21425 84TH AVE W (2).pdfAPPUGATION JUILDING PERMIT
CITY OF EDMONDS Building Department
Appl. No . . ...... . ...... . ..............
Permit limit, one year
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 approval.
new alter Off -St'
Workaddn repair ........ *",**** ........... .................... ................................................ Parking ......... . ...........
Occupancy.. ..... Const. type.... ....... r .. ........ Use zone ........ . .... Fire zone ..... 5 ................
Address..... .. .. ........... ....... . ................................. LoL ...... . ............... Blk ........................ Addn ......................................
e
Lot frontag 76�'x 1 4 .
e....... ................ 1. 0 ....... Area ............................................ Septic tank .............. 4 . .. . ....................................
...... 4... 1. side ........ ....... rear ...... 1.5.1 ... . .........
Bldg. set -backs front ....... / . ...... side .........
Tel. No .............................
-.,t e --t
Owner. ......
Builder..'��4 qV. Address..�sa/..45_/ Tel.
........................................ . ...... r ............. ................ ......... �V
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/Agent_4�'.�A?&��, ..V ddress ........................................... DateZ._/
-k- ...................
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.
'z
........... Permit fee ......... —:- ............. Recd.
Valuation .............. ............. . ......
Building Department, By ............................ ....... ................... Date .....
�n.z .. ............................
INSPECTION RECORD
Zoe�- %'. Aq%W1
�il�jl V�J�o ee�
00 --'r � 0 V'� �.bV-
Fdn, OK ............................................ Frame, OK .................... 'lphh. RK"I ......
b
OX� AT a
e
This Permit does not cover Plumbing, SeA0 fc& a14;g�dtions.
V
I
BUILDING PENIT C;�
APPIUCATION 1. Appl. No . ...............................
CITY OF EDMONDS Building Department Permit limit� one year
APPLICATION is hereby made for a permit tDconstruct the following work, in accordance with the accom-
panying plans and specifications. Two sets are submitted herewith for approval.
new alter Off'st.
Workaddn repair .......................................................... . ...................................................... Parking ......................
Occupancy ............ Cop%�.pe ................................ Use zone...-C. ........ Fire zone ....................
C71
...............
........... .......... Blk....
Address ......... ...... ................................... 4;
s4d, 7S 20-
ttS-4'
Lotfrontage ........................................ Area ............................................ Septic tank ................................... . .................
Bldg. set4ydcks — front ........................... r. side ............................. 1. side .............................. rear ...............................
Owner.. u_z . ....... Address. ...... ...... / ....................... I el. No ........................
Builder........................ .......... .................... Address .................................................... Tel. No .............................
Plansby ................................................. I ....... �ddress .................................................... Tel. No .............................
; �e_?' - * - 4 "40
Remarks ................... :A1 .. ................. j�f—z- ....... 4 .................. ...... .
..... . ...... .............................................
...........................................................................................
............................................. ..............................
The above is a correct st ±einent, and I agree to comply with all applicable Codes and State laws regulating this
work.
signed Owner/AgenRA. ............. Date..4�2...-7Z/=.e>
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.
6) C, z2
1�
Valuation ............... iL3-6L --- 0 ................. Permit fee ............................... Recd. by.,e
..........
............
Building Department, By ....................................... . ............ . ................... Date ............... K:::Z1:7 .. ....................
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 �nd walkways must be planned to meet the official grades of streets
and alleys, and plans for future sidewalk development-