HomeMy WebLinkAboutPermit 0057 - Sanford ElmerJOB ADDRESS 71-057
14805 Interurban Ave. South
DATE
Nov. 22, 1971
LEGAL
1 DESCR.
LOT 11O.
BLK
TRACT
( [QSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 E. H. Sanford 19862 - 68th South, Kent, Wash. 98031 Ul. 2 -1577
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 Self
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7 , Addition to Gas Station
8 Class of work: ❑ NEW iADDITION • ALTERATION • REPAIR • MOVE • REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ 4,000.00
PLAN CHECK FEE
n 0
PERMIT FEE %
f,.7‘,
SPECIAL CONDITIONS:
Typo o IN' C
Const� /
Occupancy
Group
Division .1
Size of Bldg. /45/A.7P /Nt-
(Total) Sq. Ft. ,1f
!!!!!!
, No. of
Stories /
Max.
Occ. Load
Fire
Zone 3
Use
Zone
Fire Sprinklers ,�/
Required Yes LJNO
APPLICATION ACCEPTED BY:
,.,/ /,
' vl-C�� �y7
PLANS CHECKED BY.
APPROVED FO SSUANCE BY:
I .carA e
No, 01
Dwelling Units
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•
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 le COM•
MENCED.
1 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
CONSTRU N THE PERFORMANCE OF NSTRUCTION.
e / / i7 �`f
„ .i '1� (� �• Y`� �'LL . �� ,
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
V
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
4 9IONATURE OF OWNER (IF OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
� I
IILDING PERMIT
Applicant to complete numbered spaces only.
CITE.. OF TUKWILA BUILDING K ,MIT
14475 • 59th Ave. So. / Tukwila, Washington 98DF7
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (SD. M.O.
OCCUPANCY PERMIT REQUIRED
° /// z /7/
BUILDING
PERMIT NO.
N 057
CASH
f
legal description
INTERURBAN ADD TO SEATTLE
LESS ST •LESS SLY 58 FT Al OF LN
OF..TR 22 .PROD E & MEAS ,ALG
INTERURBAN AVE POR VAC RIVER
ST: ADJ : LESS POR OF TR 23 . LY
WITHIN FOLG 8E0 405 FT SELY OF
NLY`` <PROD.LN OF TR 22 WITH NXN OF
INTERURBAN AVE .TH SWLY'.AT :R /A TO..
SD.AVE .150 :FT :TH .NWLY
185 . FT. TN NELY AT ; R/A ,150 FT • TR.:
SELY 185 FT'
C.ra"Pc" !Y''r � e
1 �.. v✓cc s
service station addition
plan