HomeMy WebLinkAboutPermit 0020 - Southcenter Mall - JK Gill - Sign71-020 947 southcenter mall
jk gill
LOT NO.
BLK
TRACT
( ❑BEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 J' K 6 /4 L.
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 S 9 ��
v - I
A OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 �--••
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 `
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING //
8 Class of work: ❑ NEW ❑ ADDITION • ALTERATION ❑ REPAIR • MOVE ❑ REMOVE
9 Describe work: A/ 5./ /J L L it(i.- 6t.-- e'f G 4/
10 Change of use from
Change of use to
11 Valuation of work: $ Q
PLAN CHECK FEE
0 411
PERMIT FEE .5r `""—
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
LICA TON ACE TED BY:
APP C
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n
,'}tP
t .". /
PLANS CHECKED BY:
,
,,//
/d
APPROVED FOR ISSUANCE BY:
I��_
j T_ -
, ,.c• 1
No, of
Dwelling Units
Covered
Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FO ELE I AL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIO NG.
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 VIATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR CAL LAW RE LATING
CONSTRUE my OR E PERFORM E BF COI . — UC •N.
......./..- /
Special Approvals
Required
Not Required
Approve
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIGNATURE OF OWNER (IF OWNER BUILDER)
FINAL
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CI1( OF TUKWILA BUILDING F. ,tMIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N 020
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION'. M.o. CASH
s: 4 s g/'// 2 7. ( 7 •
OCCUPANCY PERMIT REQUIRED