HomeMy WebLinkAboutPermit 0063 - Breiwick (VOID)david breiwick
inland steel erectors
void
JOB ADDRESS
DATE
January 3, 1972
LEGAL
1 DESCR,
LOT NO.
MLA
TRACT
( ❑ SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 David Breiwick 621 Northwest 41st Seattle, 98107 Su. 2 -8300
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 Expiate Inland Steel Erectors 7514 0 27th N. E. Seattle 98115
f j-1766
ARCHITECT OR DESIGNER MAIL ADDRESS pI2 . LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USC OF BUILDING
7
S Class of work: • NEW ❑ ADDITION • ALTERATION ❑ REPAIR • MOVE ■ REMOVE
9 Describe work:
`•
10 Change of use from w
Change of use to
11 Valuation of work: $
PLAN CHECK FEE -_..--"
PERMIT FEE
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
• Bldg.
No. of
Stories
Max.
Occ. Load
(Taal _
Fire
Zone
- -
Zone
Fire Sprinklers
Required • Yes ❑No
APPLICATION ACCEPTED BY:
PLANS CHECKED BY
///
APPROVED FOR ISSUANCE BY
No
Dwelling nits
OFFSTREET PARKING SPACES:
Covered Uncovered
N O T II C
SEPARA PERMITS ARE REQUIRED FOR`64eCTR L, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITI
THIS PERMIT BECOMES NULL AND VOID IF ORK =S C•
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DA OR IF
CONSTRUCTION OR WORK 1S SUSPENDED OR ABANDO ED 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
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
( Spe o elf
Required
Not Required
Approve
I
HEALTH EPT
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE Or OWNER (IF OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CI`
OF TUKWILA BUILDING P.. MIT
{ 14475 • 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N 063
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OCCUPANCY PERMIT REQUIRED