20903 WOODLAKE DR.PDF11111111111111
13754
20903 WOODLAKE
DR
APPLICATION
The City of. Edmonds for EASEMENT NO. .................................
SIDE SEWER PERMJT
NEW CONSTRUCTION 0 REPAIRS R LID NOi S 77 <2,
.............. . ASM. NO. ..................
-T- 4 E-L,:�`7
ei
OWNER- ............. PERMIT NO - --------------------
. ................................... ......................................................... CONTRAC OR -----------------------------------------------------------------
JOB ADDRESS ............................................................................... ------- LEGAL -DESCRIPTION: LOT NO. ..................................... BLOCK- NO. .................. 7 ------------
.................................................................................... ----- -------------------- ................. ................................
NAMEOF ADDITION ....... ------------------------ .................................................................................
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Check BEFORE you' di for: Water-. Gm j-1, T sew,
eleph6he�"[3, Power�
er'
"Oth
The City of Edmonds
APPUCATION
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SIDE SEWER PERNUT
NEW CONSTRUCTION REPAIRS El
EASEMENT NO - --------------------------------------------
LID NO. j(vA ........ ASMT. NO.
.................. PERMIT NO.
OWNER ------- ........................ CONTRACTOR ( t
--------- ------ * ----------------
JOB ADDRESS ------- .......... LEGAL DESCRIPTION: LOT NO. BLOCK NO - ------------------------- ---------
----------------------------- ............................................. ......................................................................................
NAMEOF ADDITION ---------------------------------- - .............. --------------------------------------------------------------------
Approved:
DATE----------------------------------------- — By ----------------
CITY of EDMONDS --- PUBLIC WORxS DEPARTMENT
Routing of Building Permit Applications
I Proposed Property Address of Application: 20903 Woodlake Drive - C; Z (- 5 -5—
DEPARTMENT
COMMENTS
V A.T E R
S T R E E T
-KIM �ir-W%w1w=M
N 0 T E S 471 1
BUILDING
DEPARTMT COMMOTS
'BUILDING DEPARTMENT
PERMIT APPLICATION
Applicant nu
Inside Heavy Lines
U" PERMIT
ZONE NUMBER
JOB C
ADDRESS -I-
CMPA:*
PEIIIdIHBTB -- % I A L
LoOT COVERAGE LOT 1110V
NA a N 8
UY
MAIUNG ADDROBS
PERMISSIBLE HEIGHT PROPOSED HEIGHT
�E
TELEPHONE NUMBLR
ACTUAL LOT AREA TOTAL BLIW.- ARrA
z
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
NA&E
ADDRESS
LEGAL LOT VARIANCE OR CONDITIONAL USE
[] YES NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
CITY
TELEPHONE NUMBER
STREET R/W
EXISTING STREET R/W ...... ..... FT. DEFICIENCY THIS PROIIE'RTY
COMP. PLAN ST. R/W ............ FT. ............ FT.
REMARKS
ADD
CHECKED BY
CI
TELEPHONIC 14UMIIZR
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
04
0
0/ — ///V
CITY LICENSE NUMBER—
REMARKS
9
Legal Description of Property (Bbow'Balow or Attach Four Copies)
TYPE CONNECTION
VERIFIED BY
PERMIT NUM'BER,
PERC. TEST
REMARKS
FIRE ZUNE
TYPE OF CUNIJTRUCTION
STREET IMPROVED
[] YES NO
SPECIAL INSPECTOR REQUIRED
C] YES [] NO
OCCUPANCY GROUP
RESIDENTIAL GAS
NEW LINE
NON-RESIDENTIAL SIGN
r1_ - RETAINING
F-1 DEMOLISH WALL
ElALTER EXCAVATE FENCE
R OR FILL ( .......... x ... Ft.)
REPAIR PRE -MOVE swim
11 INSP. POOL
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,G4.
REMARKS
NUMBER OF STORIES Num-sYR- or
DWELLING
2, UNJT0
NATCHE OY WORX Yd'
heA,,
Plan Check N . .....................
Valuntlon
Fee
Recelpt Ni.
BUILDING
PLUMBING
PROPOSED
PLOT PLAN (Indicate Building setbacks, abutting streets)
RECEIVED
FEB 2 8 1974 t
N
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL