HomeMy WebLinkAboutPermit 0091 - Amelco Electric - SignJOE ADDRESS
103 Nelsen Ave.
DATE
5 ,&44 t t17Z
LEGAL
1 DESCR.
LOT NO.
ELE
TRACT
(E ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Amelco Electric 103 Nelsen Ave. Renton, Wash.
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 Campbell Mon, Inc. 1120 Fairview North Seattle Ma. 3 -1364 A -055
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
E NGINEER MAIL ADDRESS PHONE LICENSE HO.
5
LENDER MAIL ADDRESS BRANCH
s Tax No. C— /7F. 4/S,
USE OF BUILDING
7
8 Class of work: NEW ❑ ADDITION ❑ ALTERATION • REPAIR ❑ MOVE ❑ REMOVE
9 Describe work: Single Face Electric Sign
10 Change of use from
Change of use to
11 Valuation of work: $ 750,00
PLAN CHECK FEE
PERMIT FEE $ 7,50
SPECIAL CONDITIONS:
Occupancy
Group
Division
Type
Const,
Size of Bldg.
(Total) Sq. Ft.
No. of `Max.
is) 4_
Occ. Load
Fire
Zone 2_
Use
Zone M` I
Fire Sprinklers
Required IN Yes No
APPLICATION ACCEPTED BY.
t/ pe ". "... . 0
PLANS CHECKED B
�
APPROVED FOR ISSU NCE V.
p
No. of
Dwelling Units
O Covered ET PARKING SPACES:
Covered Uncovered
NOTICE
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 IS 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
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
7 /
IFOUf) DATION
FII4L
SIGNATURE or OWNER 11r OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only'
CIT(. JF TUKWILA BUILDING K. .MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
CK.
BUILDING
PERMIT NO.
N° 091
M.O. CASH
..5A//7 A'. ?