HomeMy WebLinkAboutPermit 196 - Benham - Shopnathanial Benham Shop
N° 196
OWN '
L
t
ADDRE _ 6 �
PHONE
DATE
��
BU L ER
ADDRESS
BUILDING
S P• A ll IE
�(
„
_
� Bq, FT.
ARCHITECT
SIZE
ADDRESS
FT.
JOB
ADDRESS
STREET
/ R V NUMBER
V
ACCESSORY
USE ZONE
LEGAL JG j
..� � � 6
�. J
LOT SIZE "O , d
O T AREA I
j,4 ,L M t7 y 4
^ �j r / 50
p Q
%f
V (� f7 // V' #) oc-, Zh_ c_7-J
LOT 5'
BLOCK /
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SETBACK
SIDI YARD
REAR YARD
NEAREST
DISTANCETO
BUILDING
BUILDING
BUILDING
I
Sq. FT.
BUILDING
PROPERTY LINES
EXISTING BUILDING AREA-- _ —
CLASS OF WORK A/ 'Olt�_ V/
5
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 Inspec in w riting 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 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 x a a »Y X
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
O
HOUSE 6 OTHER DQ MISC.
HOUSES G ARAGE _ G ARAGE: 7 1 BUILDINGS S A FEES:
? RE
BOND NO.— TOTAL FEES i BY BY — -- - ATE
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
WIDTH
DEPTH
AREA
TYPE OF CONSTRUCTION
BUILDING
�(
„
_
� Bq, FT.
SIZE
FT.
FT.
ACCESSORY
WIDTH
DEPTH
AREA
OF
BUILDING
BUILDING
l
X q
6Xl� Q
c
Sq. FT.
EXISTING BUILDING AREA-- _ —
60. FT.
TOTAL AREA OCCUPIED
LOT AREA
LOT AREA OCCUPIED
LOT COVERAGE
80. FT. '
B0, FT.
EXTERIOR
FINISH
OCCUPANCY
TO B! USED
HOW
BASEMENT
'SIZE
S0. FT.
AS
S
HEATED
ROOMS
TOTAL
BEp
ROOMS
BATHS
LIVING
L.D
COMBO
DEN
KITCHEN
NOOK
K•D
NOOK
GARAGE
ATT. ❑
DET. [�
VALUATION OF
HOUSE $
GARAGE S
HOUSE - ATT. GARAGE S
OTHER i
ALLIMPROVEMENTS
Q(�
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
5
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 Inspec in w riting 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 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 x a a »Y X
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
O
HOUSE 6 OTHER DQ MISC.
HOUSES G ARAGE _ G ARAGE: 7 1 BUILDINGS S A FEES:
? RE
BOND NO.— TOTAL FEES i BY BY — -- - ATE
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
CITY OF TUKWILA
WASHINGTON
A.PPLICA.TION FOR PERMIT
De
partment
(print or type name in full)
permission to "
(descrilA in ull a tivities to be carried out)
J4
applies for
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.
, X 00" / 1 L
address where activit es are to be / 'S
carried out) (signature of ap licant
. "I , — .
mailing address o applicant)
L /49 - 62�
date of application)
(do not write on the back of this application if additional space
is required use additional application forms