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HomeMy WebLinkAboutPermit 4184 - SeaFirst Bank - Domino's Pizza - SignSq. Ft. Office Warehou/ Warehouse Retail Other Occ. Load 1st Fl. 2nd Fl. 3rd Fl. Total Work to be done Site Address Building Use Property Owner Address Contractor FOR BUILDING PERMIT ONLY FOR SIGN PERMIT ONLY A••roved for Building face Square Footage of each sign face 30 Special Conditions ). Signed Contractor (signature) CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Sign- temporary 15439 53 Av S Take out restaurant Seafirst Bank PO Box 3586, Seattle, WA Owner BUILDING PERMIT Address Same as above Zip Fire Protection: ❑ Sprinklers [[ Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st Fl. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt # $ Receipt # $ Receipt # $. Receipt # $ Receipt # $ Receipt # $ Ceyt ❑ Permanent © Temporary $25.00 Receipt # 33(p Single Face ❑ Double Face © Wall Mounted ❑ Free Standing ❑ Other Setbacks: Front Suite # Tenant Dominos Pizza Assessors Account # N/A Phone # 442 -3417 Zip 9$124 Phone # Side Control # 85 - 392 Expires: Side Total square footage of sign Date PERMIT # Rear 3n 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 FOR A PERIOD OF 180 DAYS Al ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT l 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 WHETHE SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE , Oq ,CANCEL "THE PitUVISLONS 0 ANY OTHER TATE OR LOCAL LAW REGULATING CONS RUCTIO OR THE PERFORMANCE OF CONSTRUCTION. d /VIO Date - - ° LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect. OWNER- BUILDER DECLARATION ( ) I, 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. Owner (signature) _.______ Date