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22828 100TH AVE W (5).pdfAPPUGATION CITY OF EDMONDS BUILBING PERPIT Building Department APPLICATION is hereby made for a permit to construct the following work, in accordance with the accoln''. panying plans and specifications. Two sets are submitted herewith for approval. new alter Off'st. Work addn t-' repair ................................... r7e.4'.1 ........................ I ...................................... Parking . ..................... Occupancy....' ................. Const. type .......... ............... Use zone ...... .......... Fife zone .... ';�7 ................ ........ .......... AddnA�e Address ... 2:7 . ....... Lot ................ Blk ........ Lotfrontag( . ........................................ Area ........................................... Septic tank .......................................................... Bldg. set -backs front ........................... r. side ............................. 1. side .............................. rear ............................... .......... . ......... Owner ...... ........ ... vek;w .................... Address .. No-cf-7 -579"W. Builder .... �E.. . ...... . .... ................... Address... ...... ljo.-R�7?�� ............................. .......... 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/Agent6. -Slelillo ..... . ... Address ............................................ Date ........................ PERMIT for the above work is hereby approved, subject to the above conditions, and to compliance with theap, proved plans and specifications, and Building Department notations thereon. Valuation ............. ................. Permit fee ................................ Reed. by ....... ................. / ............. Building Department, By ......................................... .......... D ate ..... I-q ...... 6.0 .............................. This Permit does not cover Plumbing, Sewer or Electrical installations. I t BUILDING,, PERMIT Building Department Appl. No. Permit limit, one year is h�reby made for a permit to construct the following work, in accordance with the accom- d specifications. Two sets are submitted herewith for approval. Off -St . ...................... 4 repair ........ .................................. Parking -cy. ...... I .. . .................... Const. t ... Use zonc.Z.:::/ .......... Fire zone..�-�e ......... - ---YZ .............. h A -2 ....... ;I ...... Lot .... Z . ............... Blk ... ................... AddnZ?P� ... ............. Lot frontage ......................... 4 ............. Septic tank .......................................................... ............... Area ............ Ile. X. r.2,. Bld. set -backs front ........................... r. side ............................. 1. side .............................. rear ............................... 9 ------- ............ Tel. N Owner.%../ ....... ..... ......................................... Address ................................................... � Tel. No ............................. Builder .... ?-:2 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/Agena.-��� ........ Address ............................................ PERMIT for the above work is hereby approved, subject to the above conditio d to comp with the ap, proved plans and specificaticms, and Building Department notations th:Z"X Valuation ............. ............... Permit fee .......... G ................ Recd., '.4-4.. .... ...... Date ..... ....... . I ....................... Building Department� By .................................... This Permit does not cover Plumbing, Sewer or Electrical installations. 14