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HomeMy WebLinkAboutPermit 0005 - Southcenter Mall - The Tinder Box - Storefront and Interior Tinder Box r holmes 751 southcenter mall 71-005 LOT 110. BLK TRACT (EDSEE ATTACHED SHEET) OWNER MAIL nrC e7c.. - j 4 1 ZIP IC � , PHONE 2 S' 'rH �L- � Gc:'7Z S!{�7�j°' �rG G..�' �1 •L�`�C 06- CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 PAUL 4) &ZS C+'9 L5cnt Go % 3 &z CC- A - . ?-q V - &L 3 2— 4 2 - do L ARCHITECT OR DESIGNER MAIL ADORE S ON E LICENSE NO. 1- lr t.63, /V2- fL S Sa- “.-7 4'7..1. c , 1 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 LENDER MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 8 Class of work: • NEW 0 ADDITION /ALTERATION 0 REPAIR • MOVE 0 REMOVE 9 Describe work: N-e.•w .54-1....e, /.4 0.•...rt✓ .6 4 . r •Grua -rte co- •e-c._� 10 Change of use from Change of use to 11 Valuation of work: $ p7» ✓ PLAN CHECK F EE PERMIT FEE 1 .3 p SPECIAL CONDITIONS: TYPO of Const. Occupancy .r Group �' Division Size of Bldg. (Total) Sq. Ft. No. of Stories Max. Occ. Load Fire Zone Use /� Zone off? l Fire Sprinklers Required • Yes • No APPL T ICA N ACCEPTED BY: J PLANS CHECKED BY 4 APPROVE 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 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 S• HEALTH DEPT. FIRE DEPT. `'. SOIL REPORT OTHER (Specify) FOUNDATION FRAMING FINAL S � • •► P . OW NE Ijt IF OWNER BUILDER) r71 h SIGNAT OR AUTHORIZED AGE (DATE) BUILDING PERMIT Applicant to complete numbered spaces only. V CIT( OF TUKWILA BUILDING P\. , '.MIT 14475 • 59th Ave. So. / Tukwila, Washington 98067 WHEN PROPEL LY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION OCCUPANCY PERMIT REQUIRED BUILDING PERMIT NO. N° 005 M.O. CASH r■"1/4 ?/77