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Permit D06-456 - Objective Medical Assessments Corp - Tenant Improvement
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Permit D06-456 - Objective Medical Assessments Corp - Tenant Improvement
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Entry Properties
Last modified
9/18/2017 12:23:28 PM
Creation date
4/30/2011 12:56:04 PM
Metadata
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Template:
Permits
Permit No (example "D06-147")
D06-456
Permit Type
DCD Development Permits
Parcel No
0223200052
Applicant (example *westfield*)
OBJECTIVE MEDICAL ASSESSMENTS CORP
House Number
411
Street (example *32* for 32nd)
STRANDER BL
Contractor (example *sabey*)
OWNER AFFIDAVIT
Description (example *remodel*)
TENANT IMPROVEMENT - INSTALL PARTITION WALLS TO CREATE EMPLOYEE BREAKROOM
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Valuation of Project (contractor's bid price): $ 5OC), (T) <br />Sco e of Work (please provide detailed information): <br />171 Whin <br />Existing Building Valuation: $ <br />�t ../ I <br />A. L ' 'AI • ♦ I ! [:s , rr s_ ■ FIRM <br />Will there be new rack storage? ❑.... Yes <br />No If yes, a separate permit and plan submittal will be required. <br />PLANNING DIVISION: <br />Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) <br />For an Accessory dwelling, provide the following: <br />Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: <br />*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. <br />Number of Parking Stalls Provided: Standard: Compact: Handicap: <br />Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: <br />FIRE PROTECTION/HAZARDOUS MATERIALS: <br />❑ Sprinklers 14 Automatic Fire Alarm ❑ None ❑ Other (specify) <br />Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No <br />If "yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safety Data Sheets. <br />SEPTIC SYSTEM <br />❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health <br />Department. <br />Q Upplications'$otms- Applications On Line \3 -2006 - Permit Applialion.doc <br />Revised: 9 -2006 <br />bb <br />Page 2 of 6 <br />
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