HomeMy WebLinkAboutPermit 0003 - Discount Rocket Service Station - SignDiscount Rocket
14221 interurban avenue south
service station
71-003
OWNER MAIL ADDRESS ZIP PHONE
2 � i S 0. a u WT f n o. /(it ( Z a 3 o 2„ .r 3i N
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
/V F d hl I o j. CCI1/u r'iS L/ ili(n fib 2 C) i O
ARCHITECT OR DESIGNER 0 MAIL ADDRESS HONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRLSS BRANCH
6
USE OF BUILDING
7
Ser✓ S'f"z�" /v w
8 Class of work: L7'NEW ❑ ADDITION ❑ ALTERATION • REPAIR ❑ MOVE • REMOVE
9 Describe work: /
Uj!_l L,111 7 eh-41v la Fa is i(11 idt , IZL 1l. 1 • I
I
1 0 Change of use from
Change of use to
11 Valuation of work: $ /6 66 /-- I PLAN CHECK FEE
PERMIT FEE /P216
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 •Yes •No
APPLIC N ACCEPTE BY:
`
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY.
/a lL r
��
No, of
Dwelling Units
Special Approvals
OFFSTREET
Covered
Required
PARKING SPACES:
j Uncovered
Not Required
Approved
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 I 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
SIGNATURE OF' OWNER Or OWNER BUILDER)
SIGNATURE , OR AUTHORIZED AGENT (DATE)
" BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT,� TUKWILA BUILDING P
r
..MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
BUILDING
PERMIT NO.
N° 003
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
CK. M.O. CASH
f 7/
OCCUPANCY PERMIT REQUIRED