HomeMy WebLinkAboutPermit 108 - Balk Building - ShelterBUILDING PERMIT
Balk Building
TUHViW, WASHMGTON
Y
BUILDING
PERMIT No.
ITT°
108
OWNER
MAIN
ADDRESS
�.yI
PHQNl
DATE I
BUILDER f F
ADDRESS
BUILDING
C FT.
�(
" ��
ARCHITECT
ADDRESS
SIZE
JOB
STREET
NUMBER ffi
DEPTH
ADDRESS
OF
BUILDING
BUILDING
USE ZONE
LEGAL
--- ,
_
LOT SIZE
L OT ARE
�'r 9
1
Sq, FT.
LOT
BLOCK
YARDS
MAIN
SET BACK
SIDE YAgD
REAR YARD
NEAREST
ACCESSORY
SETBACK
BIDE YARD
REAR YARD
NEAREST
DISTANCETO
PROPERTY LINES
BUILDING
,p /
SQ. FT.
f /
BUILDING
a /UILyq�INa
®
L)
S
�`' /
BUILDING
LOT AREA
LOT AREA OCCUPIED
f�
LOT COVERAGE
46;W,
6, U
v
CL ASS OF WORK A r U/
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
co vered before inspection and OK for covering has been given by Inspector in writing on Per P
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-
sented when work is done by occupant or lessor OWNER
PERM IT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE Q OTHER �MIsC.
HOUSE GARAGE f G ARAGE f BUILDINGS f FEES S
VED
BOND NO.— TOTAL FEES 5 RECEI ERMIT Y D TE �
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
i
PERMIT PLACARD MUST BE POSTED ON THE WORK
I
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
C FT.
�(
" ��
—_
FT. / � SO. FT.
SIZE
ACCESSORY
WIDTH
DEPTH
AREA
OF
BUILDING
BUILDING
X iT
_
Sq, FT.
EXISTING BUILDING AREA----------- --
SQ. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
v
/
SQ. FT,
SQ, FT,
/
EXTERIOR
FINISH
OCCUPANCY
TO HE USED
/X
HOW
BASEMENT
AS
a
HEATED
SIZE SQ. FT,
ROOMS I
TOTAL /
BED
ROOMS
BATHS
LIVING
L-D
COMBO
DEN
KITCHEN
NOOK
K.D
NOOK
GARAGE ATT.
DIET,
❑
❑
VALUATION OF
HOUSES
GARAGE f
HOUSE - ATT. GARAGE f
OTHER f
ALLIMPROVEMENTS
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
co vered before inspection and OK for covering has been given by Inspector in writing on Per P
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-
sented when work is done by occupant or lessor OWNER
PERM IT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE Q OTHER �MIsC.
HOUSE GARAGE f G ARAGE f BUILDINGS f FEES S
VED
BOND NO.— TOTAL FEES 5 RECEI ERMIT Y D TE �
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
i
PERMIT PLACARD MUST BE POSTED ON THE WORK
I
CITY OF TUKWILA
WASHINGTON
A.PPLICA.TION FOR PERMIT
Department �
/" h ereby applies for
(print or type name in fall)
permission to
(describe in full activities to be carried out)
»,.. ,.1 .. t''� �.�..._, r..l' ,..r..._.� /r^ ,Y 1 '�� / %� � r •y' �' ,� . Gam•.'.= •1��....,
(do not write on the back of this application if additional space
is required use additional application forms
Applicant hereby agrees to carry out all activities described on this application in com-
pliance with all applicable City of Tukwila ordinances, state and federal laws; and to
allow inspections to be made by authorized inspectors.
address where activities are to be
carried out) (signatu -e of applicant)
(mailing address of applicant)
date of application)