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710587.pdfC. POSTED ON KROLL BUILDING DEPARTMENT Applicant Fill A PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS a � _ z 0 i w p 0 or NEW RESIDENTIAL GAS LINE ❑ NON-RESIDENTIAL SIGN ADD DEMOLISH ❑ RETAINING LL N6 ALTER ❑ OREXCAVATE n^ LI FENCE s_Ft.) ........ ❑ REPAIR ❑ INSPRE-P. I! swim POOL VUMBER OF STORIES NUMBER OF DWELLING I UNITS NATURE OF WORK TO BE DONE 0 M PERMIT NUMBER 710r� r ❑ YES ❑ NO EXISTING STREET R/W ...... ..... FT- DEFICIENCY THIS PROPER TY COMP. PLAN ST. R/W ............FT. ............FT, REMARKS ❑ YES ❑ No ❑ YES THIS SITE IS LOCH M REMARKS LA I Y OF EmviONDS. LOCAL SALES TAX SHOULD BE COD Plan Check No ............ .... ... BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN tRETAINING WALL N 1 SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the in- mation given is correct; and that I am the owner, or the duly author- d agent of the owner. I agree to comply with city and state laws regu- ATMNTION ing construction; and in doing the work authorized thereby, no person l be employed In vlolation of the Labor Code of the State of Washington THIS PERMIT ating to Workmen4 Compensation Insurance. AUTHORIZES ONLY THE [NOTE:Permit Limit One Year (Except DEMOLITIONS which WORK NOTED all be completed to ninety days; MOVED -IN BUILDINGS shall be com- ted In six months.) NATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT / 7 � CITY OF EDMONDS NOTE: Applicant Subject to Plan Check Fee PR 6-I107 This Permit covers work to be done on private property ONLY, Any construction on the public domain (curbs, sldewalWr drivewa7b marquees, etc.) will require separate permission. c �r z Valuation Fee _ Receipt No. u A01�„4-3 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. F `dITY OF EDMONDSs WASHINGTO�'N, BUILDING PERMIT nt hereby certifies that a plot, plan, drawings, and sufficient details to indicate ntion to fulfill all requirements of this code are attached hereto. 1 pion is hereby made for permit to do the following work: ' ,: r... �....... .......... Block.............................. This Space Is For City Inspector Only ............r...................... a..._....._......_................ _..._..y .............................. •mot .. ........................ r.....-.. .........X..l�,.................0... Building dimensions.......- f is �....•........ 2. Lot dimensions .................. .. -3. Building will be .....,..% ................stories. .. 4. Basement . .r ✓.... . 5 Occupancy of building will be ................. 6 e from the nea adj. me. 7. Owner...... —....................................._............. 8. Owners Address ...........`......../l`...._... 9. Builder ........... .............. .............. ....................................................... ...._.......... ......... .. 10. Builders Address. ..................... ........... ........ .................................... 2 Date ...-V9130......................19zz . """" (Ownu 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. PERMIT N° 591 Oy Estimated cost $-Z Life of permit....... ........ date Plans filed: Yes No ❑ $., ..................... R .71V . -r ..... _.... • •(Issuing (Ater) Department of Buildings 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 each $101. T of cost. If the actual cost h the scantstrucpre, when finally determined, exceeds the estimated cost by more than 'i%, applicant agrees to pay an additional fee of $2.00 for each $1000.00 of such excess cost- 2. Whenever a contract for construction is executed for any structure coating more than, 31000.00 for which a licensed architect or engineer is not required q the Building Code of the City of Edmonds, the application for a building Permit shall •be..,acct.. Panted by a copy of the contract and a copy of the detailed specifications. of 3. Prior to employing any labor or commencing work, notify the Industrial Insurance Division of'the Department of Labor and Industrieand s, giving st es- Befateore re the payroll and make from the earest final payment, the monthly reports Of obtain atelease fromlthegeneral contractorstructions should ewhoa in turn houldnobtain reeleasefthe f omall sub-contractors.epartment of Labr The r ldeasai shouldbe f Labor and Industries. The above procedures are requirements of the State Industrial Insurance Act. arrested by the Deputmmt, o A , , .ol SY'I�41 ' t :•.t " yli,,l .,�'t f t`,'[ < +{ „ln r 4 1 F r • L( } +' Yt i•., _ ; ff Ikk r w {s [ ,r r i 4 yi hit A f / ' nnn (, ii i-o [r}-...cttc[t 14 <iI•', taL ri,;is• ll f) c[[ur.[i(pc {.. u(u .q to :niq �,•••� LII:: 1,[ cu Gu, r nt r ue swSrn.ev7r.:Jix. of ter r. tf(: [vgnnLt�:; p >rsL a c.ye[ I ,lntc 1 #/.,,,•it r •c S _ r, rn.. u} !pr } 1r t[ n(.tt. o4.C'pol r t j¢t;tl tLlrr .,' r L:irix c .(%I L, a =p.. rorcr ,r n,L i, } ,a, [p, Ur`iLre4 1 t u: tt,, )ve...:(t�rx �tr.InlL e[! f.�.n(iTt= OY (Ir4 !t7(;❑} , , ii t-0( LC (r •{$--, (,Jf C{itlfYCf1C!(� ) ( [ [ f. )).1'A(ulrtlli� '. + n l 1 [.l' t ,. [(•:.; Ojlctr i[[rtit1,nu, h.;bctmrt •;irlC :btlPr t t, tit cut t•i ;a ttt t [ n.riss(I pT , C•9,iN i?' 1.'.. tr 1 ,.. t. l.:u..l. ., jlt t r•t _,.t t i ! - , T d:,i, If 'tiJ i(tR .f ., 1. - ia " tc tufiYi ,� [ ,]n 3 r ,tict l-L x Fit ❑ i+trC it l[c• LS1.➢u It q (u[s[ [u. ri ri r rt t (, , . f if'� " nu ti} c✓40 in:. (.•(qJ , ., , i r e(u r u Lr ."S en < F [ r •(r(vt} r n[ (? c is (nr It IT ,} a t • .u:utt, .,?r?t;hi �t -•rJ_ u•rnx }•. -- •^•..-"�"""_ .:,. 'i'•-i'Il1CC`G:!:.) 1 ' 'girt,.,.(f)iC'!'s UL Ci l...IG� (lk:'�.Ci`-,lA[1ri� -.. o.?;'.: tw. itIJC rtf.ULC �IGLGi.O' 4 r t ol 14 , 1 _ ) t i � t r L.',.'b C •',YY't , 1 h I , it Jt .IL l w- r; r' ;., APPLICAir )N & WORK PERMIT(-, na � � Application No..,1....at7.l�....... CITY OF EDMONDS Building Department Permit Limit, One Year APPLICATION is hereby made for a permit to construct the following work, in accordance with the accompanying plans r t and specifications: WORK— New/lridrtc ............. Id.. �.. . ...... Ground Area .................................... No. Stories....r/ 2L PlansSubmitted ............................. Y........................................................................ Const. E: d-f-.....i......1............ Height....7-. /�7... ........................7.UL v C '11 Z�: a.. 5 :..- Fire zone........1....... f LOC — Ad ss .....`..Use Zone. �r ..< Recorded Lot .................... Block ................... Add'n......................................................................... _..................... Sewerage.... .. ................. -.• Lot Area ........................................ Width............................ Min. Bldg. Setbacks, Front and Rear ............ -............ Sides............-............. / !/�'� / ' Owner.��/✓.�1�.(i1.L.GL��L.��r^�%.'y.`"`� . �..�� `i� �..�.4one .................................. .. .... ........`..'1........... rags.. U ' /pGE Plans by+��G�1r`'lZ.fi......:v............... Address....r7..lIr`-0G��`ee�••'••"'•�Jne..k-.fl...K..I! J Bldg. b Address ................................. .. Phone ................................ Plbg. by............................................................................................ Address ........................................................................ Phone ................................ Heatingby........................................................................................ Address ........................................................................ Phone ................................ Elect. b Address........................................................................ Phone ................................ Remarks ..?h..g9fi't.7.oii..Rf... the ...sz...;tr... 01..the ... SE... ... T2TN... ME ... W..M....descr...as..tollows.: Beginning at the NW corner of t1m 4th Ave. So. 6 Dayton St., City of Edmonds, Cty of Snohomish, St ... of..Was .....thence...W..a.long..the..Xly....edge..of...Da3rton..St....1.36 3...move...on.:.1es&1r---to...the...easterly... edge of the alley; thence N along the Ely edge of the alley 1201; thence E 136 ft more or less ta... the ...Wly...edge..mf... 4th..Ame.....".;....thence... So.....al:ong...the..W.LV_edge...of..4th... Ave. •so....to..the............. POB. The above is a correct statement and I agr to comply yvith all. applicable Codes and State Laws regulating the work. � WSMI/ ...��- l�lU2�w��jnlesGZG /y Signed: Owner/Agen...:...,�G......................................... Add s.................... Fes.iT �... Date... 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. 1 PERMIT FEES VALUATION �oo� .. s.... l $.. �.l Bldg. $.. (.. } Plbg. �—�. $..� ,..,.,..� f.' APPROVED: -- Heat .... $ ............ /.10...'J �....... , Date.............................................................................. Elect. ....$ ........................................ BUILDING �D44( .gARTMENT '`.. $.................3 �` ...... TOTAL FEE $..... ........ /. 'r2 t-7) 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. yu,Sir fit 5 t lit 11t jf t - PP - }yam y� 4en4cl4 i i.i f 3 iv/v� fit} / / ✓` �� J• � ILI i • ../4v/ -- Tar.GreA61V r S .17 t .� .►.K- �! I �).'�•,t� ��^�i'�./'{'�'�f/7•y�,/F•I.�.�/f• lapy'i+—j . � •.....:. - C'Q•Gt�cs'w-s�`f.LG�n-�..q`'"�,��-e--c..� ..a`-�,,c.�.�-� C�,,.o ep �� . ✓�?i21�/�tc� �IPv ��i, dZ I _. _ ► mac. t, cZe�-e ..:�.dj ,. MOW�