HomeMy WebLinkAboutPermit 0038 - (VOID)thomas a sconzo
DATE
LEGAL
1 DLSCR.
LOT NO.
ELK
TRACT
( ❑SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
��. CONTRACTOR ON �� / I C ,+� ) / 1 MAIL ADDRESS / PHONE LICENSE NO.
ARCHITECT MAIL ADDRESS NO.
4
C ENGINEER M IL ADDRESS PHONE LICENSE NO.
J
LENDCR
6
AIL ADDRESS BRANCH
USE OF BUILDING
8 Class of work: • NEW • ADDITION
• TER 0 REPAIR • MOVE • REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ I
PLAN CHECK FEE '
PERMIT FEE
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 ONO
APPLICATION ACCEPTED BY
PLANS CHECKED aY
APPROVED FOR ISSUANCE eY:
No. of
Dwelling Units
s
OFFSTREET PARKING
Covered
SPACES:
Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, 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 1$ 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.
Special Approvals
Required
Not Required
Approved
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.
CIT( OF TUKWILA BUILDING FC
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 cK.
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
N 038
M.O. CASH