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Home My WebLink AboutPermit 4155 - Armada Lagerquist - Seattle LightingS q • 710 Warehouse / 3138 Retail 5475 Other 169 Occ. B -2 Load 202 1st F1. 2nd Fl. 3rd F1. Total CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 FOR BUILDING PERMIT ONLY Approved for issuance by Fire Protection: ® Sprinklers [I Detectors Zoning_ C -M Type of Construction V -N Special Conditions FOR SIGN PERMIT ONLY I HEREBY CERTIFY THAT l GOVERNING TH P OF L T / VIOLATE V( �' Signed 1 I hereby affirm that I am,l,$ 'se; Contractor (signature) i � ( ) 1, as owner of the property, offered for sale. ( ) I, as owner of the property, Owner (sianaturel e pro i ons of the BUILDING PERMIT Work to be done Tenant Improvement Site Address 349 Tukwila Parkway Building Use Retail /Warehouse Property Owner Armada Laugerquist Address 2001 6th Ave., Suite 3202, Seattle, WA Contractor T.L. Simpson Construction Co. TR- AL- LL- *1 -620P Address 603 Strander Blvd , Tu wi a PERMIT # Control # 85 -324 Suite # Tenant Seattle Lighting Assessors Account # 022300 - 0050 -0 Phone # 447 -1940 t Zip 98121 P o e # 575 -4464 '' Zip 98188 Fees TOTAL sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other 1st F1. $ 2nd F1. $ other $ other $ Total Valuation of Construction $ 14,800 Receipt 4#7: $ 105.00 Receipt # $ 68.00 Receipt # $ Receipt $ 1.50 Receipt # $ Receipt # $ $ 174.50 Permanent J Temporary [� Single Face [] Double Face [J Wall Mounted Q Free Standing [] Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED 15 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. HgVt /'READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO PROV,Ylar — OF', ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �L Date /.2 " 0 - ems' SED CONTRACTORS DECLARATION siness and Professions Code, and my license e .4 in full force and effect. Date /c2 — OWNER- BUILDER DECLARATION or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or am exclusively contracting with licensed contractor's to construct the project. Date Sq. Ft. Office Storage/ Wa re e hou s Retail Other Occ. Load 1st F1. /10 3138 5475 169 b-2 202 2nd Fl. 3rd F1. Total FOR SIGN PERMIT ONLY CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done Tenant Improvement Site Address 349 Tukwila Parkway Building Use Retail /Warehouse Property Owner Armada Laugerquist Address 2001 6th Ave., Suite 3202, Seattle, WA Contractor T.L. Simpson Construction Co. Tit- AL- LL- *1 -620P Address 603 Strander Blvd., 1 ukwi la, WA PERMIT # / 1/r) Control # 85 -324 Suite # Tenant Seattle Liahtinq Assessors Account # 022300- 0050 -0 Phone # 447 -1940 Zip 9812.1 Phone # 575 -4464 Zip 98188 Fire Protection: Zoning C -h1 Type of Construction V -N Special Conditions Sprinklers (] Detectors 7/ F e sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 14, Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other Receipt #)rte $ 105.00 Receipt #c619 $ 68.00 Receipt # $ Receipt # $ 1.50 Receipt # $ Receipt # $ TOTAL $ 174.50 FOR BUILDING PERMIT ONLY Approved for issuance b • C1 Permanent [] Temporary [] Single Face [[ Double Face [] Wall Mounted Q Free Standing El Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING' T IS2TYPF WORK'WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT; THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR C L TH PROV NS ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . / Date .2 - a" ,` Signed .�.G��.'j•r^ -- - --"'' LICENSED CONTRACTORS DECLARATION 1 hereby affirm that I am "sed'lfndey pro Mons of the : Bpsiness and Professions Code, and my licensg.0 in full force and effect. ik Contractor (signature) `'�,_ -- Date . -er OWNER - BUILDER DECLARATION 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Date ( ) ( ) Owner (signature) CONTRACTOR DATE ISSUED ...AUK i+IMF CITY OF TUKWILA BUILDING PERMIT IN8PFCT RECORD POST AT OR NEAR FRONT OF BUILDING PROTECT FROM WEATHER City of Tukwila Building Division 433 -1845 B.P. f JOB ADDRESS Control # 15-2;x4 WORK TO BE DONE Date Issued /D'0 11 OWNER SPECIAL CONDITIONS :Inspector.iutt; sign all spaces pertaining to this fob. TYPE Grading ''' +i 'Uldg. 433 -1845) Setback (Bldg. 433 -1845) Rebar/Footine/Foued (Bldg. 433 - 1845) Slab • 81dg. 433 -1845) Grou (Bldg. 433 - 1845)' Frame (81dg. 433 -1845) Roofing • (Bldg. 433 -1845) Insulation °: 433 -1845) IMchanical `(Bldg. 433 - 1845) Wi11 Board (Bldg. 433 - 1845) Utilities Water /Sewer /Drainage (Shops 433 -1860) Parking (Ping. 433 -1845) Landscape (Ping. 433 -1845) Street Use Permits (PWD 433 -1850) Firs (Fire 433-1859) DATE INSP. NOTES 0 1MTAIMIMf AA b 3 T ..... TYPE OCCUPANCY CITY OF TUKWILA Building Division 6200 Southcenter Boul Tukwila, Washington 98188 (206) 433 -1845 3uq Th kuai /GJ Address INSPECTION (details of actual inspection) : / CITY OF TUKWILA - BUIL NG DEPARTMENT Inspector ° INSPECTIOICECORD Permit # Type of Inspection Date Z7--c 3 C REQUESTED: 51 6la 3l glo P I I �' /i . .� Date me Reques ed Date /Time of Request Requester. Sce.a- r � r p)( l 2 H 1 Special instructions: REMARKS (results, descrepancies, etc.) Cad/4)C : AL.47 r 1J •- f /R/5, hvS 40/ f,U, 14/4 /gyp pitUVklL • CITY OF TUKWILA Building Division ( Y' 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 3 4 /9 7 i Address REQUESTED: :2 9-6C, Special instructions: INSPECTION (details of actual inspection): CITY OF TUKWILA - BUI DING DEPARTMENT Inspector Date /Time Requested Date /Time of Request Requestor REMARKS (results, descrepancies, etc.) AP('Rourp INSPECTIOIfECORD Permit # 4 / /5Y //c/64i- Type of Inspection Date 654—zg Taken By INSPECTION REQUEST Permit Y(C7 Date Tenant ./ e Time Address: 3'0 '7"agit hAA P % Date Wanted: • .m. Contr. or Owner O; a vNcs Type of Inspection Req. By CITYO Cenkal I*644i*Sistem / TO: 0 Building 0 Planning C Project Name Address Tc Type of Permit(s) ; !.• 1)1 • FINAL APPROVAL FORM 1 0 Public Works 1W,Fire Dept. This project is approved by this department: . r e) "51 This project is nearing completion. Please investigate your area of responsibility and indicate below either your final approval or necessary corrections. If no response is received within one week, it will be assumed that the project is of no concern to your department and a certificate of occupancy may be issued. This project is NOT approved by this department; the following corrections are necessary: o Authorized Signature Date kiihorized Signature Date Control No.,45 Permit No. 11 CI Police 0 Parks/Recreation , t • 11 .... , , /7760 4L (1,4.4z. 3-2 5. - CPS Form 3 1 City of Tukwila Fire Department Building Official City of Tukwila Control 185 -324 Dear Sir: Gary VanDusen Mayor Hubert H. Crawley Fire Chief Re: Seattle Lighting - 349 Tukwila Parkway November 19, 1985 The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. The total number of fire extinguishers required for your establishment is calculated at one extinguisher for each 3000 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A, 10 B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (NFPA 10, 3 -1.1 and UFC 10.3O1b) Extinguishers shall be installed on the hangers or in the brackets supplied, mounted in cabinets, or set on shelves (NFPA 10, 1 -6.6), and shall be installed so that the top of the extinguisher is not more than 5 ft. above the floor. (NFPA 10, 1 -6.9) Extinguishers shall be located so as to be in plain view (if at all possible), or if not in plain view, they shall be identified with a sign stating, "Fire Extinguisher ", with an arrow pointing to the unit. (NFPA 10, 1 -6.3) 2. Exit hardware and marking must meet the requirements of Uniform Fire Code Sections 12.104 & 12.114. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. (UFC 12.1O4b) 3. Exits shall be illuminated at any time the building is occupied. An emergency system shall automatically provide exit illumination upon failure of the main power supply. (UFC 12.113a) 4. Hose stations are required. (Plans must be submitted to the Fire Ma hal for approval prior to installation.) City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (206) 575 - 4404 City of Tukwila Fire Department Page number 2 Gary VanDusen Mayor (City Ordinance *1141) cc: T.F.D. File slj Hubert H. Crawley Fire Chief 5. Maintain sprinkler protection for all enclosed areas. (NFPA 13, 4- 1.1.1) (Above and below ceiling) All modifications to sprinkler systems shall have the written approval of the Washington Surveying & Rating Bureau, Factory Mutual Engineering or Industrial Risk Insurers, then by the Tukwila Fire Department. No sprinkler work shall commence without approved drawings. (City Ordinance *1141 & NFPA 13, 1 -9.1) 6. Each circuit breaker shall be legibly marked to indicate it's purpose. (NEC 110 -22) All electrical wiring is to be inspected by the State Electrical Inspector, Washington State Department of Labor & Industries. 7. Install an adequate quantity of electrical outlets and plug moulding to eliminate any need of extension cords. 8. All interior wall covering materials shall be fire - resistive or shall be treated to be fire - resistive, so as to result in a flame- spread rating as required by UFC Appendix VI -C tables 42A and 42B. A certificate of the flame spread rating is required to be delivered to the Tukwila Fire Department. (UBC 4204) 9. Your street address must be conspicuously posted on the building and shall be plainly visible and legible from the street. Numbers shall contrast with their background. (UFC 10.208) Yours truly, The Tukwila Fire Prevention Bureau City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (206) 575 -4404 1 L._ __J /47-4 9E' 4 14R4efflnll• -•� \\ H FATEA. Fla PAt Arr vor etwore t.ollis T; Biteom +1,6rwrou cm/It mat r '; C /orKw<rt f tg4A F , /it co/v1's 1, 'Cr /, ,/ // • PIO • - - -- --1 f - - - - - .I - -_ , Ica or 1 1 1 1 • 1 1 1 ' 1 1 1 1 1 METAL Wide /'nRrq/E Bopa s07`6 1 1 /v .-r4 FL • 47 /.' h I 1 OtleN cC,Y, 1 I 1 I 1 , I 1 1 I I , 1 1 1 1 1 1 I I 1 I I I I I ' 1 I 1 1 I 1 t ' 1 1 1 1 L ---- 1 L-- - L .____ 1 I I I •; 1 1 1 I i 1 1 1 i y 1 I I f f 7 1 1 • ' -.1 I mil 1 . f ` � I 1 ► � --. 1 1 ; . I 1_ .. I I__ 1 1 - - -I 1 - � 4 I- •, , / 00 4 1 7641 c FrA_-_ p3! ,-. . 1 1 \ ) r- — — 1 1 ' t.-, 1 1 . •,I 1 1 1 c_; 1 1 1/4..01 I I -i I 1 1 I 1 I • I I r 1 1 f era - SAI E a ollty'NR - -3 =.J D2 8 6 rctt; 1,1", 1. I 1 1 I I 1 , I 1 1, p9 S HwIrER.,. �,. 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L...,.. i .. ,, , ,... 4. , Ple•ti 4 1 ,,*,i I: I. 1 . .' . . , . -,... %., •• I.. , :,. , .' , • , 0. ,..? ik); , , ILL21 „ . .• cri .; 5 , i, , . ........... , ••••••••••,••••■••■•••■1 , • . , e .. -4 • '-t,1 • SEATTLE 222'2nq Ave, 9810.1 5274736 Stiowrocm 6:: 4816 At1msn .Cum' New Sia tle Lighting Fixture Co. The Annex at Southcenter 301 Tukwila Parkway, Suite "P" Seattle, Wash. 98188 Flu .ure 1131 -8602 Store Manager - Mike Dillmann Partner Bill Funsinn 222 2nd Ave., ea ttle,Wn.98.11)1 Showroom Coordinator - Buff Tittle Developer - Armada /Layerquist Co. • Eric Wagner V.P. Project Contractor T,L. "Gud "simp6on Co. Job Shuck Telephone Architect-Lanco Mueller City of T1,tkw.tla— Planning BELLIEVUE 17828 N.E BrH.•Rid. Rd, eellevua, WA 98005 455 2110 Seattle Lighting Fixture Co. GENERAL INFORMATION - 575 -0116o -622-14W6 - 4622.4816 41/47. -19h() - ;75- 4116): .2116-31411. -32'; -2553 1,1dt;.nep -113 3.185L. LYNNWO00 • PARKWAY PLAZA 5611 • )968h S.W, • 17789 S'curiter Pkway Lynnwood, WA 994136 Tukwila, WA 98188 778.1124 575.0460 Old Battle Lighting Fixture Parkway Plaza 1778n Sauthcenter Parkway Battle, Wash. 98188 Phone 575-0h60 Rill Pun8 inn :10/25/85 TACOMA EVERETT I6710,So. Sprpuu Ave, 1811 Hewitt Ave. TScumi., WA 98409 L'■errti . WA 98201 475.87710 252-4 S . c tom. L L I hting F ixtu>re Go. / OUPLTNE DESCh.1V1'IVE SPECIFICATIONS FOR: The Annex at :..7uthcenter I- SEATTLE LIGHT1NU F.1X'1'URI CO. Pagel 301 Tukwila Parkway - Suite P Seattle, Wash. 9tilti8 October 1965 DIVISION 1. Scope of the Work 1. The descriptive specs and drawings are for the purpose of est- imating a contract for remodeling an. office /warehouse space for Seattle Lighting. 2. The cost of the project will include all permits, licenses and other items necessary to construct a complete facility. :3. Workmanship will conform to applicable, commonly accepted trade pract.u€u for quality construction in this class or work. All mater will be nuw. At completion of the work, rubbish A debris occasioned by the work will br1 removed from the site and the building lctft broom clean. Coordinated w /othesr contractors. 1. All work, material, equipment and construction mutt meet with local code regardless if specified. DIVISION P. C►�ir r.► 1. J oist or pu to meet the span requirements of the project are toe designed to meet the specifications regvi.rements of the U13C. 2. 0 sum all - Wall were Gypsum drywall to be used will be wood studs wit y Gypsum drywall installed and taped in accordance with the manufacturer's space or GWB glued directly to CMV. ' 3. Millwork . Interior door games and window frames to be clean fir and stained .per owners color. DIVISION 3. Concrete Floors. - 1. Ware ouse (R12) floors shall be patched and smooth where holes,. cracks 4 uneveness appears. Smooth to not notice for wheeling warehouse equipment. Floor shall be sealed with std. sealer for maintaining cleanliness. 2. Shower rm 2 Lavatories & Lunchroom (R- 8,,9,10,11)fioors to be s re v...r h coven: p Shower Rm. & 2 Lavatories shall have formica wainscots up L&8" off floor & trimmed at tope Color to be selected by owner. 3. Showroom & Offices Floors to be Smooth & patched A clean as above ready for carpeting which will be furnished & inOta1led by owner and glued down direct to concrete. ::EATTLE BELLEVUE 1.YNNW0OO PARKWAY PLAZA TACOMA EVERETT '77 'nu Ave. 98104 12878 NJ; Hell ..Red. Rd. 5611 • 196th S W. 17780 S'center P'kway 6710 So. Sprague Ave,. 1811 Hewitt Ave. -..247:16 Shnw'no.n Nrnrvii ''AA 98005 Lynnwood. WA 9B036 Tukwila, WA 98188 Tacoma, WA 98409 t vereu, WA 98201 SEA'T'TLE LIGHTING, r'1 XTURE Gu . "The Arusex at Southcenter" Page 2 DIVISION 4. Finishers. 1, Floor:: Nee "Concrete floors" Division 3. 2, Pair: i r j All paint to be of good quality. a. Offices, showroom, and lunchroom walls interior to have 2 coats of acrylic paint in satin (semi-gloss finish). Areas to be painted shown on plan. Basically where not covered by wall displays or lay -in coiling. b. Two (2) lavatories and shower room to have 2 coats of enamel. c. Warehouse walla to be painted at indicated on ►plan with white warehouse type paint. Basically oast Wall 2- .coats ean3 balance: 1 -coat. d. Feinting will Include painting needed due to mechanical contractor needs. DIVISION q. Doors & Windowu. 1. All drora to be :standard 6'8" x 3'O "w. Exception is shower room do� o c' ;o approx. 32" wide to accociodate entry of 1-piece shower stall. All door:; to be flush stain grade, birch face. Doors to be hollow core where code permits, otherwise: uolid core or metal. 2. Stainloe All doors to ho stained per otimoru color. 3. �Uoors Ik.,, ,', &) to have Afar:: windowrr at top hair as large as code will approve. Want approx. ox. 18 x 16" for s+.efoty when passing throul;h , without banging into a person on other side. !r. Door Hardware including closers (excluding hinges) will be furnished by owner. Contractor will furnish hinges, install hardware & hang. For information only Door D2 will be keyed. Dl, D6 & D9 will have privacy seta. Window to be installed in Managers office b8 "w X 2h "h. !i2 "off Moor. DIVISION 6. eltaneous . 1. SLID will furnish & install all paper holders, cabinets, towel holders, in 2 Lavatories and xhowor room. Contractor to provide and install handicapd rails in 2 lavatories per code. 2. SLF to furnish & ' finish lunchroom upper & lower cabinets. Contractor to furnish & install i., sn3.nen_t top_ & uu11 back •laoh(r:st .30 ") to lower cabinets. Contracto 'to n s 11 ca no`s Cutting & patching due to mechanical contractors noeds should be done and included in general contract. Example cutting through walls & ceiling. L Jt'1 "1'Ll; LIG'HT1vt: f y:'i'UiiF "'Phi: Annex at ,,outhcumter" Pate 3 DIVISION 7. Plumbin 1. General. Work required under this section includes providing anon, material, & equipment necessary for the completion of all plumbing work, including hot &.cold water piping, drains, and sewer lines where necessary to connect toilets as shown. All work shall be installed in accordance with the local Plumbing code, including tenting, pitch of piping, traps, & venting, flashing, cleanouts, & miscellaneous items. Test all water piping with a hydrostatic prussureof 100 psi. Make test before piping; is conceal. 2. All Trim. :('rim shrill be :secured by means of .1.1 en-head ur Phillips cad 7;lt screw:;. No common screwdriver will be. permitted. Trim - mings :shall be all brass with exposed parts chrorns plated. dandles to be level type only (no knobs), b`Lxture traps :shall be 17 gauge. bra:,s tubing, chrome- .plated. Provide all backing, :supports, and carriers, and carriers for all plumbing fixtures. American Std. .figure numbers art: used to establish typo and quality.. All plumb. ing .Fixtures shall be located an shown on plans. (, : to be white. 3. Plumtng fixtures. a. '.later closets - floor mount, tank type toi•leL, A.S.2109.056 ;Rh trim. b. Lavata . wall hung with bacsplash, A.S. O3',1.022 with trim_ or countertop, A.S. 0270.019. c,. Shower Stall - To be one -piece fiberglass u,'door and approx.. 30 X 32"d and to meet code. d.. Service Slo Sink ■ To be fiberglass approx. 21"deep X eJa "wide, by 15 "i.gh and mounted on steel stand so top of sink 95" off floor approx. e. Hot Water Heater • To be approx. 50 Gal.. of good quality located noun lavatories t decided by owners. f. Lunchroom Sink ■ To be stainless steel approx. 25'w x 22 "d w /delta single lever handle and with ISE In- Sink■Eirator inswtnt hotwater faucet on left side. g. Hose bib on outside north wall with freeze -free faucet. r,. Plumbing contractor shall be responsible for all plumbing work, labor & materials that are necessary for the /fir- r.'nnc itiening s stem being furnished on job by mechanical contractor. DTVIS1ON 0. Schedule. The work required to be done will be scheduled so as to have occupancy ny Seattle Lighting by approx. March 1986. • • • • 7..10 •' r / � I t � r �� 1 IV 27 , / ♦ 3r • .t. NV ..l i + 1 i' Q._.._ i j :/:z! L S8 36 . , •••.... » ... �. ,... ...r ..- ..« ... �.....+ - at - . . • 1 _._. _"�. , f L = N cI1 CA15lA167 YO / ICY .54 4 e 1.. ,r 1t City Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 433 -1800 Gary L VanDusen, Mayor MEMORANDUM TO: File -- Building Permit #4155 — .5e we `P �' FROM Becky Kent DATE: February 10, 1986 SUBJECT: Change of Contractor The contractor originally indicated on the :permit for this project was T.L. Simpson. The contractor was changed prior to this job being started. The original contractor still has the permit, and the permit is not on the job site. T.L. Simpson will be sending us a letter of formal notification that they are no longer the contractor. The new contractor should obtain the original permit from T.L. Simpson. Describe work to be done 'Vp. > Site Address 3 4 /y "C . L Wvt. Suite # Tenant 6e,4111,6 46,,1i1- Assessors Account # Valuation of Construction Pi ID Building Use R 4 Type of Construction Occ. Group Grading: Fill � cubic yards Cut -5o50- cubic yards Property Owner 1A{i",14,0,4 - ~�..t'�l,.cc� -e Phone # y/ 4/7 - /916 Address 4 =.auwe 6u4" ,32pZ. �,� tee . • Zip 4p Appl i cant '41 Phone # • Address tr? g o , Zip V /gr Architect /Engineer pX le... Phone # Address Zip Contractor" 5v.so,r, "t,G„';C' License # - l'e- AL- LL-* 1 • G2c f Phone # 6776 Address 402, .S7Ro. A 01ZiT6 1% Zip 90 R 2S I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A '' LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. CITY OF TUKWILA ( Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Applicant /Authorized Agent (signature) Contact Person (please Print) (8/85) BUILDING PERMIT APPLICATION (Please Print) (print name) , ry, i & d S` r►tas Phone # 5rS - 4_ 5_ RECEIVED CITY OF TUKWILA OCI 2 ` 1985 wooer Control # a5"3:2 Valuation Ci{,,F'vo Plan Check Fee "0 Receipt # Vagiq Date ./o -A9 -25