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BUILDING PERMIT
CITI JF TUKWILA BUILDING PLAIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
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BUILDING
PERMIT NO.
JOB ADDRESS
1779$ Southcenter Parkway
DATE
21 August 1978
LEGAL
1 DESCR.
LOT NO.
BLK
TRACT ��77
(IJSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 G. John Doces same as above 57 5-6 500
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: • NEW • ADDITION • ALTERATION 0 REPAIR • MOVE • REMOVE
9 Describe work: Temporary sign and flags
10 Change of use from
Change of use to
11 Valuation of work: $ 75.00 5.00
PLAN CHECK FEE
PERMIT FEE X25.00
SPECIAL CONDITIONS:
Type of
Const.
Occupancy
Group
Division
to 100 Sq. ft.
Temporary oign not exceed
.c." _ _ . e • • •
• _ry
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
_ _
Fire
Zone
Use
Zone
Fire Sprinklers
Required • Yes • No
APPLICATION ACCEPTED BY.
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY.
/� �i ����i, L �_
Gr1/`�
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
-
J!/�/"�
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I$ COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
`, 'A �� _
Si -N ►",Z'` /vf t r A/i! i P% LA
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE or OWNER (IF OWNER BUILDER)
Et) of) - 1-7 E-.6% is roRF°E1TEO
SIGNATURE OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
OCCUPANCY PERMIT REQUIRED
M.O. CASH
SIGN PE2MIT APPLICATION
BUILDING DIVISION
:6'2 ( OF TUKW :ELA, WASHINGTON
c
TO BE FILLED OUT IN DETAIL Bf APPLICANT OR PERMIT CANNOT BE ISSUED
?roperty OVrner !'VCL' i C
kddress 1 '7% 9 •,C
Pelephone .s %j ,�� 12'C
Estimated Value of Completed Work
Job Address /% ?_� s' �-
Business Name Tl�x-e ai /`#
Telephone
Eermanent Sign M Temporary Sign
3q.
Ft. of all /O v 3 /0' M / YI
?aces of Sign j (- Type of 4n
Single Face
Double Face
Combustible
('Incombustible
Electrical
.Setbacks:
3ontractor
Address .
Signs 'n Property
Front Side
Side Rear
All on Private Property
Overhanging Public Property
Overhanging Setback Line
On Premise
Off Eremise
State License No.
Bus. Lic. No.
Sales Tax No.
Telephone
•
•
•
This application does not constitute a permit to wovk. WORK IS NOT TO COMENCL UNTIL
SIGN PERMIT IS POSTED ON PREMISES WHERE WORK IS TO BE PERFORMED.
Cert ification is hereby rendered that no work is to be done except as described and
that all work shall conform to the applicable codes.
s containing . ,ic wiring must bear the label of an approved testing agency.
• AI gr-2
S gnature o.E p'iica.nt 'Date
Application Not Approved
Application Approved, Permit Not Required '
Application Approved, Permit Required
Permit # ��o issued under the following conditions:
MTh Po t? Af? r ‘ 6 0. `n? - ',Cr • tI .:.': 150..5: ET. •
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