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710501.pdfcant Fill ' Wkii matvAPPLICATfON g I In ldo Heav Ty Lines 0 M,,• WVZ 1W. ITED ON % �MAP O.: ( PERMIT NUMBER i ADDRESS E Y R��DIy"�B BACK qz 0 l 1' 1 A► . I Fr /�ETBA K is' /� bZ&E LOT AREA asr' EXISTING STREET R/W ..S! V..FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ..6d...FT. .P....FT. REMARKS Drivewav slpes not to excedd those indicated 3 rr S�IrK— ` y C. TEST N P4't Pro car S� Co. PA .� S. th IQ' I("j—'—� REMARKS R,M -.w P­ dt2i84i1�j"8; �lii eui �Iti'9rlb� ie � �'cf. t i K t c 11 �NAW RESIDENTIAL ❑ GAS LINE � NON-RESIDEN TIAL ADD SIGNRETAINING DEMOLISH WALL ALTER EXCAVATE ❑ ORFILL El PRE -MOVE tEN ..;t.......... Ft.) REPAIR ❑ INSP. POOL Elm NUMBER OFTOR1E8 t �D��� NUMBER OF I UNITS NO UNITS ' l'F\ \ 9z IT OF Z 1 I hereby acknowledge that I have read thle application; that the In. formation given Is correct; and that I am the owner, or the duly author. feed agent of the owner. I agree to comply with city and state laws ngu- Iating construction; and In doing the work authorized thereby, no person will be employed In violation of the Labor Code of the Stale of Washington rotating 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.) NOTE: ApQ(VaniSubject to Plan Check Fee This Permit coven work to be done on private properly ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. I IT .� V N I YES ZEj NO SPECIAL INSPECT- REQUIRED OCCUPANCY ORO P YES NO I J�/ Plan Check No............ BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE ATTENTION THIS PERMIT AUTBORIZES ONLY TIIE WORK NOTED INSPECTION DEPARTMENT CITY OF EDIVIOND$ PR g-1107 Valuation Fee Receipt No. L 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. 10 —_ --I FI­j I -P. i 1 i � t i I I i j i W - \ .. _ `4, r {j I 'x r' 3 t �'v 'i. ..:-u',,.y =rt :�`- :�',i S s r,'1.. s ,.{r 1 'Ri y� --"— o+rcww '.t'r' l d'e✓<'?,1'~ $ ..r I �NoTt . 1 r ){. f � u..... {� Fl. "t I 's1 e ::yr :..f y a � ..rd `y. - 4. xl ' c.. s yp lu_.:+.r ilg)ii...^. 1.•..i.an l 'i af?-r' ^.n^.'. S'["ya`: .d ..�;.r'h ..,LL'�.:... �. ;i1 exLL..:.a .. �. .!. :,tj 5,... 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I I r t: ka , tttyyy t3t 4 e F rt t '� t i tit yaSV , t ;! d1 }e s tl 31 1 � l q L) 1 1, �tti t ,TY OF EDMONDSa WASHINGTG�1�� -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. 2� Application is hereby made for permit to do the following work: '; �2 rt<+}}br"'ie r ............................. ........._....«.. n ... �.............................................................. ...._.... ....................... ......................................................_..I..... u. •...«.....-....«....«..«.-......a.....«_.u......w«_««..«««....«««......... _........ 1 1{Y tt t' - ......«..... ...... .. ....... ......... .........................«.. « ....... Lot......... ....... ....................... Block ....... _............................................................... ................«.... «.... ..... ...:.... .._..... . ......_ .................. ..... - ..... ... 1. Building dimensions .....J . ...:...... ........x.... .................... Lai dimensions-........5'k> ............... x..... �......................... 3. Building will be .... 49.YLe./ ...... stories. 4. Basement ....a►�. c1 fS 4,r S Occupancy of building will. be....CIYk�...'.l. C• .......................................... 6 ..... �.� ... feet from the nearest aojo ing line. 7. Owner... ,lt ?471 4 ., Cam! 4 Y� ........... t ..................... ...... . 8. Owners Address.... . 1•.�.....�....` .1�4.r�?c�4�.1.QM1 This Space Is For City Inspector. Only 3 �-s r n 9. Builder...... rd -.................................._«...................................._..................... 10. Builder's Address:........r.Q.4:srn r .e.................. ....................................... ................... ............. ..................... Date...1- A.' 0.... .... ..19 �� 4f(ti!y�!c..................«.. .... 1t1 ............ (Owarr or 6L agent 1 Permission is herebyranted to do the work described hereon, according to the approved plans and specifications ertainin hereto ' g g PP P P P g. , subject to compliance with the ordinances of the City of Edmonds, 1. The building permit fee which applicant pays when permit b issued shall be based on estimated cost of the proposed structure, at the rate of 52.00 for $1000.00 of coat. If the actual coat of the structure, when finally determined, exceeds the estimated cost by more than S%a, applicantagrees to pay an addidonat fee .. of $2.00 for each S1000.00 of such excess cost. 2. Whenever a contract for construction Is executed for any structure costing more than $I000.00 for which a licensed architect or englneer,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,commencin8 work, acjify thr(neldsiiial Insurance Division of the Department bE2abdr•aa�indpstrles, giving an estimate of j .the payroll and make monthly reports of 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 eontisctors'who In tarn should obtain release from all sub -contractors. The releases should be iu[ateeEby'the Department of Labor and .Industries. The above;; procedures. ate requitement, of the State Industrial Insurance Act. , � E +r ' y. 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