700303.pdf04
FNEW
F __
FALTER
ElREPAIR
Applicant FLU
Inside Heavy Lines
RESIDENTIAL
_1
r
GAS
LINE
N014-RESIDENTIAL
F
SIGN
0
.1
DEMOLISH
RETAINING
WALL
EEXCAVATE
J
E�;�NCE
�OE;16:_Ftj
OR FILL
( ...
F-1
PRE -MOVE
INSP.
F-1
SWIM
POOL
DWELLING
UNITS
I hereby acknowledge that I have read thin 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 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
relaung to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year (Except DEMOLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com-
pleted In six months.)
-10
NOTE: Akppficantl Subject to Plan Check Fee
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
PERMIT
NUMBER
70-0303
YES E3 NO
EXISTING- STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ........... XT. ............ FT.
REMARKS
FIRE ZONE
[] YES 0 NO
Valuation
Plan Check No .....................
I -Aij I A 03 out"
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
BY
0 YES 13 NO
Fee
No.
TOTAL AMOUNT DUE I I I 6-6Z—e
ATTENTION APPLICATION APPROVAL
THIS PERMIT This 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 ac-
knowledged in space provided.
INSPECTION D N
DEPARTMENT
CITY OF
DATE
EDMONDS
PH 6-1107
PIT
i
J
panying pland and specifications. Two are submitted herewith for approval.
new alter Off -St
Work addn repair ............................... ...................................... 4''
...... .................................. Parking ............... ......
Occupancy ............... .... Const. type ............................... Use zone).�.� .................. Fire zone
Address ........ dllk--4-1 1,--- /0 Addn...
X ..........
Lot frontage ........................................ Area .......... . ............................... Septic tank ..... ................... .......
Bldg. set -backs — fronL ...... ............. r. side ............................. 1. side .............................. rear ...............................
Addres&/.�.47"�J` . . . ............... . .
Owner,
... .. � :4�
. ................................ ..... .... N & ..................... ......
Builder............ ................................................... ................. 0 .............................
Plans by ................................................................. Address .................................................... Tel.
No .............................
I(emarks ..............................................................................................................................................
.................................
This permit covers work to be done
....................
............... ............ .
Any ccristruction on the public domain
(aurlus-; ... uldtnxlhu dri—, em—ys.; ... marquee�; ...............................
............. .......................................................
JoA�dj4&%hjrpncpf jnj�i-j8 cgIR-PrpYiRgjqBr applicable Codes,'and State laws regulating: this
The abovRIAC
work.
................ .... .... ..
kl, F,
Signed Owner/Agent ............ ........... Address
........... ... 7 ..........
-ITY. OF EDMONDSs WASHINGTOL
BUILDING PERMIT
4: .. ..... Applicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate This Space Is For
tion 6 fulfill all requirements of this code are attached hereto.
mten
City Inspector Only
Application is hereby made for permit
to do the following work:
. .... ..........
....... . .........
................................. ............... . .........
......................................................................... . ....... .......... . .........
.... . .... . ........................................ . .... . .... . .......... . .... . ................ . .... . ............ . .. . . .... . .........
.... .............................. . .........
7� ... 7 ............ . .... .....................................................................
...................... Block ........................................................................
..............
. . .... . .... . ..... ........................................................... . .......... . .. . . .... . ...... . .... . .... . .........
ls� j .......... .... . .... . .... . .......... . ................ . ............................ . .. . . .. . .... . .. . ..
.... . .... . .... . .... . ............. ... ... . .... . ........................ .. ..... . .... . . .. . . ...... . .... . .. . . .........
- L
a ..........
. ....... ... 77. .... ......... .. ................ i.Zc ......... . ...... ........... . .... . .... . ...
Building dimensi Its ..... 0 ................... ..... ..............
1.1ot dimensions ............. 6.5;� ........... X ....... ............
3... Building will be ........................ stories.
.4., 'Basement ........... . ...........
f bulldffi will be ............
............... . ......... .........................................
pan 9
_6 feetfrointlen 'est Joining e.
....................
:7. Owner.., ....... .. .. . ...................... .... $� ............................
8 Owner7s Address .......... Y31 .. . ........ ...... .. ................. . .......... . ...
Nova 01
.10. Builder ................................................................................... ............... . .....................
'10 -Builder's Address ...................................................................................... . ..................
.......................................... ......... ......
_/01
I ..... 19
'Date .... .......... .........
t4;1 . . ...... . .. . . .
sins ....
��d�j_oining__ e.J ...... ..........
........ ........ ...
....... owj::�)
... . . . .. . . .. . . . . . . .. . ..... . . . . . .
;a
er or is agent)
ibed hereon, according to the approved plans and specifications pertaining hereto.
Permission is hereby granted to do the work descn
subject.to compliance with the ordinances of,the City of Edmonds.
PERMIT N9 670
Life of permit. .............................
date
'1�
Plans filed: Yes le No D
$. . .,:r.2 eZv�
...............................
Rec Ved
. .... . .... . ...
(Issuing offic")
Department of Buildings
City of Edmonds
1. The building permit fee which applicant pays when permit is issued shall he based an estimated cost of the proposed structure, at the rate of $2.00 for each
$1000.00 of cost. If the actual cost of die structure, when finally determined, exceeds the estimated cost by more than 5cloo applicant agrees to pay an additional fee
of $2.00 for each $1000.00 of such excess cost.
2. Whenever a contract for construction Is executed for any structure costing more than $1000.00 for which a licensed architect of 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. Ile releases should be
arrested by the Department of Labor and Industries. Ile above procedures are requirements of the State Industrial Insurance Act.
I
J_
CITY OF EDMONDSs WASHINGTO
BUILDING PERMIT
"�'Applic"a'nt"hereby certifies that a plot;l plan, dmWings, -and sufficient details to indicate This Space is For
- City Inspector Only
646tention to fulfill all requirements of this code are attached hereto.
Rowing work:
iationis hereby made for permit to do the fo
j
..... .... . ...... . ........... .......... ... . ..............................................
....... ......... ............................................ . ..... .... . ...
................................. . .... . .... . .........
.... ... ..... ....................
7.
........... . .......... . .......... . ... . ................ . .... . .......... . .... . .... . .... . .. . .. . .. . . .... . .... . ...
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LotBlock ...... . ...............................................................
........ ............................................
............................ ................................
.... . ................................
. .. . . .........
........ . .... . ..........
............. ............... ................................
. . .................. . .... . .... . ...
"7'7* M ......... ............... ................. .................... .....
�dimensions ......................
.......... X ...........................
................ X ................................
imensions ................
r win
Wing be ........................ stones.
BaIiiment ...... .................
5 ccupancy of building wi
0 11 be ........................................................................ ......
d' inmi li
............... feetfrom the nearest a g ine.
o10
...... ................................... . ..... . ......................
7. Owner ....... .. .... ..
8. Owner's A�dress� .... ... ...... ......... . .......... . ...
A V ... . ................ . ............ . .... . ...............
Builder.
ye
r's Address ......... .. .. .... ................................ . ...................
10,,,Builde
. ...................................... . . ................................................... . ...
. . .............
2�7
...... 19
.....................................................................................
(Owner or his agent)
'bed hereon, according to the approved plans and specifications, pertaining hereto,
Permission is hereby granted to do the work desm
subject to compliance with the ordinances of the City of Edmonds.
Estimated cost $ ..........................
c2
$ ... .............................
Life of permit .............................
date
R
in
n;
fficer
Plans filed: Yes'O No Department of Buildings
City of Edmonds
I. 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 $2.00 for each�_"
$1000.00 of cost. If the actual cost of the structure. when finally determined. exceeds the estimated cost by more than 50/a, applicant agrees to pay an additional fei,,,
of $2.00 for each $1000.00 of such excess cost.
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 bj�
a copy of the detailed;
the Building Code of the City of Edmonds, the application for a building permit shall he accompanied by a copy of the cc tract and a
specifications.
3. Prior to employing any 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 Department of Labor and Industries. Before
F
final payment, the owner should obtain a release from the general contractors who in turn should obtain release from all sub -contractors. 'rhe,,teleases should be.
Attested by the Department of Labor and Industries. The above procedures are requirements of the State Industrial Insumace Act.
W
'j,
APPLICATION & UL jING PERMIT
CITY OF EDMONDS Building Departmen? Permit limit, one year.
g work, in accordance with the accom,
APPUCATION is hereby made for a permit to construct the follow1n
cifications. Two sets are submitted herewith for approval.
g plans and spe
pan&
Off'st.
new alter
...........................................................................
repair ......... Parking ......................
Work addh ........ �
Const. type .............................. % Use zone.,e ........... Fire 2;one ......................
Occupancy ............
Addn& ........ ...............
..... ......... Blk ....
WK
. ..... ..... .......................
Address....., ............... /
. ..... Area .. LQ.L. ......... Septic tank, ................................ ........... .. ....
Lot frontage ..................... . .......... .
r . ......... ...................
Bldg. set4xLcks front .... ......... r. side ...... I;r . ........... 1. side ........ ....... rea
C)
Tel.
Owner.1570n- ..... ...... .... Addrem ..... r�p . .. .... .......... . ...... N
....................... .......
............ Address//X?�� L ... el. 'o..
.. .................. .................... .... /
..... Tel. No .............................
Plans by ................................................................. Address ...............................................
Remarks............................................................................................................................................................. .....................
this Pcrmi-IFcovers work to be done
........... . ...... / ..........
on.p.Kivato Pxty .. MILL ................... ........................
........................ ............
... PP;P.P
A.,I-r c,-�:----uction on the 1:---.b1!c domain
(cur',s r1div.yalks. driv�da . . ..........
............ ... ...........................
............................ ......... ................. . ...................
atc.) wiI1 rGquire separate permission.
Codes and 8
reguladng this
The above is a correct statement, and I agree to comply with all applicable ta
work.
Signed Owaerm.gt.'��-'-'� .. ddress.4� ..... ........... ljat'e� . .. ...... .. ...
d
PERMIT for the above work is hereby approved, subject to the above conditions, an to compliance with the�
proved plans and specifications, and Building Department notations thereorL
0
...... ............... ...
........... Permit fe�a .. ................. Recd. b ...........
Valuation
r*
... Da ......................
Building Department, By..., ....... ....... ..
This Permit does not cover Plumbing, Sewer or Elecirical installations.
Sta
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