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690314.pdfZ4 t �,.IUILDING DEPARTMEN PERMIT APPLICATION NAME (OR NAJdE OF DUBIN 88) FAZ F] ADD ALTER REPAIR 9M N. 0 or Applicant FBI Inside Heavy Linen 4� It RESIDENTIAL GAS I.JNE NON-RESIDENTIAL SIGN DEMOLISH RETAINING WALT EXCAVATE OR FILL FENCE ( ........ . x .......... Ft.) PRE -MOVE INSP. El swim POOL DWELLING UNITS I hereby acknowledge that I have read this application; thht 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; and irk 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 Your (Except DEMOLITIONS which shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- pleted in six months.) NOTE: APPlicant SubjeFt to Plan Check Fee TNS peradt coven work to be done an Prinift PrOPWY ONLY - Any eonstraction on the pubtle domMa (embs, 01dowAlks, dfIv6w8W5, merquees, ata.) win require upffirMe Permission. KISTIIM STREET R/W ............ FT. COMP. PLAN ST. R/W ........... XT. FIRE ZONE I TYPE OF C� YES Plan Check No ..................... BUILDING PLUMBING HEAT & GAS LINE PENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE PERMIT NUMBER 690314 1P. 1ACK '7EEAR YARD SETBACK VACANT SITE 13 YES [3 NO X MA VARIANCE NUMBER DEFICIENCY THIS PROPERTY ............ FT. CHECKED BY ,RANCE CHECKED BY BY I I I Im. Fee . I Receipt No. ATTENTION APPLICATION APPROVAL TIUS PEU�HT This application is not a permit until AUTHORIZES eigned 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 DIRECTOR 8 GNATMIUL DEPARTMENT CITY OF EDMONDS DAT114V FE 6-1107 r- 13 M � ',t, 4 : It I IN —1 1 It, plItt" ...... I I t It It t -IN I It, 14",` IN tr I I I VII tI" It, It r Ir t,o IF I4A tt It I I I I t It, IN I It IN— III, Ital t I K '11 N, IN INt, . . I I . . It It I N re I t I I I I ti IN I 1, 10 In 11 It I IN W44 0II't,"tj #A k I M IN I ta t, I I It I It tN . Ilk rd It It IN -NII ir It j IN I IIIA Itt It I I I. IN :10t N 4 1 ; ' I "t7t 4.y II,;. Ir It t. I - I 7, 'If T jIt IN. N r k4 It I IIN I-; It, I, I II� It I IN It IN IL I . I : I '. : I I I ' �r I i 4 , 1. . I I L, I I I IN I Ito N t II - It 10L . I 'ItIt"Itt, LL Z"Itt, 111, ;,14 11. 1 -RECORD OF INSPECTIONS 1 4 I IIN I I I. I . I . 14 1— I I I NIII MI. I It Date Passed I I Ir %I It . I I I . I 1 4 ,! j )I ., I I " I I I _I%t VItI N I IN -IL I'L . INI - I IpI'tt� It,,oun dation 1 1. 1, 1 1 44 IN . - It Plumbing (Partial) rIL rqII' -I I . r I I I . _N I I I 4 (Rough) I, I. It IN I 4 NII— I . e I I,. III, — Frame I I I It Furnace & Fuel Lines --- 4 Fina It I It IN' Ld I t . *I IN I _�L� IN It t'4 It . I IN t . . I . . I I IN It I Ir It It It. I It RECORD OF INSPECTION Date) Drainage I tt 1 4 IV 0 Sewer I id t. Parking-d -;� , - III, It I, n,, I I I ,, ' �' I �'t I It ;Landscaping Fire Dept. I, N' "N" N I Al N2 CITY OF EDMM�Ss WASHINGTON — DEPARTMEN�.OF BUILDINGS BUILDING PERMIT : hereby certifies that a plot, plan, drawings, and sufficient details to indicate ion to fulfill all requirements of this code are attached hereto. �n is hereby made for permit to do the following work: .......... i ......... I ...... ;� ... .. .......... I* .... .............. — -- — --- (Street number or lot and block numbers) . . ............... X ..... .................. Building dimension ...... R1 Lot dimensions are .................................. X .............................................. 3 Building will be ........... ...... stones in height. ................................. 4. Number of basements. 5. occupancy of building will be .................................................................... 6. Building wX be.... t fr nearest adjoining lot line. 7. Owner ... vmer4i:2 .......... s� ......... ............................... T* 8. .... .. ....................... 0 ...... 9. Builder.i:::::::!� ........................................... ............................................ 10. Builder's Address ..................... 0 ....................................... 0 ............ 0 ... 0 .......... 11. Architect or engineer...r.... �. . .... ................... 0 ............................ 0 (Owner or his agent) 0 0 04 04 C) Sam 8 2 -n R, IL0444. .0 0 0 t? 13 0 rn C4 PL4 Cn P4 z Cn 0 z —C � "d Estimated cost $ .... 4:5 ........... ....... Group No . .......................... ! ..................... ....... Life of permit,!:!:�;-" ...... .... .......... date Plans filed: Yes 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 ........................................ $ ...................................... 0 4. Total ........................................................................................................... . .......... . ........ ... . ....... ................. Rec 01 ......... . 00 ..6 ....... 40 ............. (Issuing Officer) Department of Buildings City of Edmonds PERMIT N? 408 1. kThe building permit fee which applicant pays when permit is issued shall be based on estimated cost of the proposed structure, at the rate of $1.00 for each $t000.00 of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more than So/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. I � 2. Whenever a contract for construction Is executed for any structure costing more than S1000.00 for which a licensed architect at 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 may 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 Depart -eat of Labor and Industries. Before finla 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 th Department of Labor and Industlies. Thi above pKocedures are requirements of the,State Industrial Insurance Act. \J. 3 I .. . .... ..... ................... ...... .. .... . ............. . . ......... .. ......... ...... ... ....... Lq .......... ...... ... ....... ........ ....... .... . tall. 3(4 1(p 73daluil i C C t1loffool, zr. L4 ..... ........ -d 11tv/ lifftblullf fit A 1 ...................... .. ..... .... fIIb!1ij-'1 77� ...... 1-mrvO -V C. ... . ... IRW) 1XIII tollp', ......... .... ........... ........... .-T: A ILI . . . . . . . . . . ........ . .. . .. ........ .......... ......... .......... ... ........ ...... ...... .......... -wiy u,:tr. ,,it 10 VM.VC (it �,ffl Oj -,,rb ob L, t fl� b6l; ?tI1-1q 1) 1)'1 o*111.11 (I I'. J)376d lylit'ItInj ................. i" J .............. . ... .. ............. p Ili J. .................. 11, cil .4 ..... ..... .......... ........... ................... ........... ............ .......... 'k iM ...... :S� OVF 11 M.-RIS I WEI 10 10 MO uiwrui�i 01, 1,wwl -,it 111:11, 1, pew Inur)i: '111111 &83 it'! "13 21ti 503 31, !'llmulld bq It, ru: omle -0 )jo� 'illlr 1, 0(1.tirg IZ. dii;� Jot 00,r,' L': ol 011JAr. 3nR,jIIqrI& P it �mi -Wij �w'.Z� 11. -mmil-jillyl, 4 nium wit-W) 'Jul JAW d, to Jim') -41,11alloll wb .0601 wil mu f! 1"7111,1111 1* 1�,] -�il, Inal-J211 1: 00 . I 1�)l uni) xii bilimp n,,,3auj. olil to %ro, it -(d 9d Ilgile Aturiq at, its to (qa:, F� box 10 lk�id xTii-tuIrtall m wil oinnivent INII ol 5d) 9,xu ift, to uOt jju�j ljjujj�q to xw'(13A "Allu It1w 11"l-twi 11-fIg r>11114013n] Illui lUdgj It) ul'�uuv;qo(l 1Q,je L116 IQ ,wailab or -As jnwimnq�(l Wil 110 1�lnn )Z'J"Ein wb' -41 Mull U nip do blood? Jltipwfl illy -A P.�;Ofubnl blu; l"d". �juni!,r ni�;j aj f)kj� UII - rl vdbidn 10 lwwvi 31CA n1r),10 I �) U 111.q d till ,,it irvr oiwwmn-�-due 'to rou-)), urt"al toluf dr .. ,..� d j ic, -j it -it el .1711, OguilkleM Isiv,UbA lmk.�j 10 I RJOATION (�,BUILOING FEW Appl. No . .................... .............. MONDS Building Deparbwat Permit. limito one, yea . r is hereby made for a permit to construct the following work, in accordance with the accam, roval. ','and specifications. Two sets are submitted herewith for app Off -St. n alter W��, iddn repair ...... ................ f ........................................................................................ Parking .... Use zone.e.2 Fire zone ........................... cy_w ............................... Const. type ............................ ..... Ar' Addn ...................................... Lot ........................ Blk.::f..i ........... ..f ......... zo ...................... ............. Area ........................................... Septic tank ......................................................... K­ Lot frontage ........................... ................. 1. side .............................. rear ............................... UT r. side ............ Pldg. set -backs front ............ -Ad dres& ...... Owne .......... Tel. N ............... r ................. ............................ Builder .......... ..... ................................................. Tel. No. Address ...... 0 ............................. Plans by ................................................................. Address .................................................... Tel. N Remarks....................................................................................................................................... 7 .......................................... ................................................................................................ ................................................................................................ . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The I above is a correct statement, and I agree to comply with all applica le Codes and Stat w re lat 9 e la 8 gu in this work. Signed- Owner/ plianc� with the. PERMIT for the above work is herebY approved, subject to the above conditions, and to com ap, proved plans and specifications, and Building Department notations thereon. ermi m - Valuation .................................................... P tf ... ..................... ...... Recd. by.'../O�'-/- .... 4 ... ............ .... ..... e.) .... .......... Building Department, By ............................. al ..................................... Date ............. 4E. MKICATIONC-1 BVILDIIIG FRUIT ff. . T:QV EDMONDS Building Departn"M A L A. hereby made for a permit to construct the following work, in accordance with the accom, f Ltions. Two sets axe submitted herewith for approval. Off'st. er ................................................................... Parking .................... 7' repair ........... . se zone ..... ?Y=Nt.A.. Fire zone ........................... .......................... U ........ Const. type ..... .A ................................... Lot ........................ Blk ........................ Addn.. ..................... 4� ................ ........... Area ..................................... Septic tank ......................................................... r. side ............................. 1. side .............................. rear ........................... 0 . . . . . . . . Tel. N ............ Address. .... !�_z .... - - L A A& Address .......................................... 'REWIfIci ............................................................ .. ... Address Plansby .................................................................. .......................................... Remarks........................................................................................................................... Tel. No ............................. Tel. No ............................. ............................................ ............................................ ..................................................................................................... ................................ o comply with all applicable Codes and State laws regulating this The above is a correct statement, and I agree t work. ................ Date.z. Signed Owner/Agent./� I ..... . ... dress ............................ the above conditions, and to compliance with the ap, PERMIT for the above work is hereby approved, subject to and Building Department notations thereon. proved plans and specifications, by..---( ....... .............. ... ... fee ...... .................. Reed. ....... ................ Permit Date ......... B ................ .......... .. Building Department, By---V/4i� ................................. . P 2ing, sewer, or electrical installations, nor does it Permit any work to be NOTE This permit does not cover plum] ys: and walkways must be planned to meet the official grades of streets clone in the Right of Way areas. Drivewa and alleys, and plans for future sidewalk development. I