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700203.pdf7 POSTED ON KROLL MAP NO.: PERMIT NUMBER 700203 BUILDING DEPARTMENT Applicant Fill PERMIT APPLICATION inside Heavy Lines JOB ADDRESS NAME (OR NAME OF BUSINES 131DE YARD SETBACK STREET SETBACK REAP. YARD SETBACK MAILING ADDRPSS WN J/0 - q 11 4,V USE ZX(f L A VACANT 13LWIU CITY 1=�.,.ONE NUMB Eft YES [3 NO HEIGHT BUILDING ARZA VAMANCEI NUMBER NAME PLOT PL APPROVED bl ADDRESS STRIMT R/W TELEPHONE NUMBER EXISTING STREET R/W ............ FT. DEFICIEN CY THIS PROPERTY CITY COMP. PLAN ST. R/W ............ FT. ............ FT. REMARKS C4 ADDRESS RED IN z ](VAL z CITY Aer OLf HONE N ER /I 94/1-3 /0 7 V1 I _rZ.� "r P METER SIZE SERVICE SIZE CLEARANCE BY STATE LICENSE; NUMBEn CITY LICENSE NUMBER I ICHECKED 91 Z/1 `117 L �2 i6L g REMARKS Legal Description of F operty now Below 0 Attach lrour Copies) pj,��6 :7 J TYPE CONNECTION VERIFIED BY z PERC. TEST PERMIT NUMBER EMARKS to Fll�ffllil I TYPE OF:,�C�GCTION STREET IMPROVED YES NO NEW ALTER E] REPAIR RESIDENTIAL GAS LINE YE R NO aPL_A_NS CHECKED 33Y E] NON-RESIDENTIAL SIGN 4/,o (P/dzr�n DEMOLISH RETAINING WALL PENCE REMARKS blbg4t "Usr "S�T 9ft4&r"&U9 EXCAVATE OR FILL ( .......... x .......... Ft.) -ju� PRE -MOVE INSP. SWIM POOL $&ajAc-r 7 NUMBER OF STORIES NUMBER OF DWELLING Cd1_eM16AP&.x-- UNITS NATURE OF WORK 0 BE DONE Valuation Fee Receipt No. Plan Check No ..................... BUILDING se PROPOSED USE: PLUMBING PLOT PLAN yhdICatO Bull6ring setbacks, abutting streets) HEAT & GAS LINE /0 FENCE SIGN N RETAINING WALL J' ") SWIMMING POOL t: DO� 10 DEMOLITION JTKI,5 99 'r- 35� 14% PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE 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- lzed agent of the owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL 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 TIUS PERMIT ThIs application is not a perrait until relating to Workmen's Compensation Insurance. AUTHORIZES oigned by the Building Official or his Dep- ONLY THE NOTE: Permit Limit One Year (Except DEMOLITIONS which WORK NOTED uty; and fees are paid, and receipt Is ac- shall be completed In ninety days; MOVED -IN BUILDINGS shall be com- knowledged in space provided. pleted In six monthm.) SIGN E (OWNERPTAGENT) DATE 81GNICU INSPECTION DIRECT IONA E ...a, DEPARTMENT OR eli� CITY OF Z4�� ,� � L ELAMONDS DAW — 6// NOTE: Applicant Subject to Plan Check Fee ra 6-1107 76 Thin Permit covers work to be done on private property ONLY. 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IAIV- III -All AtIAIIt4 L AII L IItIIAll IIt, IA V4 IVtIVAtoAL :I I It AoIto1 A 9 ------- -- - CITY OF EDMON WASHINGTON DEPARTMENL& BUILDINGS. 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: ............ ........................................................................................ ........................................................................................ .. ....... .. ............ ................................................................................................ ........... r ........... . ........... ..................... .............................. ......................................... ............. ...................................................................... rt. ................................................ at..s­.;4/-4S.. !�� ...... 19.f. a .......................................................... 4XrV,;ei* number 0 lot ana`*�io numbers) 1. Building dimensions are_:.11P ...................... X ... X......... 2. Lot dimensions are .... 0-0 ........ 1-11 ... "I' 3. Building will be ....... ............. stories in height. 4. Number of basements ........ r t, :IA" wi 1 1 be i�e_; ------- ... .......... 0 .................................. ro 0 0 ;t .r I 3 Id 5 c�.. . 0 b. 0 0 " 5: � 04 �, 0 do U 0 �= 04 0, Cd U Id �3 .0 0 r. -rl Q4 FA 0 r. 0 0 -4 �0 rd W on .0 L2 W 114 V4 PQ 0 0 0 0 Pq 04 C-4 ;.14 cn PLI Z to D 0 z ; . Occupancy o u 6. Building will be.s�r ..... feet'*'f*roT- neafest adjomii g lot line. 60' &/V ...................... Estimated cost ........... 7. Owner .. .............. ............... - - --------- ...... ------ ..................... 8. Owner's Address ..... ....................................... ........... Est 9. Builder ..... r', On- - MI., .......................... .............................................................. Group No. ........................................ I 10. Builder's Address ..... ............... . .......................... ..... Lif 11. Architect or engin ..... i*�� ...... Life of permitl.:2 C_ eer ate Date., 9S .... 0 ...... 19S�� pl� __Ipboplicant's Signature ...... ............. Plans filed: Yes R(INO D �ncr or his �ag�;i� � Ir Permission is hereby granted to do I 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: 0 V 1. Building permit fee ....................................................... .......................... ................................. 2. Sewer permit fee ..................................................... . ..... 3. Inspection and supervision fee ........................................ ...... ....................... 4. Total .................................................................................................. . .......... . ....... ............................ ...... i Rectqvd Qv P , ERMIT N? 491 6fficer) D rtm epa ent of Buildings City of Edmonds 1. The building permit fee wJilch applicant pays.,when permit Is Issued shall be based on estimated cost ol'the—proposm siruct I u , re. I at the'rateof $1.00 for each 6xv, $%, applicant agrees to, pay an addiflonal fee $1000.00 of cost. If the actual cost Of the stfuctlare. when finally determined, exceeds the estimated cost by more -, 6f $2.00 for each $I000.00 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 Sl000.00 for which a licensed architect or engineer is not required by icy of Edmonds, th , a application for a building permit shall be accompanied by a copy of the contract and a copy of the detailed the Building Code �of, the C specifics. ons. cs es a 3. prior to employing any labor or commencing work, notify the,Industrial Insurance Division of the Department of Labor and laclustri , giving an tIna to,of the paytoll.,and make monthly reports of payrolls. Full instructions should be obtained from the nearest office of the Department of L4ib6r and,ladulatle&I Befo , re from the 9c:i"&cOntractOrs Ao'W turn'should bbtaldb release'- from all sub-contractc�i. �The releasep ahould be final payment, the owner sbouldobtain a release' -'o'f c' rance Act. laccated by the Department of Libut'and Industries. The above procedures ate requirements h State Industrial insu a I 10 a, Ikl CITY OF EDMdNDS1, WASHINGTON DEPARTMIih OF BUILDINGS BUILDING PERMIT' A , oplicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate g so the intention to fulfill all requirements of this code are attached hereto. :01% cl, g 4 Application is hereby made foryermit to do the following,,work:- C 0. b'd 5 .......................... 0 ........... ................ > z r 0 ca. ...................... .1. ..................................... ........... ....... It .................................................................. ................................................................. IL W in 5.0 ................. * ...... J/ 1 i En ........................... ............................................................................. 0. .......................................................... 9 Pq .................................................................................................................. 0 ............................. U rd 0 0 �4 ............................................................................................................................................. -zi .1; U U ..................................... ......................... 0 ........................................... ..................................... t� 8 In .................................... . ..... 0 ....... ............................. od r. :3 z 0 ............ .... ......... at ... �A' U .. . . .. C,4 -K block numbers) F34 ........ ... ... iStrect number or lot , d F14 0 'd OJ P4 cn are ......... e: .............. x ........................................ i. Building dimensions t" 0 z ---� - / --'� -- .. �P- Cn . ................. X ................. : ...... * ...................... 2. Lot dimensions are .................. C 0,- 1 will be...— .... ..... stories in height. 0 0 3. Building z 4. Number of basements .......... ............. . .............. ................................ 5. occupancy of building will be .................. ................. 6. Building will be ....... ...... feet from nearest adjoining lot line. -Q -�" -�Wl Z, // ............. Estimated cost $ .......... 7. . ................. t ....................... .... �0 ... W ...................... ................. ............................. Owner ............. ......................... 0 ................................ Owner's Address ....... ;'a ...... ......... ...................... ',-.-.-'Builder .................................... : .......................................... ....................... Group No . ............................................... ress ............ ........................................... ........................ 10. Builder's Add .... ........ *11. Architect or engineer ...................... ............ .................................................. Life of permit ........ ...... .......... date ....... 19 ......... . Date .......... ........... Applicant's Signature ....... Plans filed: Yes ... jVwoi or his agent) 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: .............. $ ...... Building permit fee ........................................ 2. Sewer permit fee ............................................................ $ ...................................... 3. Inspection and supervision fee ......................................... $ ...................................... $.......... . ......... ....... ....................... 4. Total ........................................................ ....................... .................... 0 Received by ............. (Issuhig Of Ater) - a ent of Buildings PERMIT N? 307 of Edmonds I. The building permit fee which applicant pays when permit Is Issued shall be based On C$tiM2ted cost of the proposed structure, at the rate of $1.00 for C2ch at cost of the structure, when finally determined, exceeds the estimated cost by more than 5%, applicant agrees to pay no additional fee 91000.00 of cost. If the actu permit shall he issued until such "discrepancy fee" is paid. moo for each $1000-00 of such excess cost. in such event no use h a licensed architect or engineer is not required by Whenever a contract for construction Is executed for any structure costing more than $1000-00 for whic 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 detalle , d silcificat.lons.- I f Industrial Insurance Division of the Department of Labor and Industries, giving an est mate a 3. Prior to employing any labor or commencing work, notify the cc - Be the payroll and make munthly reports of payrolls. Full instructions should be obtained from the nearest office of the Department of Labor and Indus its. fore 9 final payment. the owner should obtain a release from the general contractors who in turn should obtain release from all sub -contractors. The rcleases,should'b th. Ar.t. T,dustrial Insurance Act.