HomeMy WebLinkAboutPermit 0017 - King County Blood Bank - Sign71-017 130 andover park east
king county blood bank
LEGAL
1 OESCR.
LOT NO.
BLK
TRACT
( SEE ATTACHED SHEET)
OWNER MAIL AD ZIP PHO
2 /1/
1/1 CU�CI1 G, Bflo4cal 6Q►i k 130 4ct�o r P Et, ch .7 �S;3C>
CONTRA .�/ MAIL ADDRESS PHONE LICENSE NO.
3
ARCHITECT OR DESIGNER MAIL ADDRESS
Do �c /rt e t, n e, / / �-�1►'►'n. I -
PHONE ` LICENSE NO.
J)��. L- . ' � � . 4/ - 9 � , /,
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: - 1 C) V\
10 Change of use from
Change of use to
11 Valuation of work: r It 0 0 l
PLAN CHECK FEE
Ca
----
PERMIT FEE ., "
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone 3
Use �1 i/
Zone C/+" I44 ,
Fire Sprinklers
Required • ye •No
APPLICATION ACCEPTED BY
9 �
ii11
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY:
No. of
D welling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
( . 'L
7 1 NOTICE ,,
SEPARATE PERMITS ARE REQUIRED FOR ELEC RIe L, •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.
'7 .e "'`r'
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SI ATURE Or OWNER (IF OYU( ER BUILDER)
FINAL
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT( OF TUKWILA BUILDING K..ZMIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N 0 1. 7
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATE CK. M.O. CASH
OCCUPANCY PERMIT REQUIRED