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HomeMy WebLinkAboutPermit 0011 - Mazda - Sign71-011 mazda 120 andover park east epcon sign company LEGAL 1 DESCR. LOT NO, BLK TRACT ( ❑SEE ATTAC 0 SHEET) OWNER MAIL ADDRESS ZIP PHONE A ../ v A CONTRACTOR c © MAIL ♦ // ADDRESS ' //� / � // /j P / PHH / OON � E LICENSE NO, E. h Ic� �� ` 3 � O L MAIL ADDRESS " PHON LICENSE EN9E NO. ARCHIT CT OR DESI 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 LENDER MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 8 Class of work: • NEW ❑ ADDITION 'ALTERATION ■ REPAIR ❑ MOVE ❑ REMOVE 9 Describe work: t- L ri le �. 6. Ai 0 f O 4 10 Change of use from Change of use to__�_ 11 Valuation of work: $ I Q PLAN CHECK FEE PERMIT FEE f C� SPECIAL CONDITIONS: Type of Const. Occupancy Group Division Size of Bldg. (Total) Sq. Ft. No. of Stories Max. Occ. Load Fire Zone J" Use / 1 Al Zone `.' I` 1 ire Sprinklers Required • Yes ❑NO APPLICATION ACCEPTED BY: PLANS CHECKED BY. c _ APPROVE • FOR ISSUANCE BY: • 4,* - L ( No. of Dwelling Units OFFSTREET PARKING SPACES: I Covered 1 Uncovered NOTICE ; ' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA , •LUMB• 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. Spocial Approvals Required Not Required Approved ZONING v HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) FOUNDATION FRAMING SIGNATURE OF OWNER III OWNER BUILDER) FINAL �J���j� :) 3��' y / ' ~/ (D TE) SION RC R AUT RIZED AGENT DA I 'BUILDING PERMIT Applicant to complete numbered spaces only. CIT( OF TUKWILA BUILDING 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 BUILDING PERMIT NO. N( 0 :11 M.O. CASH