HomeMy WebLinkAboutPermit 0028 - Erickson Residence - Carport71-028 5828 south 144th street
al erickson
carport
BLK 1 TRACT / (SCE A SHEET)
OWNER MAIL ADDRESS 1)P PHONE
z A. 2_, £ r { C.k . 0 ri , � /s ? S0 . � C F, �!
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 ti
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 /r
ENGINEER MAIL AOORESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
UDC OF BUILDING �/77
cl_r t
/ or
S Class of work: NEW • AD DITION ❑ ALTERATION ❑ REPAIR • MOVE • REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ �"� C_ C
PLAN CHECK FEE
4 C)
PERMIT FEE
_5" ,
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Flre Sprinklers
Required • Yes • No
APPLICATION ACC PTED BY:
^
0 � ��
PLANS CHECKED BY:
APPROVED FOR ISSUANCE BY
� ���` C Y t '�
��
of
offing Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE /
Special Approvals
Required
Not Required
Approved
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PL. •
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 COMPJ_IED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE OR NTING F A PERMIT DOES NOT
PRESUME TO • • TH IT IOLATE OR CANCEL THE
PROVISI r • .- 1, Y T R T R LOCAL LAW REGULATING
CONS ��// d OR E RMANCE OF CONSTRUCTION.
/ / / I
�� ./ J i � 2!' -L
ZONING
Lam
HEALTH DEPT.
FIRE DEPT.
L.--
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SI URE or OWNER (I OW EN BUILDER)
FINAL
SIGNATURE OR AUTHORIZED AGENT (DATE)
.BUILDING PERMIT
Applicant to complete numbered spaces only.
CITE. OF TUKWILA BUILDING F ,.:MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N° 028
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
- e /'/
OCCUPANCY PERMIT REQUIRED