HomeMy WebLinkAboutPermit 0140 - Benaroya Company (VOID)JOB ADDRESS
DATE
3 �
I � V
LEGAL ESCR.
1
LOT NO.
BLK
TRACT
SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
LIAcx k" i h- co, en S A4s, 440ae 98Lu8
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: ❑ NEW ❑ AO ITION ATION ❑ REPAI MOVE ❑ REMOVE
9 Describe work:
QS if
10 Change of use from �,�
Change of use to .
1
11 Valuation of work: $
PLAN CHECK FEE
PERMIT FEE
SPECIAL CONDITIONS:
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 Oyes • No
APPLICATION ACCEPTED BY:
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
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 Id 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)
FOUNDATION
FRAMING
FINAL
SIGNATURE or OWNER (IF OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (GATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIL :OF TUKWILA BUILDING P =rOMIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
PLAN CHECK VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
•° 140