HomeMy WebLinkAboutPermit 1569 - Chauncey - SignBUILDING PERMIT
CIT' )F TUKWILA BUILDING P I .MIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
15b9
BUILDING
PERMIT NO.
SOS ADDR ESS
18409 Cascade Avenue South
DATE
August 28, 1978
LEGAL OE9CR.
1
LOT NO.
SLR
TRACT
CISEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
z Bo Chauncey 18409 Cascade Ave. So., Tukwila WA 98188
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
Artco Sign Co., 800 Mercer, Seattle, WA Sales Tax C 600 152 570
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
Contractors License No. ARTCO 253 QM
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL. ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: • NEW ❑ ADDITION • ALTERATION • REPAIR ❑ MOVE ❑ REMOVE
s Describe work: Permanent Sign
10 Change of use from
Change of use to
11 Valuation of work: $ 400.00
PLAN CHECK FEE - - --
PERMIT FEE $ 10.00
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
ZOnO
Use
Zone
Fire Sprinklers
Required ■yes ❑NO
APPLICATION ACCEPTED BY
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY
•C/ to
Al Pieper
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered j Uncovered
NOTICE Bui 1 di ng Offi ci al
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 IS' 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.
Special Approvals
Required
Not Required
INIMI
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIGNATURE Or OWNER OF OWNER BUILDER)
�/�
i 44(ii/ a . I�''r�-4.�'L�.
FINAL
...0d:.
SIGNATURE THORIZ ENT (DAT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OCCUPANCY PERMIT REQUIRED
SIGN PERMIT APPLICATION
c LBUILDING DIVISION
CX OF TUKWILA, WASHINGTON
•
TO 3E FILLED OUT IN DETAIL BY APPLICANT OR PERMIT CANNOT BE ISSUED
'roperty Owner L. '),e 4'(.f Job Address /11C . CSC a tz il/l Ato
ddress Jf �j c.e Cam, DE A..1 e 1, Business Frame $Q G '1 - UTA /G.�'
elephone
estimated Value of Completed Work o(,, e C2
,Telephone
'ermanent Sign
kq. Ft. of all
'aces of Sign �� ? g7 ;
Single Face
Double Face
Combustible
;= Inc ombus tible
Electrical
Temporary Sign
Type of Sign �.�1 iS��� CSigns on Property Zt/,,/,..
Setbacks: Front Side
Side Rear
All on Private Property •
Overhanging Public Property,
Overhanging Setback Line
On Premise
Off Premise
•
ontractor 1')09-1-(-e)
►ddx•ess 4'0 U A1 Gvr2. 61t-
State License No.
Bus, Lic. No. ,o► A. •z c. 0 a- T.ILC1.11 7
Sales Tax No. ,e- �U vb — a- Z5
Telephone 8 DC1 /-► t/L C <1
,1) This application does not constitute permit to work. WORK 1S NOT TO COMMENCE; .UNTIL
:2)
:3)
SIGN PERMIT IS POSTED ON PREMISES WHERE WORK IS TO BE PERFORMED.
Certification is hereby rendered that no work is to be done except as described and
that all work shall conform to the applicable codes.
All signs containing electric wiring must bear the label of an approved testing agency.
Signature of Applicant Da e
Application Not Approved
Application Approved, Permit No Required
Application Approved, Permit Required r//t ces,_is J1/4, , 0 e
Permit ilk issued under the following conditions: