21414 95TH AVE W (4).pdfAPPLICATION (-1111LOING
PERMIT
Appl.'No. 0 . ....................
CITY OF EDMONDS
Building Department
Permit fimit� 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 appro ' val.
new rl"� alter
Off -St.
Workaddn repair ................
;r ..................... ....................................
* ....... Parking ......................
lf�2
�;' -
Occupancy ............ W ................ ,,Const. type ...... ....................... Use zone ...... . ..... Fire zone ............................
Address......... ;5:1-1-314� ------ Lot .............. /� Blk ................... ..............................
Lot frontage ........................................ .............
.49eptic tank ..........................................................
t ....... .......
Bldg. set -backs fron ................... r. side .......... W.:5 .. ..... 1. side .......... ...... rear ........
............................. ................ Addres&.JF
.. .................................... 1 -1 No .............................
...............
Builder................................................................... Address ............................ ...................... Tel. No .............................
Plansby .................................................................. Address .................................................... Tel. No .............................
. .......... ... ..............................................................................
Remarks ..................... /S: ............................
....................... ;�;: ............................................................................ .........................................................................................
7
........................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
...............
Signed 0,,xner/AgentY..F--11/W . .... ........ Address ............................................ Date.Z:��— 4
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.
Permit fee .. ............ ......
Valuation .... .......................... ............................. Recd. by..
r,
Building Department, By ... 2 ....... .................
........................................................ Date ........ ZiO. ....
This Permit does -not cover Plumbing, Sewer or Electrical installations.
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I
__ .-'I � . I - � . � - .. .
APKICATION PERMIT Appl. No.....
F Permit limit, one year
WY OF EDMONDS Building Department
APPUCATION 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 ap'prolial.
new alter Off -St.
Workaddn repair ......... . ................. ............................... ........................ Parking ......................
Occupancy ......................... ...... Const. type.... . ................... Use zone .... ....... Fire zone ............................
F
.......... .
.......... .
Address . ...... . .. ...... Lot ........................ Blk .......................
Lot frontage ........................................ Area..&L.KZA' ..... Septic tank ... 2a-_,�Ki�ltneL
Bldg. sotbacks front ............. ...... r. side ........ ....... 1. side ......... :�= ........... rear .. :7:� ................
own 6 .................. dr . ss ...... Ir
" ........................................
le ff
Builder................................................................... Address .................................................... Tel. No .............................
Plansby ................................................................. 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/
12&6.:�5Dat
Address ... 4C.,ZY ...... L:.�.L
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.
le) a' C' 00
Valuation .......... / ....... �_L\_.'s ....................... Permit fee....,;� ....... ............... Recd. ksr...
Building D6partment,
NOTE — This permit does not cover plumbing, sewer, or electrical installations, nor does it permit any work to be
done in the Right of Way areas. Driveways and walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development.
0