BLD2024-1606_Letter_12.5.2024_4.36.24_PM_4656386RECEIVED
Oct 28 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
BLD2024-1410
HOA Authorization Form
...............................................:
REVIEWED
BY
CITY OF EDMONDS
BUILDING DEPARTMENT::
:.............................................. P
Name of complex
Property Address: �x�8 J�Pijc/ r� C.f�t c - /0-
CFO 2 (J
Name of HOA President
I acknowledge that the owner(s)
of unit /D3 are requesting to have changes to their home.
These changes to both bathrooms in the residence include removing the bath tube and installing
a new tiled shower pan and walls.
These changes are approved.
Signature from HOA President
Date: I0/ZW2-4-