HomeMy WebLinkAboutPermit 0444 - Don Koll Northwest (VOID)JOB ADOR ESS
320 Andover Park East
DATE
4/30/74
LEGAL
1 DESCR.
LOT NO.
BLK
TRACT
([]s EE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP 93lti3 PHONE
z Don Roll Northwest; 550 Industry Drive Tukwila, Wa. 244 -5765
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
Coldwe:Ll, Banker and Co. 1600 Park Pl. Seattle, Wa. 223 -
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
(� LENDER MAIL ADDRESS BRANCH
U
USE OF BUILDING
7
8 Class of work: • NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ MOVE • REMOVE
9 Describe work:
Iri
Cl
10 Change of use from
'' `
Change of use to
lir
11 Valuation of work: $
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
Fire Sprinklers
Required I Yes I No
APPLICATION ACCEPTED BY;
PLANS CHECKED BY.
APPROVED FOR ISSUANCE BY
No. of
Dwelling Units
OFFSTREET PARKING
Covered J
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-
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
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
Required
Not Required
Approved
zONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OP OWNER (IF OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CI OF TUKWILA BUILDING( ,RMIT
14475 - 59th Ave. So. / Tukwila, Washington 68067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
' BUILDING
PERMIT NO.
OCCUPANCY PERMIT REQUIRED
N° 444.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH