HomeMy WebLinkAboutPermit 0010 - Southcenter Mall - Harris and Frank - Signharris and frank
290 southcenter
71-010
LEGAL
1 DESCR.
LOT NO,
BLK
TRACT
( ❑ SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
Z }� APia; mo ; C 7 2°4 IV 1< c294 S O4, miCA Ai - y - 0-"Z
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
/ 4 1 , ---r f% 11...r4 • D , • Ld if , 1 "t a ,Q_D 367
ARCHITECT OR DESIGNER MAIL ADORE S PHON LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL AODRLSS BRANCH
6
USE OF BUILDING
e 7/./)iu G.. S7 €
,0
8 Class of work: ❑ NEW ❑ ADDITION ALTERATION IN REPAIR ❑ MOVE ❑ REMOVE
I
9 Describe work: en
K A!.1 C. 'R..' Z /G- />I y'/_*.' ✓... x. It- 77 - 12 - It.' 22 !4 Cs - /x 12 - 'S
- 1 -e �, /r / - 1 -'S ' J'� -'�« Ad fc S .n. r'T-1 V S
10 Change of use from
Change of use to
11 Valuation of work: $ /e,1 C O ,
PLAN CHECK FEE
PERMIT FEE / o -----
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 III) Yes ONo
APPLICATION ACCEPTED BY:
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY
/
/ t
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
/
NOTICE
PARATE RMITS ARE REQUIRED FORE ECT' ; , 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.
I p,,c.v. /s .x , 'c fv•c
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER II W R BUILDER)
g••■"'" i&-444 •
A/ ire e ier
d
SIGNATUR R AUTHORIZED AGENT (OA
BUILDING PERMIT
App licant to complete numbered spaces only.
CIT( JF TUKWILA BUILDING PL .MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N° 01.0
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK) n M.O. CASH
CCect,k -c. o —VW/ I C'',
OCCUPANCY PERMIT REQUIRED