750320.pdfFRONT SIDE REAR FRONT SIDE REAR
r
LEGAL LOT VARIANCE OR CONDITIONAL USE i
E3 YES 0 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET R/W V
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
YES E] NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES Q NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
nr EOMONDS. LOCAL SALES TAX
Fee
No.
UUMYLA 1 ANGC I IVDreI. t t viv
® RESIDENTIAL
LINE
NEW
BUILDING
PROPOSED USE
❑
NON-RESIDENTIAL
❑
SIGN
°NE
NUMBEa
I
BUILDING DEPARTMENT
WNING
FENCE(
150320
DEMOLISH
PEItIIIIIT APPLICATION
ILines
Jo
ADDRESS
❑
EXCAVATE
ORFILL
❑
( x .......... Ft.)
21117 -78th Avenue West
❑
PRE -MOVE❑
7APP11cwtI'M
NAME (Oft NAME OF HUS1NE08)
PERM18SIBLE me
ACTUAL
NUMBER OF
Norman Dunnam
LOT COVERAGE
LOT COVAAGE
DWELLING
MAILING ADDRE88
PERMISSIBLE HEIGHT
PROPOSED HEIGHT I
UNITS
21117 -78th Avenue West
O
TELEPHONE NUMBER
ACTUAL LOT AREA
TOTAL BLDG. AREA
25 00
CITY
Fdmnnds_ Washinaton
I
REQUIRED YARDS
PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
r
LEGAL LOT VARIANCE OR CONDITIONAL USE i
E3 YES 0 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET R/W V
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
YES E] NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES Q NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
nr EOMONDS. LOCAL SALES TAX
Fee
No.
UUMYLA 1 ANGC I IVDreI. t t viv
® RESIDENTIAL
LINE
NEW
BUILDING
PROPOSED USE
❑
NON-RESIDENTIAL
❑
SIGN
ADD
I
PLOT PLAN (Indicate Building eetb=ka, abutting streets)
WNING
FENCE(
❑
DEMOLISH
❑
ALL
ALTER
❑
EXCAVATE
ORFILL
❑
( x .......... Ft.)
El REPAIR
❑
PRE -MOVE❑
Pwim
OOL
(UMBER OF STORIES
NUMBER OF
t
DEMOLITION
DWELLING
PRE -MOVE INSPECTION
UNITS
EXCAVATION OR FILL
FRONT SIDE REAR FRONT SIDE REAR
r
LEGAL LOT VARIANCE OR CONDITIONAL USE i
E3 YES 0 NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
STREET R/W V
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............FT. ............FT.
REMARKS
YES E] NO
SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP
YES Q NO
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
nr EOMONDS. LOCAL SALES TAX
Fee
No.
UUMYLA 1 ANGC I IVDreI. t t viv
Plan Check No .....................
BUILDING
PROPOSED USE
PLUMBING
(
HEAT & GAS LINE
I
PLOT PLAN (Indicate Building eetb=ka, abutting streets)
FENCE(
SIGN
tRETAINING
WALL
N
SWIMMING POOL
t
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Comp. Insp.
25.00
TOTAL AMOUNT DUE
25 00
I hereby acknowledge that 16nve read this application; that the In-
formation given Is correct; and that I am the owner, or the duly author-
Ised agent of the owner. I agree to comply with city and state lawn regu-
ATTENTION
APPLICATION APPROVAL
lating construction: and In doing the work authorised thereby, no person
Will beemployed In vlolallan of the Labor Code of the Stale of Washington
THIS PERMIT
This application is not a permit until
velour to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE
WORK NOTED
uty; and fees are paid, and receipt is ac -
.hall be completed in ninety day.; MOVED -IN BUILDINGS Shall be cem-
l nowledged in space provided.
plated In six months.)
-
RONATUItE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
DIAOR'8 SNATU /
( `)�
Imperial Escrow Inc. 7-9-75
`(,6%I.
,
CITY OF
EDIVIOND8
DATE
t
i•—''�--
NOTE: Applicant Subject to Plan Cbeck Fee
775-2525
This i'erinit ruvere work to be done on private property ONLY.
Any construction on the public domaln (curbs, sidewalks, drlrewvs,
FILE
marquees, etc.) Will require separate permission,
j
i 9
I
E3 YES [3 NO
YES ❑ NO
OF
Valuation I Fee
j
NUMIER O `,
BUILDING DEPARTMENT Applicant Ful °NE B
F-1
Insldo Heavy Linea
PERMIT APPLICATION
i
ADDRESS
A
West
}
❑
NAME (OR NAME OF BUSINESS) 21117 -78th Avenue
PROPOSED USE
PERMISSIBLE q ACTUAL /�
Horman Dunnam LOT COVERAGE LOT COVERAGE
O ..
yALLKING
MAILING ADDRESS
PERMI8828LE HEIOIIT PROPOSED HEIGHT
'?
ALTER
- I i 17 78th Avenue West
BLDG. AREA
PENCE
O
CITY
TELEPHONE NUMBER ACTUAL LOT AREA TOTAL
x .......... Ft.)
Edmonds, Washington
REQUIRED YARDS PROPOSED YARDS
I "
1
pOOL
NAME FRONT SIDE REAR FRONT 87 DE REAR
❑ IN
LOT VARIANCE. OR CONDITIONAL UBE
NF
LEGAL
ADDRESa 13 YES C3 NO PERMIT NUMBER
U
PLANNING DEPT. APPROVAL DATE:
DWELLING
- C
CITY TELEPHONE NUMBER
STREET R/1V
O
N
EXISTING STREET R/W ........ ... FT. DEFICIENCY THIS PROPERTY
�y
NAME�
....
COMP. PLAN ST. R/W ............FT. .....FT.
w
SWIMMING POOL
REMARKS
01
ADDRESS
O
W
(Ej
CHECKED BY
CITY
TELEPHONE NUMBER
EXCAVATION OR FILL
M
I
Com). Insp.
CHECKED BY
V
METER SIZESERVICE SIZE CLEARANCE
m
STATE LICENSE NUMBER
CITY LICENSE NUMBER I
I
I _
rormntlon glean Ia Correct; end .,at m the owner, or the duly author -
at I a
iar 1
E3 YES [3 NO
YES ❑ NO
OF
Valuation I Fee
Plan Check Na .....................
RESIDENTIAL
F-1
GAS LINE
NEW
❑ NON-RESIDENTIAL
❑
SIGN
PROPOSED USE
ADD ❑ DEMOLISH
❑
yALLKING
ALTER
F]
PENCE
❑ ORFILL
PLOT PLAN (Indicate Bu( js,�e` a gbntting elracte)
x .......... Ft.)
REPAIR PhIOVE
pOOL
FENCE
❑ IN
❑
fUDIBER OF STORIES NUMBER OF
SIGN
DWELLING
RETAINING WALL
UNITB
N
IATURE OF WORIC TO BE DONE
coalF t A I ANrr I )I'PrCT 1014
SWIMMING POOL
E3 YES [3 NO
YES ❑ NO
OF
Valuation I Fee
Plan Check Na .....................
BUILDING
PROPOSED USE
PLUMBING
PLOT PLAN (Indicate Bu( js,�e` a gbntting elracte)
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE•MOVE INSPECTION
EXCAVATION OR FILL
Com). Insp.
25.00
TOTAL AMOUNT DUE
25.00
I hereby nekeowledge that I haus rend this application; that the In.
rormntlon glean Ia Correct; end .,at m the owner, or the duly author -
at I a
ized agent of the owner. I agree to comply with city and elato lawn regu-
ATTENTION
APPLICATION APPROVAL
lathut construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
This application Is not a permit until
relating to Workmen's Compensation Ineuranoe.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TRE
WORK NOTED
utyi and fees are paid, and receipt is ac-
aball be completed,ln ninety days; MOVED -IN BUILDINGS ahall be cam-
knowledged in space provided.
plated In elx menthe.)
31GNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
DIR OR'8 8 NATU _
'f•
Imporial F. cro.a. Inc. 7-`? 7'
�dt•f/i'l, ��/rl(/l?LCG?
CITY OF
EDMONDS
DATE
NOTE: Applicant Subject to Plat Check Fee
775-2525
This Permit raven work lu be don n private prober/y ONLY.
Any count rurtic. on the public dome]. (curb,, Sidewalks, drlvewaye,
m-queee, etc.) WIII require eeparele Pern3lselon.
INSPECTOR
74
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RECORD OF INSPECTIONS
Date Passed
Foundation
Plumbing (Partial)
(Rough)
_' ..
Frame .
a
i
Furnace &Fuel Lines-
ines-Final
Final
•
1 i,Y
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