680434.pdfV I
BUILVING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
Carl F. Erickson
6822 Maltby Road
CITY
Woodinville, 'dash.
Applicant Fill
Inside Heavy Lines
HU 6-1875
PERMIT
NUMBER t0r)A':1A
19005 Bound View Place
I I ---. 0
USE ZONE LOW A-KNA VACANT SITE
I . 1 13 YES 0 NO
I I ffiff �ING ARUA. I VARIANCE NUMBER
IEXISTING ' STREET R/W ............ Fr. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT- ....... .... 77.
REMARKS
_�i CH-Ec KED By
'SI Description or IT perEy tunow miow or Attacri &-our vuyies)
Sec�,1;3_27-�
R.T_ 'BAAF 6501 lip & 664.261 :1- Of SE
cor. Lt 3 th S 37- 171-9 96.145 ' th S
FimO'�.i I J 610 1 4A to Ely ln Sound View
P1 th N 0"7017' E 96.145' th N 880331 E
�Ioi tt /T. j-,n PO-R- 31go igioAkrn ss Lot 11 6e,
Nly -,f of Lot 12, Fruitdale on the Sound
NEW,
MX RESIDENTIAL
M
GAS
LINE
M
I
NON-RESIDENTrAL
SIGN
RETAINING
MDEMOLISH
M
WALL
ALTER
EXCAVATE
OR FILL
M
FENCE
( x Ft.)
.......... ..........
P9 REPAIR
PRE -MOVE
INSP.
M
swim
POOL
DWELLING
UNITS
Rersir foundation and build concrete
bkook vialls and repair Garage
I hereby acknowledge that I have read this application; that the In.
formation given Is correct; and that I am the owner, or the duly author.
Ized agent of the owner. I agree to comply with city and state laws regu-
lating conatructlon; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
relating to Workmens Compensation Insurance.
NOTE: Permit Lilmit One Your (Except DE31OLITIONS which
shall be completed In ninety days; MOVED -IN BUILDINGS shall be com.
Pleted In six Months.) 1� �".
NOTE: Applicant Subject to Plan Check. Fee
This Permit covers work to be done on private property ONLY.
Any construction On the public domain (curbs, sidewalks, drivewaYs.
marquees, etc.) will require separate pemiloslon.
[] YES
IOUP
13 YES
Fee
Plan Check No ............
FoRiLe
BUILDING
PLUMBING
/5-- A) I
IX
'?
BEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
TOTAL A31OUNT DUE
ATTENTION APPLICATION APPROVAL
THIS PER110T This application is not a permit until
AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
WORK NOTED uty; and fees are paid, and receipt is ac-
knowledged in space provided.
INSPECTION
DIRECTOTUB SIGNATURE
DEPARTMENT
CITY OF —
EDMONDS DATE
PR 6-1107
FILE
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