750392.pdf`
...PERMIT
BUILDING DEPARTMENT Applicant Fill ZONE NUMBER 7[.347
PERMIT APPLICATION Inside Heavy Lines Joe t i
NAME (OR NAME OF BUSINESS) —
ADDRESS 20916 -78th Ave. W.
LEGAL LOT
SUBDIVISION NO.
Donald J Knox
'W
MAILING AOOR ESS
❑YES ❑ NO
Z
VARIANCE OR
ADB NO.
20916 -78th Ave. W.
GOND. USE NO.
G
CITY
ELEPHONE NUMBER
U
PROPOSED YARDS
EAREA
HEIGHT
Edmonds Washington
Z
Z
NAME
FRONT
REARALLOWABLE
SED
a
USIGN
AREA
REA
F
ADDRESS
OTHER
REQUIREMENTS
U
E
CITY
TELEPHONE NUMBER
Q
PLANNING DEPT. APPROVAL DATE
NAME
STREET R/W
E
EXISTING STREET R/W
FT. DEFICIENCY THIS PROPERTY
O
1-
U
ADDRESS
COMP, PLAN ST. R/W
FT. FT.
Q
M
CITY
TELEPHONE NUMBER
REMARKS
Z
Z
a
O
CHECKED BV
W
Z
U
STATE LICENSE NUMBER
CITY LICENSE NUMBER
G
Legal Description of Property (Show Below
or Attach Four Copies)
STREET AND/OR UTILITY ❑ YES
W
WORK REWD
❑ NO
Lot 4 Terra Park No. Q
UNDERGROUND
❑ YES
WIRING REWD
❑ NO
C
l:
TYPE CONNECTION
VERIFIED BY
a
CI YESPERMIT
NUMBER
eEj
W
SEPTIC SYSTEM
W
D
J
APPVD BY CITY ENG.
❑ NO
G
REMARKS
u
W
J
METER SIZE SERVICE
SIZE CLEARANCE CHECKED BY
W
W
F
REMARKS
3
❑ NEW
RESIDENTIAL
Ej GAS
LINE
FIRE ZONE TYPE OF CONSTRUCTION CODE
E] NON-RESIDENTIAL
SIGN
-
❑ ADD
❑ DEMOLISH O RETAINING
SPECT IN SPECTOR
A L
REOUIRED
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
WALL
❑ ALTER E] EXCAVATE FENCE
OR FILL 1_ x_Frl
❑ VES ❑ NO
1-
w
PLAN CHECKED BY
THIS SITE
IS LOCATED IN THE
CITY
❑PRE -MOVE swim
REPAIR
OF EDMONDS. LOCAL SALES TAX
D
V'
INSP. O POOL
REMARKS
SHOO DBE E
Z
NUMBER OF STORIES NUMBER OF
D
DWELLING
J
_
UNITS
D
NATURE OF WORK TO BE GONE
0
COMPLIANCEP
PLAN CHECK
VALUATION FEE
Z
PROPOSED USE
—
O
NO.
6
PLOT PLAN INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
BUILDING
U
W
W
PLUMBING
O
Ot
O
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
MP INRP-
25.00
I hereby acknowledge that I have read this application; that the In-
TOTAL AMOUNT DUE
25.00
rormallon given le Correct; and that I am the owner, or the duly author-
Ired agent of the owner. I agree to comply with city and eats laws regu-
iating canatruetlon; and In doing the work authorised thereby, no para..
ATTENTION
APPLICATION APPROVAL
will be employed In violation of the Labor Cade of In. Stals of Washington
THIS PERMIT
relating to Workmen'. Comper,@alion I—rabce.
This application Is not a permit until
NOTE: Permit Limit One Year (Except DEMOLITIONS whichONLY
AUTHORIZES
THE
signed by the Building Official or his Dep
-
Shall be completed In Nnely day@: MOVED -IN BUILDINGS Shaul be com-
WORK NOTED
uty; and fees are paid, and receipt is ac-
pleled In elx month..)
knowledged in space provided.
SIGNATURE (OWNER OR AGENT)
DATE SIGNEDDEPARTMENT
INSPECTION
rJ
DIRE DR'S SIG
CITY OF
/PTU
l L{J
_ _
EDMONDS
DATE
NOTE: Applicant Subject to Plan Check Fee
775-2525
This Permit covers work to be done on privets property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
ORIGINAL - FVIc YELLOW - Inspcclor
marquees, etc.) will require separate permission.
PINK . nwner COLD - A,v,,o
i
BUILDING DEPARTMENT Applicant Fill
USE
ZONE
PERMIT
NUMBER -750392
I
i
PERMIT APPLICATION Inside Heavy Lines
,OB
ADDRESS )U91ii'-7fith
��V:i. 1'f,
NAME (OR NAME OF BUSINESS)
LEGAL LOT
LOT AREA SUBDIVISION NO.
i
on I d J. i;nox
Ul
❑YES ❑ NO
W
MAILING ADDRESS
y
}}
Z
VARIANCE OR
ADB NO,
(
I II
3
)1131(-/8 ll .i/e. Yi.
COND. USE NO.
0
CITY
ELEPHONE NUMBER
=
lnai�r.Z
PROPOSED YARDS
HEIGHT
Fd�nan:ls 71.ai
NAM
FRONT
SIDE REAR
at
J
I
,,
I-
ALLOWABLE
SIGN AREA
PROPOSED
SIGN AREA
a
i
f
f
U
F
ADDRESS
'
=
OTHER
REQUIREMENTS
+ '
V
E
CITY
TELEPHONE NUMBER
at
PLANNING DEPT. APPROVAL
DATE
NAME
STREET R/W
EXISTING STREET R/W
FT. DEFICIENCY THIS PROPERTY,
E
ADDRESS
COMP. PLAN ST. R/W
FT. FT.
F
U
Of
REMARKS
is
Z
E CITY
TELEPHONE NUMBER
I-
Z
E
W
0
U STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
W
Z
O
UTILITY ❑ YES
STREET AND/OR UT
Z
W
1
Legal Description of Property (Show Below
or Attach Four Copies)
WORK REQ'D
❑ NO
L,Dt 4, Torr•a Park No. 4
UNDERGROUND
❑ YES
1
Z
W
❑ NO
O
E 1
x�, ERI
i
IfL/g'
i
K
E
U
W
W
G
Be C E
APPVD BY CITY ENG.
M R
W
W
n
I
I
J
REM KS
(
W
W
J1
METER SIZE
�
SERVICE 512E
^
CLEARANCE
CHECKED BV
C
W
3
REMARKS
❑ NEW
�' RESIDENTIAL
LINA.E
FIRE ZONE TYPE OF CONSTRUCTION CODE
❑ NON-RESIDENTIAL
❑ SIGN
i
❑ ADD ❑ DEMOLISH O WEALL'N1 NG
AREA
REQUIRES REQUIRED
GROUP
OCCULOA OPANT
LOA
❑ ALTER EXCAVATE FENCE
OR FILL (- X_Fr)
❑ YES ❑ NO
JOC
'-
w
PLAN CHECKED By
THIS SITE IS LOCATED IN THE CITY
PRE-MOVE
E]
OF EDMONDS. LOCAL SALES TAX
D BE
G
i
REPAIR ❑ INSP. OPOWOL
SHOU
te
NUMBER OF STORIES
NUMBER OF
REMARKS
J
DWELLING
UNITS
m
NATURE OF WORK TO BE DONE
j
F'i'1_IFltd('F IP41SPFCFI1)'
I
VALUATION FEE
1
Z PROPOSED USE
PLAN CHECK
0
NO.
6 PLOT PLAN INDICA E 'UWyLIN TSACKS,
AB UTT�Nt4`3'CRE J'If.f,�
BUILDING
U
al B
PLUMBING
'1
O
m
HEAT S, GAS LINE
0
FENCE
SIGN
I
RETAINING WALL
SWIMMING POOL
TOTAL AMOUNT DUE
Ov
i hereby acknowledge that I have read thin application; that the In-
......
'I
formationm given Is correct; and that I athe owner, or the duty author-
Ized agent of the owner. 1 agree to ComplY With city cad state Tawe rag.-
ATTENTION
1
Wing construction; and m doing the work authari,ed thereby, no parson
APPLICATION APPROVAL
j
will be employed In violation of the Labor Code of the State of WaeblBgton
THIS PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHOReZE5
signed by the Building Official or his Dep-
NOTE: Permit Limit One Year (Esttpt DEMOLITIONB,whlCh
ONLY THE
uty; and fees are paid, and receipt Is Be-
,hall be Completed 111 ninety days; 111OVED-IN BUILDINGS shall be cam-
WORK NOTED
knoWledged in space provided.
i
plated In elx monlha.)
__TATE
INSPECTION
SIGNATURE (OWNER OR AGENT) SIGNED
DEPARTMENT
DIR DR'S 9NAT R
,.
CITY OF
GATE
NOTE: Applicant Subject to Plate Check Fee
775-2525
This Permit covers work to be done on private property ONLY.
ORIGINAL Filc YELLOW Inspccmr
i
Any construction an the public domain (curbs, sidewalks, driveways,
-
marquees, etc.) will require separate permission.
PINK - Owner GOLD -Assessor