21522 92ND AVE W (2).pdf4
BUILM PEROff Appl. No . .......
UPUGATION (.
'CITY OF EDMONDS Building Department Permit limit, one year
A"UCATION is hereby made for a permit to construct the following work, in accordance with the accDm,
g plans and specifications, Two sets are submitted herewith for approval.
panyin
Off -St.
new alter
_4�
......... ............................................ Parking ......................
Workaddh repair ......................................................................
. ............ Const. type ...... e zone ......... ..... Fire zone ...........................
occupan ......................... Us
CY .............. 9
44, 7 'e- T Blk .................. Addn ......................................
Address............ 2 .. 11M.-7 ............... ......... ; . ........................ .....
Tot frontage .............................. Area ........................................... Septic tank ..................
..........
Bldg. set-lbac:4 front ........................... r. side ............................. I. side .............................. rear .............................. 7.
. . .......... No...
..........................
Address .......... .. ...
. ...............
Owner ... .............
'e�l Address .................................................... Tel. No .............................
Builder................ ...............................
Plansby .......................................
Remarks..........................................................
Address.................................................... Tel. No .............................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
4z— >�V ZI/
............
................................ ..... Date ............
Signed Owner/Agent..).ili.��r:..4;-.Ik/ ................ 14 2.'Ln ddress ......
PRMIT 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.
e��7
Permit fee . ......... 11�;z d. by ... ... .... ......
Valuation .................................................... ...................... Rec Z�
_4/_ � ......... f ..................
Building Depaltment, By...z ................. . _7�1_7 ........ Da te .............. 6,
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 develoPmmt-
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�'2
Ing. 1,
APPUGATION f_ WILDING PERMIT
CITY OF EDMONDS Building Department
Appl. No.... 4 41'- 4 10
..............................
Permit limit, one year
APPLICATION is hereby made for a permit to construct the following work, in accordance with the accora-
panying plans and specifications. Two sets are submitted herewith for approval.
new r", alter
Off -St.
Workaddn repair ........ . �!Ls� . ...................................................................................... Parking . . ...................
Occupancy ................................ Const. type ................................ Use zone.. Fire zone ............................
Address....
............... Lot ....... Blk ....................... Adck
.................. .........
Lotfrontage ....... LAn7. X ... .... Area ........................................... Septic tank .......... 4a2 ........................
1.5' /
Bldg. set,backs — front ......... /:�� .......... r. side ................. !4E 1. side ............... . ............. rear ...............................
Owner..44-1�" ��7-:fn .............. Addrmj,.:�;�.. .... 4_6 Z'_?.. Z5;14__ Tel.
Builder........... ...... ..................................... Address .................................................... 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 OwnerlAgeniL;..o.67..'Ucl-t-c,'2'��l&� ..... Address ............................................. D,atec=P.—./X— 6D
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..A�..'5� .......... Recd. by .... —J:;' /ze474
...........
Building Department, By .............. ................. . ................... Date .............. ....................
... ... .... ...
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OK .......................................
This Permit does not cover Plumbing, Sewer or Electrical installations.
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