21200 81ST AVE W.pdf----------- ------
........................
,--�,APPLIGATION BUILDING PERMIT Appl. No. ......
I F EDMONDS Building Department Permit limit, one year
CATION is hereby made for a permit to construct the following work, in accordance with the accom,
g plans and specifications. Two sets are submitted herewith for approval.
alter L off -St.
dnrepair .......... .................................................................. Parking . . .... L .........
6,�'i"', ....................... Const. type ................................ Use zone ........ V::t ....... Fire zone ...................... . ...
...........
... . ............ Lot ........ ..... Blk ........................ Addn ......................... . ..........
-1
....... Septic tank.
................................... . aea .................................... ... ......
'front ............................ r. side .............................. 1. side .............................. rear ...............................
-je--e�-.n::!��/Address ......
............ .... ......
.............................. Address .................................................... Tel. No .............................
Address.................................................... Tel. No ..............................
. . ...........................................................
arks...............................................................................................................................................................................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work.
Signed Owner/Agent 62Address ............................................ 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.
Valuation ...... ......................... Permit fee ... ��e= ......... Recd. by ........................................................
Building Department, By ........................ .......................... Date .............
....... .. z
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OY . .......................................
This Permit does not cover Plumbing, Sewer or. Electrical installations.
F" - BUILDIN PERMIT
ApPUCATION
Building Department
EDMONDS
OF
Appl. No . ..... ....... . ........
permit limit, one year
in accordance with the accom,
ermit to construct the following work,
ON, is hereby made for a p
ecifications. Two sets are submitted herewith for approval
Off -St.
alter ... ........
Paiking
repair........................ ..... ..... .................................
Use zone ........... .. Fire zone ...........................
.................... Const. type ...............................
Lot........... ...... Blk ........................ Addn ....................................
... . .......................
..... AY9.2.
.............................
e .............. Area ............................................ Septic tank ............ r I
rear................................
. . . . . . . . . . r. side .............................. 1. side ..............................
f ront .......... .........
,,�cks
Owner. ......
Tel. No .............................
Address, J
Builder .........
Tel. No .............................
Address
Plansby .............................................
....................................................................................................................
Remarks................................................ * .... *'
comply with all applicable Codes and State laws regulating this
The above is a correct statement, and I agree to
work.
/k.)Address ....................................... Date..71�/qr_
Si Owner/Agent ........................... ...... -------------------
------- --------- ---
---------- ---------
gned f f
roved, subject to the above conditions, and to compliance with the ap-
PERMIT for the above work is hereby app
proved plans and specifications, and Building Department notations thereon.
........ Recd. by ...... '�-1
Permit fee ---- -- z9a ...........
Valuation ... ........
.... ...........
Building Department, By ........................ 1z ... ��z ............. ................... Date .................. ....... ....... =1 1 1
Fdn, OK
INSPECTION RECORD
Frame, OK ...................
Final, Py . ...................... ..... *
This permit does not cover Plumbing, Sewer or Electrical installations.
I'M
BUILDING PERMIT
P
APPLICATION
Building Department
EDMONDS
Appl. No. ...........
Permit limit, one year
i -cordance with the accom�,,
APPLICATION is hereby made for a permit to construct the following work, in ac
d specifications. Two sets are submitted herewith for approval.
panying plans an
Off'st.
new ......................... Parking . . .......
'Workaddn repair ............................... ........................................................
Fire zone ...........................
se zone .... .........
Occupancy ... Const. type ............................... U
.............................
.4.� ............
'2 . ........ -Lot ------- -- 13 ........ Blk ........................ Addn ......................................
Address ............. ......
P. / --- -------
... Septic tank .............. eve--v ...............................
Lotfrontage ....................................... Area .........................................
Lside ............................. rear ...............................
Bldg. set,backs — front. ... ;;K ......... r. side .........
`71 9' — 4�0 ...... Tel. No .....
Address. ................................................... Tel. No .............................
Builder............ - - ----- --------------- ......
Address.................................................. - Tel. No .............................
Plansby ................................................. ....... * ......
. -11.
Rem........................
The above is a correct statement, and I agree to comply with all applicable Codes and State laws regulating this
work. I
7 /'z5Ae/C-17
Signed Owner/
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 Departn I ient notations thereon.
.....................................................
Valuation .........
.. .............. Permit fee ...... .............. Recd. by...
7�
...... ..............................
Building Department, By ...... ................................. . .................. Date ........ ------- -- r -------
INSPECTION RECORD
Fdn, 0 1 K ............................................. Frame, OK .................................................... Final, OK ......................................
This pennit does not cover Plumbing, Sewer or Electrical installations.