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Home My WebLink AboutPermit 122 - Nielson Residence - Move HouseNielson House Move BUILDING PERMIT X? 122 OWNER MAIN BUILDING WIDTH ADDRESS DEPTH � PHONE AREA DATE BUILDER SIZE ADDRESS FT. � FT. Bq. FT, ARCHITECT ACCESSORY BUILDING ADDRESS X( , ` DEPTH AREA JOB ADDRESS STREET ry NUMBER USE LEGAL �� -e�K -^� D �� i ZONE S / q. FT. z ) ) LOT SIZE BUILDING LOT AREA - -•e�- - ^ -- LOT U BLOCK YARDS MAIN SET BACK SID YMtl7 /_ REAR YARD NEAREST ACCESSORY SET BACK SIDE YARD REAR YARD NEAREST DISTANCE TO BUILDING X r, BUILDING BUILDING SQ. FT. /I BUILDING PROPERTY LINES �� FINISH GLASS OF WORK i i.'ii -G V-, , -, , REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE WARNIN I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and OK for covering has been given by In in writing on Permit Placard. I hereby acknowledge that I have read this application and state that the above is correct and I further agree to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con- struction. Written Authorization of the owner must be pre - rented when work is done by occupant or lessor. OWNER PERMIT FEES: (THIS SPACE FOU EVILDING DEPARTMENT USE ONLY) / -�' HOUSE & HOUSES -- GARAGES G ARAGE S RECEIVED BOND NO._ TOTAL FEES BY NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION. OTHER M SC. FEES S 0 _DATE � PERMIT PLACARD MUST BE POSTED ON THE WORK MAIN BUILDING WIDTH �/ X DEPTH � � AREA TYPE OF CONSTRUCTION SIZE � FT. � FT. Bq. FT, ACCESSORY BUILDING WIDTH X( , ` DEPTH AREA OF BUILDING l^ o - vi ✓ � /� � FT. PT, Sq. FT, �� /�/ �/ � S / q. FT. z ) ) EXISTING BUILDING AREA - -•e�- - ^ -- Sq, FT. LOT COVERAGE TOTAL AREA OCCUPIE LOT AREA LOT AREA OCCUPIED Bq, FT. • SQ. FT. /I EXTERIOR FINISH OCCUPANCY TO BE USED ► � HOW BASEMENT SIZE SO. FT. AS S 4f HEATED ROOMS TOTAL BED ROOMB B LIVING L•D COMBO DEN KITCHEN NOOK K•D NOOK ATT. GARAGE DET. ❑ ❑ VALUATION OF ALL IMPROVEMENTS HOUSES g 1Ll L' r7 GARAGE !j HOUSE •ATT, GARAGE • OTHER f FOUNDATION OK FRAMING OK :[ FINAL INSPECTION REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE WARNIN I Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and OK for covering has been given by In in writing on Permit Placard. I hereby acknowledge that I have read this application and state that the above is correct and I further agree to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con- struction. Written Authorization of the owner must be pre - rented when work is done by occupant or lessor. OWNER PERMIT FEES: (THIS SPACE FOU EVILDING DEPARTMENT USE ONLY) / -�' HOUSE & HOUSES -- GARAGES G ARAGE S RECEIVED BOND NO._ TOTAL FEES BY NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION. OTHER M SC. FEES S 0 _DATE � PERMIT PLACARD MUST BE POSTED ON THE WORK Locadoe of prop' 7►�8tr�est A ddcaatr ...... ».......�1 :. R......�.. ». r? ....1 L� �..» . t,,t.,1�..1 a.C.» �� .... » ...- ......... .......... Type of Baltdim: Now • � -- . » »....:Eldating ..Y�.,�.. »......... Single-family residence? ..... »�.F,� ...... .............»._.. Dootatent . »[......lr e........» Other ( Specify) TQ.....�...xt�e>t.+.d ............. NOTE: This application may be submitted to the main office at 904 Public Safety- ilding, or, for prompter aft.1c^e, eliaectly.to the branch office having jurisdiction in the area In which the property is located. To contact District Sanitarians by telephone, •place phone calls before 900 A.M. Seattle. Office 904 Public Safety Building MAin 2 -6000, Ext. 281 or 376 North End 15272 - 15th Northeast EMerson 3 -4765 Eascteido 904 Public Safety Building MAin 2.600x, Eat. 281 Southeast 612 "E" Street, Renton Alpine 5.3496 Southwest 707 Southwest 100th WEst 7.0961 Ownera... "OUZ.......... VIeimm"S. '.179._....... Address 15 0. 2 ?1 ... Z1Y- C1.,a"Ltt.*..P4,A4Fhaa Bairmer 80.1 U... .Ma1d.e1::.=.....�-...LA T.....Addreaa .. K.ti6C . .. ...................... »................. Phone ......................... Designer . �..t� t11....... �,_e �..C..` .................... Address Soil Log Hole No. 1 ........ "...., b" ....... 1 -3.. - .ARC.k ......... f�..1..�.J.� .1�.._. "�..►1� �.�....�.�5.. "...:. �4�t �....... _» ........» ........ ..... » ..... - .......... ............. , ..1.4.T..... ...................................................................................... ............................... Soil Log Hole No. 2 ..........,M ... ............. 7 1..0..$1 . ....................... ............. .......... .. ....... ... ............................. .. ..... ........ .... » ....... » .....................-.............. . ......... . ... . ... . ...... .............................................. .. ................................................................... ............-.. ............................... Soil Log Hole No. 3 ._ ..............................._.........._..........................................................:............................................. .:............................. SoilLog Hole No. 4 ......... ............................... ................ :...................... ............. . ...................... I., ......... I............ »» ........................................... ,............. ..... I ....... I ......... I........ . , ...... .............. .... ............................................................................................... ........................... Elevation of Water Table, if encountered. (Oistance from ground surface) .......... 4 . .............. Give estitnated difference in elevation between high and low points on lot in feet ............... ..........- ........... . Percolation Test Hol No. 1- Average rate ........... .......(1~all in minutes- per -in, bottom -6" of test hole) N o. 2- ,► „ :.......... f � � . , /.6... 1, it it ,t t, 11 1, to ,t ,t No. 4 to ,r ,t ,t of it of ,, to to it it No. 5- " ,t , t tr it to ,t Of it It to it N o.6 - ................. It (For additional remarks or comments attach letter in triplicate or utilize Unused spaces around dr winL )n rkverse side of application) Signature Designer .................. % ........ ..., .. Date DO NOT WRITE BELOT, THIS UNE, (To he filled in by ►irilth Departrn tit) Accepted ......... 1...... .7.....'..�r ..............�'Vot Acceptrti ,. bite ", �.� fft;.t�•.. SEPTIC TANk drainfield