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HomeMy WebLinkAboutPermit 075 - Butler Residence - New Houseglen Butler Residence N`.' 75 OWNER MAIN BUILDING ADDRESS DEPTH AREA �/ PHONE DATE BUILDER SIZE ADDRESS r� i� „6� FT. _ ^ .y PT. a O 80. FT. I ARCHITECT ADDRESS WIDTH DEPTH ARE/ OF BUILDING JOB ADDRESS STREET /d 4" a7 (p/'I /� v,� � NUMBER USE ZONE LEGA �3y► L u d. sa. tl LQT 812E 0 O OT A G 7" ¢7d .4 - T n! f 7, 1 (t:•+%�.0 tD1 V"V 'D7 , . , #� LOT BLOCK YARDS DISTANCE To PROPERTY LINES MAIN BUILDI G SET BACK � � SIDE YARD ���� REAR YARD 11 �8 NEAREST BUILDING ACCESSORY BUILDING SET BACK S10E YARD REAR YARD NEAREST BUILDING CLASS OF WORK !U F H./ 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 -- e BY X �'�'� -'� PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) HOUSE & OTHER MISC. HOUSES G ARAGE S G ARAGE f — BUILDING FEES s RECEIVE D PERMIT , BOND NO. TOTAL FEES S 40 BY DATE e l NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION. PERMIT PLACARD MUST BE POSTED ON THE WORK MAIN BUILDING WIDTH DEPTH AREA �/ TYPE OF CONSTRUCTION SIZE r� i� „6� FT. _ ^ .y PT. a O 80. FT. I ACCESSORY BUILDING WIDTH DEPTH ARE/ OF BUILDING X — — rte^ FT, FT. 80. FT. FT - EXISTING BUILDING AREA -- -1L�(/ -- ° SQ. FT. TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED LOT COVERAGE — — - Flo 9 % d 0 SQ. FT a o 80. FT, EXTERIOR r/ FINISH 0 A) e �I 5 72, - D L OCCUPANCY TO BE USED HOW , BASEMENT AS ` G «7 H EATED ..`f V SIZE // 00 SQ. FT. ROOMS TOTAL BED pOOMB BATHS LIVING ( L•D COMBO t DEN KITCHEN NOOK K +D ryOOK ATT. GARAGE DET. ❑ ❑ VALUATION OF ALLIMPROVEMENTS HOUSES V GARAGE i HOUSE - ATT. GARAGE f OTHER f FOUNDATION OK FRAMINOOK 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 -- e BY X �'�'� -'� PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY) HOUSE & OTHER MISC. HOUSES G ARAGE S G ARAGE f — BUILDING FEES s RECEIVE D PERMIT , BOND NO. TOTAL FEES S 40 BY DATE e l NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION. PERMIT PLACARD MUST BE POSTED ON THE WORK SEA' TLB -KING iCOU f DEPARTMENT OF PUBLIC HEAL h = DIVISIR EGAEAWED Room 904, Public Safety Building APPLICATION FOR BUILDING SITE APPROVAL APP 1 2 1962 (Submit in Triplicate) ,. SO :,.�- ,� UTHSAS T DISTRICT (This accomyanies.,the building permit applicA6i6; and is prerequisite.to. the issuance 00,W4td1Pft c Permit.) �} Location of V roperty- Street' Address r'. t! .�t n..»3. :, '?.......... '�� ..`: ............... .. ...I ............. .I............. Addition or Subdivision ._ ,.T !� ! �� 7r����...Lot ............Block .....I .............. Type of Building: New ... ...k .. .............Existing .......................... Single- family residence? ........ "DTI........................... ' alinement .... ...!.:::;` ................Other (Specify) ..........................................................! ............ .I ..................... :........... Nr,TE: This application may be submitted to the main office at 904 Public Safety Building, dr, -for prompter service, directly.to the branch office having jurisdiction in the area in which the property is 1pcated. To contact District Sanitarians by tel place phone calls before 9:30 A.M. Seattle, Offic� W 904 Public Safety.Building ^— MAin 2.6000, Ext, 2£ 1 oU76 North $nd . "' °` `� 15272 - 15th Northeast ------- EMerson 3 -4765 ` Eastside` 904 Public Safet y g Buildin M'Af� 2.6001 Ext. 2t ' Southeast " 4 Southwest 707 S uthwest 1 00th ton i 4" W9st 09616. fi Owner �.�+,,,�! >�!'�' 'r..... ,�' t,�.'.. ��............A .�.: r�. :.. ".:. ..... "�..:a........ :� ..... honk !�..'.��..'�'i�. ,rf........,:� �t�!, ". ^••:!' ;? ................. .Aildress� .................. ° .. .............I..........: "..... ........... PhoL ............ ......... Designer ,.r' ,1�..�„�........,I I I. 'l. ' . ,............ Address ., e�' 1''��'..r..... ...�. ......:"�.!� �... ��.... ......... { �.... , Soil Log Hole No. 1 . . »G'.....I ........... r..c.1,.$. 15: t?' .....I...... ....... r'' '.'...... ' ; -, , - » G.. ............................. .............. . ................ I ............................ I. ...... ......... ........ .... ........... .. i .... a ..... .... ............................... Soil Log Hole No. 2. ..................... ..t..............t`............ ';.;. .:.�'�•`'r .... ... .. ....... .. . c.'!,":1..!� ... .... .... ....... ». ...... , ............. ............. ...................... I.,...... .� . .... :r -.... + .. .... ...�.... I .. x ...............��. ....y..........� yy` ...... :N .... ;' �..... ....t................. Soil Log }Tole No. 3 4�' ................ . ..t....s:t »..........G...d.... .., r,.t:r'i� t....,. f..................................... ..................;,........... IlN .............a........n n.......a..»»..........o . u..... .......... n...».. o.... .....»............»............ uu...................... . ........... n........ n............. n.. ...»...............�........... u..........»......... Soil Log Hole No. 4 .......................................»......... t.... ............................... ... t ........................... ............................... . ............................... .. » ........................ ..............................' ... {...... . .... . ............. . ............... . ....... .. ............ ..., ..................... ....................................................... . ..::. ..............................I Elevation of Water Table if,•encountered. (Distance from ground` r ,,t`�'' ^'� . + . .. Give estimated difference in; elevation betwe�q tigh and low points on lot in feet ..........., r...... ..... I ............:..........I Percolation Test Hol No. 1- Average rate (I•all''tn iflin ites-�er in. ottom -6" of test hole)'�Z k .. No: 4- „ to to t, P tt to - to to it to ,t No. 5- to t) 11 it I to to It of it tt „ ... ............................... N 6- to „ of ,t to it t► to to to tt t, . ............................... (For additional remarks or comments attach letter in triplicate or utilize unused spaces around drawing on reverse side of application). Signature - Designer ,T � "- .... /,� ��... .x.:. �a r.. ..... s .............................. Date .. ..........................�... �'. NOT WRITE BELOW THIS LIN n by Hea1tk&Department) Accepted .......... Neil - - ...... ....... .: ..,r.��.... .:. /..1..:...!�........ Date Date Heal attment Sanitarian S•AP -118 Rev. 6/10/58