Loading...
760060.pdfAPPLICATION BUILDING PERMIT Appl. No...... .n... 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 accom• panying plans and specifications. Two sets are submitted herewith for approval• new k" alter Off -St. Parking ...................... ; Workaddn repair .....C:�lIC't�C'..................................................... Work Fire zone Occupancy....... .. Const. type. ...................... Use zone ....... ........................... Addn Address................:.....................................:. Lot........................ Blk ........................ ...................................... C'�.......... Lot frontage ..................... l'UG-------------- Septic tank ............... . Bldg. set -backs — front ......................... r. side ............................. I. side.......�).................... rear.....................:.......... y� 1,10 . • --... %� (� .. if� li ............. Addressl).e!�rl%-.. �lr...... Tel. No............. Owner.... L' ...... (/ n�-lt J 1R . Address._ ................. .............,:.. Builder........:........• -..2..---...............---..................... ............ Tel. No ............................. Plans by............................................................. ..... Address .............................................. Tel. No............................. Remarks................................................. -•........................................................................................................................ . The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this work. Signed Owner/Agent.... L .. Mw ............ Address.. .., ...... Date.. �, ................. PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap- proved plans and/ specifications, and Building Department notations thereon. yf j:. CS >7�% ... Permit fee...... % .......... Recd. by✓/...A7.............. ...... Valuation ....... ...--•-------•-• ........... ` ���}Date. .:'--�-�......................... Building Department, By...................e-611:4............................ J% This Permit does not cover Plumbing, Sewer or Electrical installations. APPLICATIC A & WORK PF-KIM17 Application No. •. �•••I�•d 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 and specifications: WORK— New/Addn.���t..•,--.-.................................................. Ground Area................................... No. Stories............ PlansSubmitted ...................... ............. Const. Type ........................................ Height........................ C Q /��.. ............ Use Zone. � Fire Zone .................._ ` LOCATION— Address ....11............ ( ...................................... .0 .....!..liY.............. Recorded Lot...�f....... Block......... Add'n...;�1�?-Gcr✓................................_.............-.. ..... Sewerage .................. Lot Area ........................................ Width............................ Min. Bldg. Setbacks, Front and Rear ................................ Sides.............................. ;I M Plans M Bldg. by.. Plbg. by.. Heating 1 Elect. by Remarks .'/i Address.Phone": •.....'J% /.... Address........................................................................ Phone ................................ Address........................................................................ Phone................................`4> Address........................................................................ Phone ................................ t; Address........................................................................ Phone ................................ Address........................................................................ Phone ................................ ....................................................................................................................... ..................................................................................................... ............................................ ................................................. ......................................... -{ The above is a correct statement and i agree to comply with all applicable Codes and State Laws regulating the work. Signed: Owner/?WJ+ c am! y I�cS�"::`:�..................... Address.......... -L- ................................ late..... PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with the approved plans j and specifications and Building Department notations thereon, VALIIATION PERMIT FEES U........... Bldg. .... $•-..�......_.............. APPROVED: Date.....-/••..... ...{•••.Y?...�..................................... BUILDING DEPARTMENT Plbg. .... $........ -: Heat $......... ......... i Elect. .... $........................................ Others...$........................................ TOTAL FEE $s2:l.s.................. NOTES: No work req $ Ing Building Department C15 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- t i i� --'1