The URL can be used to link to this page

710233.pdfi 1 R BUILDING DEPARTMENT I Applicant Fin PERMIT APPLICATION Inside Heavy Lined NAME C4 MAILING A R dS 'C � a_0 37 ��U�_ uvnum maana.0 G F .a C 2' NEW RESIDENTIAL ❑ LINE IF NON-RESIDENTIAL ❑ ❑ ADD SIGN ❑ DEMOLISH WALL L EXCAVATE PENCE ALTER ❑ OR ❑ (xFt.) OVE PRE-P. .......... SWIM REPAIR ❑ IN ❑ POOL IUI.IBER OF BTOR1Ed NUMBER OF DWELLING UNITS IATURE OF WORK TO BE DON( ollrti. Lip a 1 AP NO.: PERMIT 10233 NUMBER ❑ YES i] NO EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. RAV ............FT. ............FT. YES [] NO PlanCheck No ..................... BUILDING PLUMBING HEAT & GAS LIN' FENCE SIGN tRETAINING WALL N ISWIMMING POOL, DEMOLITION 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- ized agent of the owner. I agree to comply with city and stale laws regu- lating construction; and In doing the worst authorized thereby, no person will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT relating to Workmen's Compensation Insurance. AUTHORIZES NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY LE WORKNd ED shall be completed In ninoty days; MOVED -IN BUILDINGS shall be com- pleted In six months.) IIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION 1 DEPARTMENT I �•'� - %/ CITY OF (001 F.DMONDS NOTE: Applicant Subject to Plan Check Fee PR 8-1107 This Permit covers work it) be done on private property ONLY. Any construction on the public. domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission, STREET IMPROVED ❑ YES 0 NO Valuation I Fee _(d.SO K�6or?� 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- knowledged in space provided. FILE i I IF IrF 17- ri Landscaping Fire Dept. I e PERMIT ' I APPLICAT( 19M & a V%0W5% `- Application No. ..�. ..'Fj.3 CITY OF EDMONDS Building Department Permit Limit, One Year Cot .APPLICATION is hereby made for a permit to construct the following worlc, in accordance with the accompanying plans r e and specifications: I VrS. Q— .New/Addn.LL........................................................... Ground Area ................................... No. Stories............ - Bitbinitted........... ................................................................................. Const. Type ......................................... Height........................ ON — Address . l GL.� :.....rly�I�T :L.:. F:!!...................................... Use Zone..........U...... Fire Zone .................... .J 9Y . S Lot .J. Bloc .tea...... .. Add'n.L/.�� -AMU .� �� [� t ��c?-f .C�t�... Sewerage ......... 1j 9 I '- �:-L...�o- �.Ici %-2CQ '��-`P C.d-taire �� •�o 1, -.U/-'L�. !, G ../r22y...��i�I ' ��/ pp 8a.:...........Q.. -.. _... Width../I.-5 ........... Min. Bldg. Setbacks, Front and Rear.............................. Sides.............................. `:.....' t 0.42T : 1 Phone.4..6.' 2 . ::......4.:... � ? L�` G L :......... Address..P.e....................... ....................................... Phone................................ bAddress. y............................................................................... Y . Address Phone ................................ Bidg,' by........................................................................................ ... ........................................................................ Address........................................................................ Phone ........................ ....... Plbg. by............................................................... Address Phone................................ Heatingby........................................................................................ ........................................................................ Address Phone................................ Elect. by................... ........................................... ........................................................................ Remarks The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. Signed: Owner/Agent. ti��:. � r!:4!u:..C.:. .....L/✓✓L Address........tr.':.�. n. ............... :: .... �....... PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans and specifications and Building Department notations thereon. VALUATION PERMIT FEES Bldg. ....$........................................ Plbg. ....$........................................ APPROVED: Heat ....$........................................ ((�' G" 3 Elect. Date...........I..�... ........ �............................$ ......................................... BUILDING DEPARTMENT Others .. . $..........s'�....:....... ...... Wm. Herbert,, Bldg. Insp. .......... By.................................................................................... TOTAL FEE $.........�f:.,:..F.t U NOTES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval. Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as curbs, paving, driveways, sewer, water and street connections. i ' i I. I , y r I i i i I t i i 1 APPLICATk N & WORK PERM Application No. CITY OF EDMONDS Building Department Permit Limit, One Year LICATION is hereby made for a permit to construct the following work, in accordance with the accompanying plane specifications: ................... Ground Area................................... No. Stories............ New/Addn. .............. ........... ...... � s :: Const. Type .......................... ........... Heightf .............LC-� tted.................. L...................................................... N —Address . ! F� Use Zone ................. Fire Zo e .................... ,Lot ....... .......... Block .................... Add n.....4�'& Q%� �4 (.�f.r.�........c . l Sewerage .................................... x x ffJJ .e/� ....... Sides ...:5............7..-: Width .. .............. Min. Bldg. Setbacks, Front and Rear..................... Lot Area....7................. g. / // n .,,,.tom??.:tltn2�l.... Address......1P��..�.�............:...... Phone.................-Lc� er. .... ..,�Ll.... ...... s:.; / ✓� ... Addresr......................................................................... Phone ................................ k r ' - Bldg, � .................... 1ddresa........................................................................ Phone ................................ k. y.................................................................... • Address ........................................................................ Phone................................ Plbg. by.................................................................................. ...... ................... Address... Heatingby............................................................................................................................... Phone......................._....... Elect. by.................................................................... Address........................................................................ Phone ................................ i Remarks The above is a correct statement and I agree to comply with all applicable Codes and State Laws regulating the work. ...........:... Date ... ......,4 Signed: Owner PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans and specifications and Building Department notations thereon. PERMIT FEES VALUATION ry-c/ Bldg. .... $.........r-... ...... APPROVED: Date............./ .. `�....... .: ....I .................... BUILDING DEPA TMENT ByAm...'.. I;erb.gi �.u_ I Jc.( - . sA /�......... Heat....$........................................ Elect. ....$........................................ Others...$........................................ TOTAL FEE $....... i:;57�... ........ NOTES: No work requiring Build ng Department or City Engineer's inspection shall be covered before inspection and approval. Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as curbs, paving, driveways, sewer, water and street connections.