HomeMy WebLinkAboutPermit 0085 - Levitz Furniture (VOID)JOB ADDRESS
DATE
LEGAL
1 DESCR.
LOT NO.
BLS
TRACT
CISEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
z LEA/(1' FUetJi 'J C 1762 So ,fie.. w 4
CONTRACTOR MAIL ADDRESS PHON LICENSE NO.
N.
3 GO1J'11? n1 LL 99 `1 ,`4N'4I4' iC-S C-O f P F4 i3ax N4' (c:2L- V)c
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
• A iLL-( ieace PI'n4'L Bpi- L carrar MAIL ADDRESS BRANCH
6 /4W-ICY IN 9U rRI ES fr o a/6AL 1 : I • -
USC OF BUILDING
7
8 Class of work: • NEW • ADDITION • ALTERAT i N L`J REPAIR • MOVE • REMOVE
9 Describe work: r> w i ci,/ cp. 4 -. t9 o )t. 14 .S li✓ • 4-Cc s. R&>a4
Or . / 'L- 7 .1atu-1
il
10 Change of use from .
l—)
Change of use to \
11 Valuation of work: $ ` lA TMAI "F(Z-IIALr
PLAN CHECK FEE
PERMIT FEE ` 1 6
SPECIAL CONDITIONS: { t r.n
It E L� / C>\t { `ti; �G --
Type of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required YBS ❑ NO
APPLICATION ACCEPTED
(1LLL4.-y-
BY:
t.
\P 'INS CHECKED BY:
APPRO ED FOR ISSUANCE
6
Y:
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered j Uncovered
NOTICE
Special Approvals
Required
Not Required
Approved
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 1S SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK 1$ 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
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SI GNA TU• E E R)
- IGNATURE OR AUTHORIZED GENT - IDATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT(.JF TUKWILA BUILDING Pk .MIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N° 085
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