HomeMy WebLinkAboutPermit 0083 - Tyson Residence (VOID)CITE X TUKWILA BUILDING K ,MIT
BUILDING PERMIT 14475.59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N° 083
JOB ADDRESS
DATE
LEGAL
10E5CR.
LOT NO.
6
BI.K
6
TR AC7
SEr ATTACH'SHEET)
Hillman Seattle Garden C
OWNER MAIL ADDRESS
2 Charles R. Tyson 1521 —'44th S.W.
ZIP
Seattle 98116
PHONE
We 8-4668
CONTRACTOR MAIL ADDRESS
3
PHONE
LICENSE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS
4
PHONE
LICENSE NO.
ENGINEER MAIL ADDRESS
5
PHONE
LICENSE NO.
LENOER MAIL ADDRESS
6
BRANCH
USC OF BUILDING
7
8 Class of work: 1 NEW 11 ADDITION ❑ ALTERATION
REPAIR ❑ MOVE ❑ REMOVE
9 Describe work:
10 Change of use from
Change of use to M
11 Valuation of work: $ V 000'o-,Q
J
PLAN CHECK FEE
j
PERMIT FEE
SPECIAL CONDITIONS:
Type of
Con St. "tj
Occupancy
Group
Division
Size of Bldg. ,
(Total) Sq. Ft. Z
No, of W Ut
Storles
Max. I
Occ. Load
Fire
Zone
Use
Zone "I "'7
Fire Sprinklers
Required ❑Yes No
APPL CATION ACCEPTE B
1
PLANS NECKED BY:
v
APPROVED FOR ISSUANCE BY:
No. of
Dwelling Units I
OFFSTREET PARKING SPACES:
Covered Uncovered
N OT IC E
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 19 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
COf((jyy( TRU TION OR THE PERFORMANCE OF CONSTRUCTION.
• n
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIGNATURE OF OWNER (IF OWNER BV PER)
FINAL
SIGNATURE OR AUTHORIZED AGENT (DATE)
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