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690440.pdfBUILDING DEPARTMENT Applicant ]Fill PERMIT APPLICATION inside Heavy Lines NAME (OR NAME oir BUSINESS) M r1eq/ MAILING ADDREH Gfj� A 412.- 3 r— - CITY UMBMA 44 "11 a ft is 1-77'1-7?2-0 _ t4 Z 8 Z a Z or MNEW RESIDENTIAL GAS F-1 LINE I El I NON-RESIDENTIAL J SIGN JWU RETAINING WALL DEMOLISH ALTER EXCAVATE OR FILL PWCE a,19_xJK'..rt.) E] REPAIR PRE -MOVE INSP. SWIM POOL DWELLING UNITS C 44/ /-::7 C i KROLL MAP NO.; PERMIT 6V044U I ;sS . Z 5—SET13ACK STREETTSETBACK REAR YARD SETBACK 3 1 1. A VACANT SITE OT ARE I El YES [3 NO RTnT.T7T_Mf%ARE& I VARIANCE NUMBER EXISTING STREET R/W ............ FT. COUP. PLAN ST. R/W ............ FT. V49NO, C] YES [J NO Plan Check No ............ BUILDING PLUMBING HEAT & GAS LINE PENCE P H P SIGN L E E I A N T CE UMBI N N G G G A- S — L'i U� t rRETAINING WA E :�: LL SWIMMING POOL DEMOLITION EM PRE -MOVE �INSPECTIO:N EXC V TION OR FILL EXCAVATION OR FILL I hereby acknowledge that I have read this application; that the in- formation given In 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 ragul 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 Workman's Compensation insurance. NOTE: Permit Limit One Year (Except DE51OLITIONS which shall be completed in ninety days; MOVED -IN BUILDINGS shall be com. plated in six months.) -ffl—oNjl[11�01LE [0YW_NER_ Oft AGENT) _T DATE —SIGNED NOTE: Appliciint Subject to Plan Check Fee Till 1permig covers work to be done on private property ONLY. 'A" construction on the Public domain (eurbs, sidewalks, driveways, marquees, etc.) will require separate PernliN910112- DEFICIENCY THIS PROPERTY BY i TOTAL AMOUNT DUE ATTENTION APPLICATION APPROVAL THIS PERMIT Tills application Is not a permit until AUTHORIZES Signed by the Building Official or his Dep- ONLY THE WORK NOTED uty; and fees are paid, and receipt is ae- lmowledged in space provided. INSPECTION 1111,1�,11 111:11111111 1 DEPARTMENT 2p, CITY OF DATE EDMONDS PR 6-1107 FILE .X w I I BUILOM APPUGATMI, G PEW Appl. No. f.6.=� .. . ............. Building Department Permit UmiL one Y= CITY OF EDMONDS . . . . . . . . . . . . . the accom- PUCATION is hereby made for a permit to construct the following work, in accordance with AP lans and specifications. Two ads aresubmitted herewith for approval. panymg p 0 ff'St. ................ Parking ...................... ................................. .................................................. Work 1:::rEpai5r . . . . . . . . . Use zone .......... Fire zone .......... . ........ Occu........... Const. type ....................... pancy ..................... 3 .... I-ot ........................ Blk..,e!�� ............. Mdn.. Address ....... ....... Septic tank .......... . . ...... ....... ....................... Lot frontage ........................................ Area .................................... t 4— . . . . . . . . . . . . . . . . . . . . . . . . . . ................ rear ..... .............. 1. side ...... Bldg. setbacks front ..... /.40 ......... r, side.. resa- ....... �:N ?74— of )Xrt..'.d d .......... I ................... Tel o ..... Owner .............................. Builder ....... Addresal ... ..... Tel. No, ........................... No. . . . . . . 9 . .. . . .. .. .... .. . ... .. Plans by .... Address .................................................... Tel. . . .. . . . . . . .... .... .. .... . . . . . . ... . .. . . ... . ... . .. . . .... ... . . . . . . . . . . . . . . . Remaiks ........................................................................... ........ I I . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......................................................... I The above is a correct statement, and I agree t ly with all applicable Codes and State laws regulating. this 0 com work. Date ............ Signed Owner/Agent ........ 7- ............................................ 7� PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap, proved pla;%. and specifications, and Building Department notations thereon. . . . . . . . . . . . . . . . ....................... Permit fee ....... by.. '9 ......... Recd. Valuation ............................. ................. Date ............. ... . .. K-Z . . ................ Building Department, By .................................... . . . . . . . . . . . . . . n t s or electrical installations, nor does it permitany work to be NOTE This permit does not cover plumbing, ewer, ets done in the Right of Way areas. Driveways and walkways -must be Planned to meet the official grades of t and alleys, and plans for future sidewalk development- 4 GPON T- Appl. No . . .......... ... . AP TUOPION �LBUILDIN ne year Peim-dt limit, 0 Building Department CffY OF EDMONDS rk, in accordance with the accom, N is hem4 made for 9. permit to construct the following wo APPUCATIO ewith for approval. Two sets are submitted her panying plans- and specificadons.: bffst. . ................... new alter .............................................. Parking ....................... repair ...................... Work addn ...... ................. ... e ....... Fire zone. ....................... Use zon Const. Me.. Occupancy ................................... T- Blk....................... Addn ......... ................ . .... Lot....... . ... . ......... Address ..... .................................... . .... . ..... ............... Septic tank. ........................... J, Area.. Lot, frontage ........... 1. side .. .................... rear ................................ ........................... ....... front. ........................... r. side.. wrlcr 5tet-backs I A Appl. No, ..................... ............. APKIOATION BUILDING PERMIT permit limit, one year, Building Depariment "ey CITY OF EIDMONDS in accordance With the acoDm struct the following work, APPUCATION is hereby made for a permit to cOn sets are submitted herewith for approval. g plans and specifications. TWO panyin Off -St. ...................... new alter Work addn ��`repair ........... ..... ft ... .......................................... Parking . .. . ..... ..................... use zone .... Fire zone ........... ................. occupancy ................................. Const. type� .......... .t ........................ Blk ........................ Addn ...................................... Address ................. je ............ 3.k-� . ... .... Septic tank ......................................................... Area ............................... ......... J.0t frontage-- ..................................... .............. r. side ............................. 1. side ........................... rear ................................ Bldg� set-baCks front .............. 0 el. 14 z T ...................... ....... dress... owner ..... . . . . . . . . . . . . . . . . . . . . . . ........ Tel. No..... Address ................ 7 . . . . . . . Builder................................................................... Address.................................................... Tel. No ...... ................... Plansby ...................................................... ..................... ...... Remarks ...... 9A .......... <�f . .... ....................................................... ............................ ..................................................................................... ........................ and State laws regulating this -with all applicable Codes t, and I agree to comply The above is a correct statemen work. .............. Date Signed Owner/Agent.4 ap. ns and to compliancevvit4 the 'PERMIT, for the above work is hereby approved, subject to the above conditio, proved plans and specifications, and Building Department notations thereon. yel fee ...... ................. Recd.,by I. - Valuation ............. 1.0 .. ... ................ Pexrrdt . ........... .. ....................... ........ Date... Building Department, By . . . .. . . . . . . .. . . ....... . .... WIWI. . . . . . . . . . . . . . . . . . . . . . . ric4l installations nor does it permit any work to be e This permit does not cover plumbing, s wer, or elect ects and walkways must NOTE be planned io meet the Official grades 6 str done in the Right of Way areas. Driveways and alleys, and plans for future sidewalk development. c e w it h ............ �jt any w i w, L i .... ION BUILDING PERMIT APPLICAT CITY OF EDMONDS Building Department CATION is hereby made for a permit to construct the following work, in accordance with the atcom- 9 plans and specifications. Two sets are submitted herewith for approval. Off -St. new alter ,,0',W6rk addn repair ............................. :7 .......................................................................... . ..... Parking ......... . ....... . ................... Con e ............................... Use zone ... Fire zone .................. ........ ancy ............. S; -p ................ . ........... ................ Blk ........................ Addn ......... ....................... Lot ....... r ... 15"�v 2 ........................... ....................................................... ntage . ................ Lot fri .................................. -P ..... Septic tank.. -P ...................... Area .... 0 Bldg. setbacks front ............................ r. side ............................. 1. side ............................. rear ............................... ewl 3& ................. Tel. Owne........................ ...... Address ..... �t .. . ................ No Addres& ................................................... Tel. No .............. I ............ — Builder ............. w ........... ............. ........................... F Address.................................................... Tel. No ............................. Plans by ................................................................. Remarks................................... I .............................................................................................................................................. .. this t, and I agree to comply with all applicable Codes and State laws r%u! ;iting The above is a correct statemen work. Signed Owner/Agent. Address ... ...................... ................... PERMIT for the above work is hereby approved, subject tDthe above. conditions, and to compliance wiiii, Ithet api, proved plans and specifications, and Building Department notations thereon. .............. it fm ....... ................. Recd. by ..... ...... ...... 7 Valuation ..... ............... Perm Building Department, By ............................................ ............................... .. . ................... Date. .......... INSPECTION RECORD Fdn, OK ............................................ Frame, OK ............. . ................. Final, OK ................................. ...... !CATION �-BUILDING PERMIT ED - M - ONDS Building DepadmeRt C- Appl. No . ...... I ................. .......... permit limit, one year with the accom ON. is hereby made for a permit to construct the following works in accordance specifications. Two sets are submitted herewith for approval. ilans and ..... Off -St. ew Parking ............ I .......... W.'addnv repair ..... ....... 22 ........ e Aq Const. type .............................. Use zone. e::� ................ Fire zone ............................. tcupancy ................................ I a,7- -:Z' , 0.- 0 Uk .... / . ............... Addn.... -5.0 -7 ........................ Lot ....................... .... . .. ....................... r V ,ontage ................ ................ lt4am .......... . ............................... Septic tank .............................. cc .............. % ......... ............ .................... .......................... 4et,ba&is front ........................... r. side ....... 1. side.. ��.ATel. N,;'— ........... .. ................... . .......... Addres& ......... .... V .................... ",Zo ;-0 T . ..... Tel. leo.--� ... -�Bul A�ddress . ... .. .... ild ................................... ... ........ f .......... I'll, --------- - ................... 1.9i4KP9 ..... ste.) will require separate permission. complywith all applicable code6 and State laws regulating this The above is a correct statement, and I agree to work. r ss ..... Datp—/ Signed Owner/Agent., Ad dress... the above conditions, and to complianci with the'aP- subject to PERMIT for the above work is hereby approved, otations thereom proved plans and specifications, and Building Department n 'e Recd. by.. ... ... ... Valuatim ............ /4:2k Permit fee ..... 0 ........... .......................... ................. Date ......... ..... Building Department, BY .................................. inSt4allations. rmit does Tlot coocr plutnbing, Sewer or Electrical This Pe 14, *�4 C CITY OF EDMONI)Sr WASHINGTON Rm n ima PFRMIT V and sufficient details to indicate Applicant hereby certifies thata Plot, plan, drawings, the intention to fulfill all requirements of this code are attached hereto. Application is hereby made for permit to do the following work: -- ---- - -- - ----- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............................. Block .. ........... .............. ........... . .. . ... ... ........ . X * ' "r _A� .... . .. . . .... . ...... . .... . ..... . ..... ........... . .... . .......... . .......... . ...................... . ................ . ................ ...................... ....................................... .................................. . .. . . .. . . .. . ............. . .. . . .. . ...... . ...... . .... . .. . . ........ C.................. ------- — -- — ------------ 1. Building dimensions ................................ X ................................ 2. Lot dimensions ................................ x ................................ 3. Building will be ........................ stories. 4. Basement ........................ 5. occupancy of building will be ...................................................................................... This Space Is For City Inspector Only wil d' 6. eet frq,�l the nearrpt pjoihing line. 7.- Owner ...... 8. Owner's Ad ess ........................................................................................... . .......... . ... ........... . ..................... 9. Builder .......................................................................................... 10. Builder's Address ...................................................................................... . ... ­ -------- \J% .................................................. ........... ............. ... ......................... Date. .... . .......... 0 1 ... ien�� (owner 4is Wa pertaining hereto, Permission is hereby granted to do the ork de.scrribed hereon, according to the approved plans and specifications subject to compliance with the ordinances of the 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 ach $1000.00 of cost. If the actual cost of the structure, when finally determined, exceeds the estimated cost by more than Wo, applicant agrees to pay in additionZee of $2.00 for each $1000.00 of such excess Cost. 00 for which a licensed architect or engineer is not required by 2. Whenever a contract for construction is executed for any structure costing more than $1000. 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 at 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, -contractors. obtain a release from the general contractors who in tum should obtain release from all sub "a releases should be final payment, the owner should Attested by the Department of Labor and Industries. 'rhe above procedures are requirements of the State Industrial Insurance Act. .7, "AILDIN PPLIGATION 0 PERMIT Appl. No. ffy- OF EDMONDS Building Department Permit limit, one year to construct the following work, in accordance with the accom, ON is hereby made for a permit submitted herewith for appr�val. ,Tland and specifications. Two sets are Off'st. alter ......... ...................... .................. ................... .............. Parking t addn repair Use zone. d ...... Fire zone ............................ .................... .......... Const. type' ............................. .......... Lot.. ........... Blk .... ....... ------ r .............. ----------- / . ..................................... ........... Area ............... ................. Septic tank ...... frontage ...................................... R� 1. side ......... ..... rear ....... .... . ......... front ...... P5 ...... 4". r. side ....... rg, . ... . ..... d rem .±�,�Ta Nop ... .. .. z k, -0� .. .. ... ... ... It- t ..................... Address .................................................... Tel. No ............................. d er .............................................. B R Tel. No ............................. ................. Address .................................................... Plans by ................................................. ..................................................................I. Remarks............................................................................................................... work to be done This permit covers on privato Proper 01MY. ...... .......................................................................................... ....... ............................. .......................................... 7 ..... . .... .... .. domain Any constkructvion on the public (curbs, sidcwalku, driveways, marquees .......................................................... .................... III— ........... ... . ... ......................................................... .......... . ................ t., rmission., require, separate pe plywith all applicable Codes and State laws regulating �this' The above is a correct statement, and I agree to com .... . . work. (2W ........... . ... Address ............ Date4 .... gent . .. ......... Signed Owner/A the above conditions, and to compliance with! the apo PERMIT for the above work is hereby subject to approved Building DepartraentnotationsthereorL proved plans and specifications, Recd. ....... ......... ............. ........... ...................... Permit fee., .......................... Valuation ......... Building. Department, BY ..................................... .. . ............. . .. .... This Permit does -not coluer Plumbing, Sewer or Electrical instdilations. "j,