Insurance Act.
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CITY *OF EDMONI�t'WASHINGTO N — DEPARTME4T''4vof- BUNDINGS
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:
at
(Street num* or lot and block numbers)
1. Building dimensions are .... L7 . .................... x..-6
2. Lot dimensions are ... .......... X .......... /0..
3. Building will be ........ I ................ stories in height.
4. Number of basements ........ ...........
5. Occupancy of buildinLwill be .......... 540-.. t
6. Building wALle.,6 . ......... feet fro;n neargst a Joi
7, Owner .... �VVJ. ....... �X.C, AJ
8. Owner's Address ..... I;L ..
9. Builder ............... ....................
10. Builder's Address ......................................................
11. Architect or engineer ..............................................
07 , -? z
Date...:t':: ....... !e?!!04 ............. 19.4.5�. 5
Ap licants Signature.. .1 .........
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...... 7 ................................. Estimated cost $ ........................................
le-11 11
(Owner or his agent)
........... Group No . ...................... ................
...........
........... Life of permit,.,fC/::1..&. .. a.V* .............
date
Plans filed: Yes No
. .. I
mmam=
I
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 ....................................................... lsc=�, ...................
2. Sewer permit fee ............................................................ $ ......................................
3. Inspection and supervision fee ........................................ $ ......................................
4. Total .......................................................................................................... . .......... . ........ v ......................
PERMIT N? 463
(Issuing Officer)
Department of Buildings
City of Edmonds
1. The building permit fee which applicant pays when permit is issued shatl be based on estimated cost of the proposed structure, at the rate of $1.00 for each
$1000.00 of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more than 50/c, applicant agrees to pay an additionnI 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 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 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 in 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
arrested by the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insurance Act.
.. ... ..... ...... ......
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AMR—
�,'."�"'WPLICATION BUILDING PERMIT
,,CITY OF EDMONDS BuIMIng Department
Appl. No.....,, ........ . ....
Permit limit, one year
ATION is hereby made for a permit to construct the following work, in accordance with the accom,
_m�g�. plans and specifications. Two sets am submitted herewith for approval.
Off -St.
new alter
orkaddn repair ................ .. .......................................................... Parking ......... . ........... .
'�'ccu ancy. Fire zone ..............
p ............................... Const. type ............................... Use zone ..... .............
Address...... ...... :�� ........... �K ..... Lot ...... . ............... Blk ....................... Addn ........................... . .........
Lotfrontage ........................................ Area ............................................ Septic tank ............................................
front ............................ r. side ............................. 1. side .............................. rear ...............................
B.Idg. set -backs
er.*.0
Own................ ................. Addres&..�.. �. ......... ......................... Tel. No .............................
. . . . . . . . . . .
_Builder ................................................................... Address. ................................................... Tel. No .............................
Plansby ................................................................. Address ................................................... Tel. No .............................
Remarks..................................................................................................................................................................... . ...........
j
The above is a correct statement, and I agree to comply with all applicable Codes and State, laws regulating this
work.
ner/AgO. LJ�
Signed Ow ...... ....... ess ........................................... Dam5r/
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 thereon.
Valuation ............... ................ Permit fee ........... r.;;� ............. Recd. by .... ....... 1� ............ ..
.....................
Building Department, By .................. ................... ................... Date ............
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OY . .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
V
M
VDATION BUILDING PIMMIT
Building Department
Appl. No. ...I
Permit limit, one year
jiiMjj;`-'hereby made for a permit to construct the following work, in accordance with the accom,
mitted herewith for approval.
sets are sub
Two
W 0 -St.
ff
............. Parking ......... . ..
repair . ............. ......................
................. .
ne..A!��-04�%- ..' Fire zone ..... -.0 ........ 0 ..........
.......... Const. t pe ................. ....... Use zo ........
'e74 ......... Lot ........ ......... ..... Blk ........................ Addn ......................................
.............. . ................
....................... . ...........
......... Area ........................................... Septic tank ....................
......................
1. side ............................. rear ................ 4 ..............
'd
front ............................ r. st e ..........................
J.: ..
............... Tel. No
. ...... ...
�E� Add . ............... ...........
...... Tel. No .............................
...........................................
............ Address...
er.................................
Tel. No .............................
Address...................................................
................................
by .. . ............................
V.
..............................
.........................................................................
.�Remarks ...................................................
applicable Codes and state laws regulating this
nt, and I agree to Comply with al
The above is a correct stateme
work.
e-P
............
Daten.....
er/Agent- ..... ... &A a
--...'signed. Own
hereby approved, subject to the above conditions, and to compliance with the ap,
the above work is
otations thereon.
provea plans and specifications, and Building Department n
1>
Valuation.............. ...................................... Permit fee ......... ................... Recd. by ... zz
BuildingDepartment, By .......................... ....... 0 ............. ............... Date ......... 0 ........ . ........ ... ........ ...............
INSPECTION RECORD
Fdn, OK ..................................... Frame, OK ......... o .......................................... Final, OK ..................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
1.f-