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wood siding
BUILDING PERMIT TUMMA, WASHMGTON
BUILDING
PERMIT No.
u. 1058
OWNER
MAIN
BUILDING
WIDTH
ADDRESS
14 -01 1 -f s .4 4V, S
PHONE
DATE
BUILDER
ADDRESS
,$
PF10 - T - 1 o
00 M C MICJCEA)
ARCHITECT
ADDRESS
/J��,r� D,
ITS"
JOB
ADDRESS
STREET 'r' //
`� ��
WIDTH
U BER
!�F�
LOT
AREA
BLOCK
>
FP-AH IE
BUILDING
BUILDING
a
LO T SIZE
4400
L OT AREA �r
USE ZONE
FT.
F T.
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCE880RY
BET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCETO
PROPERTY LINES
BUILDING
',j
BUILDING
BUILDING
9s
2
Z 45.
Bu1LDING
Q
�' b
LOT COVERAGE
TOTAL AREA OCCUPIED
.
$'
CLASS OF WORK A /It IJL /I, -I e .0
REMARKS, DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING 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 Inspector 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
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor OWNER �1�Y �- - � - �~'
BY X
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) ��✓`��
D�
HOUSE & OTHER
HOUSES GARAGE f— --- ___GA RA E f BUILDINGS f— - -FEES FEES
BOND NO. _ - -. - -TOTAL FEES S-9 - 52";A1 RECEI E �� PERMI �� Q
—
BY - BY ` ��e�
NOTICE; THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORN
MAIN
BUILDING
WIDTH
DEPTH
-
X
AREA
TYPE OF CONSTRUCTION
1W I
FT.
�G FT.
/ �,. �,0 80. FT,
SIZE
ACCESSORY
WIDTH
DEPTH
AREA
OF
FP-AH IE
BUILDING
BUILDING
a
X –
4400
1
FT.
F T.
80. FT.
80. FT.
��
EXISTING BUILDING' AREA - - -- - - - --
SO. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
80.
FT. CVO
B0. FT. -
Iz.
%
4!
EXTERIOR
FINISH
OCCUPANCY i
TO BE USED
HOW
BASEMENT
AS
A
HEATED /L
SIZE Q.
FT.
ROOMS
DOD
L ' D
KiD
GARAGE ATT.
❑
TOTAL
ROOMS .2p
BATHS
/ LIVING
/
COMBO /
DEN
KITCHEN
NOOK
NOOK
DET.
0.._
VALUATION OF
ALL IMPROVEMENTS
HOUSES
GARAGE f
HOUSE . ATT. GARAGE f
OTHER f
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS, DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING 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 Inspector 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
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor OWNER �1�Y �- - � - �~'
BY X
PERMIT FEES, (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) ��✓`��
D�
HOUSE & OTHER
HOUSES GARAGE f— --- ___GA RA E f BUILDINGS f— - -FEES FEES
BOND NO. _ - -. - -TOTAL FEES S-9 - 52";A1 RECEI E �� PERMI �� Q
—
BY - BY ` ��e�
NOTICE; THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORN
SEATTLE -KING COUNf.. DEPARTMENT OF PUBLIC HEALTH'; DIVISION OF SANITATION
Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL
(Submit in Triplicate)
(This accompanies the building permit application and is prerequisite to:the issuance of the Septic Tank
Permit.) :. .:..
Location of Property - Street Address .•..... �j'j'�- .: ^.... ».t -' ./lG '.: �XI.,.........•..... r:....•....• ........... ................ ................
Addition or Subdivision .....» ....... .............•............. »... .....•......................Lot :: ( .:..........Block .a?............
Type of Building: New . »....:.....• .......:.....•.... xlsting . ............................... Single - family residence? .4
......................... ...............
Basement ..................Other (Specify) ...........•....•........ ..........•..........•....... ». •....•......
NOTE: This application may submitted to the main office at 904 Public Safety Building, or, for prompter
service, directly.to the branch office having jurisdiction in the area in 'Which the property is located. I iTo
contact District Sanitarians by telephone, , place phone calls before 9:30 A. M.
Seattle Office 904 Public Safety Building MAin 2 -6000, Ext. 281 or 376' n
North End <<;;'`. ? 15272 - 15tli °'Northeast EMersom 3.4765 °r
Eastside 904 Public Safety Building MAin 2 -6000, Ext. 281
,Southeast 812 "E" Street, Renton .ALpine 5.3496
";"866thwest 7 0 7 Southwest 100th " WEst 7 -0961
A Owner •. �1... ,1�!I� ... .....•...•.....•••......•..•... Addresss } s�lw"`/`' ""'yQ •..:«� r:. ,r/lf�� Phone
Builder ..... 1...; ::��,�........:.r.......Address ..��.�.. »,,��it?Wp... Phone'•,- '�i�13�
" Designer .......... ..............•.....• .............•.••.. ..:::........'Address' : "....... ... :: ..° .. „ Phone ..
SoiLLog. Hole No. 1 . �y
.................
••••..•.•.••.••.......••••• •••.•. ......•••• ••{• J••••..••••!••••••..••••••••••.••.»• ••••••••••!•••••••••••••••••••r ••1 •••••!••••••••••••••.••••/••! .••�•••.••••••••••••••......•!•
V y . t•••••••.r•••••
Soil Lo o. 2 .. /;p. fq.
..................•.........•..................... ............................... ....... .......... .................•..........•..........•... ..............................; ........••....
SoiLLog Hole , No. 3 ....................•........................................................ ...:;,..,,..................... ............•.......•....... ........................•......
:::,: ..:l.l:!• ..:.........•..........•. 1...................•..•.........
.......... ......••........................•....... •...... ....•..•.........•............. ........•••................. ..•.••..........,........•.1...
Soil Log Hole No. 4 ............... ...... .•............................ I.............................. :..............•.............. .................. ..
»• ......................••........................:....•..................:.......................•....................•.......•........ ...............•........•...." :. :..........l.•.......
.. .......... I.. .
Elevation of Water Table, if encountered. (Distance from ground surface) .
�1 "' - q,�. f� /�•....
Give estimated difference in elevation between high and low points on lot in feet' 40..... ..................1........,...
Percolation .................. ........:....••••.......•••.... •.•......l.. .�.
Test Hol No. 1- Average rate ............................ nit��!•'r b"am -6' o s
No. 2- „ „ ��. „
R 3
No. 4-
........ .................... ......
..
. t
No. 5- ..... ...
(For additional remarks or comments attach letter in triplicate or utlllze unused ,spaces around drawin on
rdverse side of application)
Sig D es ig ner ..,.» .,per ........................... Date - ....•,r...
DO NOT WRITE BELOW THIS LINE. (To be filled in by Health Department)
�y
Accepted »..» : ✓..... ...... Not Accepted ....... ....... .... ..................... ti.. ..............�
Date Date Health D attmen arlan , '
SWAP -118 Rev. 6/10/58
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