HomeMy WebLinkAboutPermit 0049 - Goslin Carport71-049 14710 58th avenue south
ellis goslin trailer
TRACT
OWNER MAIL ADDRESS y ZIP PHONE
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
B
USC OF DUILDING
7
RA/4r/51
S Class of work: E NEW El ADDITION • ALTERATION • REPAIR ❑ MOVE • REMOVE
•
9 Describe work: / 2 - x 02 er / L„ ,, -X �� J , y - f � l L h �
10 Change of use from
Change of use to
11 Valuation of work: $ --' Z ' �� n. G� O
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
Flre Sprinklers
Required Oyes • No
APPLICATION ACCEPTED BY:
/ /�
, (.�
PLANS NECKED BY:
/,<
�'
APPROV D ISSUANCE BY
&«
! l 4 !
No. of
Dwelling Units
Special Approvals
OFFSTREET
Covered
Required
PARKING
Not Required
SPACES:
Uncovered
Approved
N O T I C
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 I 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
CONST CTI OR THE P FORMANCE OF CONSTRUCTION.
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIG ATURE OF OWNER (IF OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIS OF.TUKWILA BUILDING I..DMIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N° 049
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OCCUPANCY PERMIT REQUIRED
site plan