Loading...
HomeMy WebLinkAboutPermit 4290 - First Western Development - Sudden Printing - SignCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done Sign -Perm Site Address 646 Strander B1 Suite # Building Use Retail Assessors Property Owner First Western Development Address 631 Strander Bl., Tukwila, WA Contractor Kwik Sery Electric #KWIKSE15004 Address 36123 ?4 P1 So., FRderal Way, WA PERMIT# 1;)6,70-6 Control # 86 -120 Tenant Sudden.Printing Account # N/A Phone # 575 -1880 Zip 98188 Phone # 838 -3804 Zip 98003 FOR BUILDING PERMIT ONLY Les • • 4 S q • Ft. Office Storageareh/ W o use Retail Other Occ. Load 1st F- 2nd F . 3rd F . Total Fire Protection:(J Sprinklers El Detectors Zoning Type of Construction Special Conditions FOR SIGN PERMIT ONLY Approved for issuance Permanent El Temporary Single Face Q Double Face [X] Wall Mounted El Free Standing [1 Other Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Sign Other Receipt # Receipt # Receipt # Receipt # Receipt #0814 Receipt # $25.00 TOTAL $ 25.00 • .1 All ! Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions Final inspection required 11115 PERMIT BELUMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1R0 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANUONtU FUR A PLRIOD OF 180 DAYS Al ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR NCEL THE PRROfISION F ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 11/4 Signed _ Date LICENSED CONTRACTORS DECLARATION 1 hereby affirm that I am 11 nsed under provisiio 9f the Business and Professions Code, and my license is in full force and effect. � 7'.�t� /..'11'�/�/S --."9�6 Date 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 N( Contractor (signature) CITY OF TUKWILA Building•Diwision 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address Building Use Property Owner Address Contractor Address • BUILDING PERMIT Sinn -Perm 646 Strander Bi Rttai 1 First Westeen Development 631 Strander B1., Tukwila% WA -Kwik Sery Electric #KWIKSE15004 36123 24 P1 So., Federal Way, WA PERMIT # �%t��1�� Control # 86 -120 Suite # Tenant Sudden Printing Assessors Account # N/A Phone # 575 -1880 FOR BUILDING PERMIT ONLY AnnrnvPd fnr 1 ti n' by S Ft. Sq. Office Storage/ Warehouse Retail Other Occ. Load 1st F1. 2nd F1. 3rd F1. Total _ Fire Protection: ❑ Sprinklers ❑ Detectors Zoning_ Type of Construction Special Conditions Zip 98188 Phone # 838 -3804 Zip 98003 Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd F1. $ other $ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Sign Other Receipt # $ Receipt # $ Receipt #__ $ Receipt # $ Receipt #0814 $ 2b.00 Receipt # $ TOTAL $ 25.00 FOR SIGN PERMIT ONLY Approved for issuanc Permanent [] Temporary DI Single Face [] Double Face [X] Wall Mounted ❑ Free Standing ❑ Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions Final inspection required THIS PERMIT BECUMES 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 1 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// ,JINCEL THE PROVISION ,1F ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signed ,/,��i- t= `(G%6�� a / - ../5--,./ ',1�% Date J LICENSED CONTRACTORS DECLARATION 1 hereby affirm that I am 11 nsed under provision f the Business and Professions Code, and my license is in full force and effect. KContractor (signature) ry,'. .,_ ~ /'":" _,' 9 <-16 Date 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. ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date F JOB ADDRESS CITY OF TUKWILA BUILDING PERMIT INSPECTION RECORD POST AT OR NEAR FRONT OF BUILDING PROTECT FROM WEATHER City of Tukwila Building Division 433 -1845 (Igo 6$1-rti v)(JJA) & MORK TO BE DONE 604 .4 -gum � OWNER i(.1dt ..1/U N./U/I b 1 CONTRACTOR KW; k 6-01) f i� Cam► i C DATE ISSUED B.P. f Control # A(piw Date Issued TYPE OCCUPANCY SPECIAL CONDITIONS.' inspector •ustslgn a11*`s0aces ptrtaining to this fob. TYPE INSP.Y NOTES Grading (Bldg. 433- 1845) //Dn�ATE 4ii[ 4 __ Setback ($ldk: 43341045k_ .. Reber /Footing/Found. (Bldg.- 433 -1445) r '' Slab ':(Bldg. 433 -1845) Grout (Bldg. 433 -1845) .. ,:.., Frame (Bldg. 433 -1845) ( . Roofing '(Bldg. 433 -1845) Insulation (Bldg. 433 -1845) Mechanical (Bldg. 433 - 1845) ______ Mall Board (Bldg. 433 -1845) Utilities Mater /Sever /Drainage (Shops 433 -1860) Parking (Plnp. 433 - 1845) Landscape (Ping. 433 - 1845) Street Use Permits (PWD 433 -1850) Fire (Fire 433 -1859) V ll FINAL ',/re Z--e4 (Bldg. 433 -1845) 7 -Z&, PRIOR TO FINAL ALL.ITEMS PERTAINING TO THIS JOB MUST,RE;SI4NEO -OFF BY THE ;TORS' n_ - Scale; 1 2 I 17/84 --÷ CITY OF TUKWILA APPROVED APR 1" 4:6. mar; . !WI 'r IVISION 17/ Co)ors: red, yellow Materials: Lexn ehee.t me.-1-61 n, on Illumination: F,.iectr'ic 1 (Channel letters and l' x 6' Lexan 8ngIe-F�c1 Panel) No overhead viiri n A mi fla Berke.. 1Mls Oceld.nal Awnw So. Usti* WA 981.8 @rde: ! e Ve ( Z06- 382 -5667 TO CLY-y4 TKw,� SUBJECT: (j (� /411`jo -rte 4i'4R J DATE az 9 t( 1 .c �:.. / - ' 3 /cam✓ . - - lL L... n� . iL . ) ►&._ `04-' Ncr u/L 9tiN-' x 4,1 (it(' DATE; 411 1 l_noaiv C C 1-1)• J/ SIGNED SIGNED BUILDING PERMIT 44 M 0 .'v Site 0C rz e 1 Per letter dated: Required number of parting stalls =' 1 - H a. - • .' W cc :e ;ep 0 6 I - 6-) g # 1Oa1N0O CITY OF TUKWILA kt Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 SIGN PERMIT APPLICATION (please print) Control # o0 Plan Check Fee , 5 Receipt # Permanent ['Temporary Single Face [f Double Face Wall Mounted [I Free Standing [] Other Site address 7 (v c7iif/1�P.� Property Owner 11/-€41?"--.-,- )73, -. aft "" Phone # 0 75---/Z80 Address 5'7 l,., 3 / 5-6,-y- 'e S M ; k • to e kC2 License #i/* „.5&--/.5-49/ Phone # ��f`.3,Y Contractor Address ?t$ /a.3 9}/"''' pZ SO. Aaeyer9Zl(/.4 / Zip /'dD. Building face �$gj`i�Setbacks: Front Side Side Rear Square Footage of each sign face IS Total square footage of sign zip 7cr/ S g Please check the applicable boxes: ['Combustible EJ Noncombustible Electrical [All on private property [[Overhanging setback line [� On premise I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. j c�____ % Applicant /Authorized Agent ( si gnaturet; 7�i �f�i'c -21u �u1- -� Date (A (print name) hi& /44.174,4(.14o4keie.. Contact Person (please Print) $may Phone # r3 Application not approved [� Application approved under the following conditions /) A J Signature o •lannina"iir :ctor /Building Official / 5� (8/85) Date 1 MINIMUM REQUIREMENTS FOR APPLICATION FOR SIGN PERMITS' Applicants for sign permits are required to file construction plans, drawn to scale, for any sign or alteration of a sign. Separate applications are required for each sign. Minimum acceptable plans shall consist of the following: Two Copies - Site Plan (Scale of one inch equals twenty feet orless)` 1. Identify address, all property lines, streets, driveways, sidewalks, and easements. . Show location of existing structures; specify,setbacks. ▪ Show location, type, and size of proposed new sign, including_;set- backs to property lines, - right -of -ways, driveways, etc. ' • 4. Show location, type, and size of existing signs. Two Copies Construction Plans 1. Show footing, connections to building,-size of supports'and' material used in supports and sign itself. ?. Provide elevation showing copy to be used on sign, size of sign, size of building face, ground clearance and grade(s), total height, clearance from overhead power lines, colors and materials to be used, and method of illumination. The Building Official may require the filing of'additional plans or other pertinent information when such information is necessary to insure compliance with this code. The person signing the application (either the owner or the person respon- sible for the work) shall furnish all of the above information. Return all copies with application to the City of Tukwila. Building Division.., CITY OF TUKSIVILA Central Permit System Control No 7)(c• Permit No FINAL APPROVAL FORM TO: EuIIding El Public Works 0 Police 0 Planning l)A Fire Dept. 0 Parks/Recreation Project Name 011 ( l Address Type of Permit(s) 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: ( ( ( ) ( ( ( ( ( ) ( ( ( ) ( Authorized Signature Date This project is approved by this department: .2, )1 Authorized Signature 4 Date CPS Form 3 City of Tukwila Fire Department Building Official City of Tukwila Control #86 -008 Gary VanDusen Mayor Hubert H. Crawley Fire Chief January 16, 1986 Re: Mitchell Moving - 18800 Southcenter Parkway Dear Sir: The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. (UFC 12.104b) Exit hardware and marking must meet the requirements of Uniform Fire Code Sections 12.104 & 12.114. 2. Maintain sprinkler protection for all enclosed areas. (NFPA 13, 4- 1.1.1) 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) 3. All electrical wiring is to be inspected by the State Electrical Inspector, Washington State Department of Labor & Industries. Yours truly, Aid-4 The Tukw`fla Fire Prevention Bureau cc: T.F.D. File slj City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (206) 575 -4404 *flu That portion of Government Lot 7, Section 35, Township 23 North, : _ Range 4 East, . M. , in King County, Washington; more particularly• described as follows: Beginning at a point from which the north - West corner of said Government Lot 7 bears S 0°58'10" II 313.17 •.feet and N 89°01'50" W 505.54 feet, said distances being measured respectively at right angles to and along the north boundary line : .. of said Government Lot, said point of beginning is marked by a concrete monument; thence S 67°36'00" E 248.63 feet to a concrete• monument set by R.W. Jones and Associates, Engineers and Surveyors, on October 4, 1966; thence S 23 °57'22" W 208.79 feet to a concrete monument, said monument marking the' intersection with a line at right angles, said ' line to be referred to hereinafter in this ' description as the southwesterly line of the Gaco - Western Tract; thence continuing S 23°57822" W 138.76 feet; thence t; 66°02'38" W along a line parallel to said southwesterly line of the Gaco -' Western Tract 5.39 feet to a concrete monument which is the True Point of Beginning; thence continuing N 66 °02'38" N 244.61 feet, more or less, to an intersection with the southeasterly line of 57th Avenue South; thence southwesterly along said road margin to an intersection with a line which is 438.76 feet southwesterly' of as measured at right - angles to said southwesterly line of the Gaco- Western Tract; thence E 66 °02'38" E to a point from. which •• the True Point of Beginning bears N 23 °57'22" E; thence continuing S 66°02'38" E 5.58 feet to a concrete monument hereinafter to be referred to as point "C" in this description; thence N 23°57'22" . E 25.00 feet to a concrete monument; thence N 69 °27'00" E 73.79 feet: to a concrete monument; thence continuing N 69°27'00" E 40 feet, pore' or less, to the bank of the Green River; . thence northerly along . said river -bank to a point from which the True Point of Beginning bears N 66°02'38"-W; thence N 66 °02'38" W to said True Point of Beginning. 'EXCEPT that portion thereof lying westerly of the following described line: Beginning on the easterly margin of County Road in said Government Lot' 7 at a point S 89 °03'20" E 1656.75 feet and fl 0 °56'40" E 1048.79 feet north of the southwest corner. of the •southwest quarter of said Section 35; thence S 8°13'05" E 36.70 feet to the terminus of said line. SUBJECT to an easement for ingress and egress ana utilities over that' portion thereof lying westerly of the following described line: . Commencing at said point "C"; thence N 66°02'38" W . 211.1; feet to a concrete monument, said monument being the Trae Point of Beginning of said line; thence N 8°13'05" W along said to an intersection with the southeasterly margin of 57th Avenu;: South,' said intersection being the terminus of said line. SUBJECT to an easement for ingress and v.gress and utilities' 15 feet in width the southwesterly line of which is described as follows: Beginning at said point "C "; thence N 66°02'38" W to the southwest - corner of the foregoing described tract and the terminus of said line. SUBJECT to River Protection Easement to construct and maintain a rip -rap bank protection and remove debris along the left bank of the Green River, also any reasonable access necessary for river improvement work as granted to King County by instrument recorded January 24,,1961, under Auditor's File #5244586. "Schedule A" • • . • . • • ••. -3....-•••..arov: .• .• • ••• .1 !.• .4^ •••••••••• ' • . • • •••"" • • ,• • • • •t• 14 ••. . • I • ••••• • ."'” /14 +2 4 IrPO4.11'.1 k. • • ' • • ' ' 4 . . • ' • • • ' • 1• . . ; . . r . I t 1 i t. , . .• - • • • • . • • • .• . „ :- . • , . ' . . „ tIo ; . : _: i• ' . . 1 - " . ; . ; .: .: N• , •• . • • ! .• °1 • , . 4 M: i'I..i• : 1•g. .. •. e• , 4 . .. . .•• . A " ; t .f..;' . • oi e' •..' -. . J:• • ft .!• , . V ki .. 1f - ••..., •.v ' • W,' •,•• .■ •• .•3 • • . ' •” . 7. • • .• r . . .• '- ,' 4 . . . :•. 7. ,' :•.. .' •• .• : .! .", ." o.„. • • • . •• ',I . 0. • .. 4' . .• •i4 - „.' ., !. , . .! " :.•• • • . . • 4•. . ".• • h• ' •, t • • . ‘ •. ' : •. •. tI a . .• . • . r :1 „• ••• I • • : „• , . i ;., 4 . 3• ) . ..• ..- •,t:• e . ;0 • .r. . : l 4: i ; : . '. ' .:.'•'r". „i -,.. . . „d . ., ‘ il V• E '••', '°W. ' :a. :e. .a' ; '' . ,' „ ,, , 4..'.4 .; 0. • ,.... • ., .t . r„i ....... i .. 4 .• ., , 4 ■ '.1. I . ., . .C..)1 .. ,? : .r6 . :Z:L i6 Y: .,t1..e1 7 ., . . . ,:•/', . ' . .. _ • : : ' A . . ' l ,: r10 , :6. (n• \ ,.• ‘ . •47 - -4• \ 1 •.' %& - 6 1 A. • A :• *• . . .- . 71 . ' ' . .• ••. 4• , , 1”. • •- , % ‘\.- '• .‘ \• .. • f\ • • • : t\ . ' ,,\. f a. •■ s:.?.. •\v . Ws.• . m,-\ ':." - t0 . • \ .1 • . 4 . . ; • t • • - s •;. • • . W ,. .. .. •.I , . . . . . : .. ' 7M . . . I . '. ' ' •, 8 , % , !.• r , °.•):• t •, ••. . . „. : .I . .. • . " " •• : il : •• . 7 . • .: ' :4 , .,. • . .-. , ,.. :• ,- . „ • • . . '. : : ,.• :Z.I , . • ..! , ‘ .' .• f..• , : . J4 . • : .fr -• • -*-;•• .. •.'•.:- • 4• .' :• •. •“.. . •,• e • - ;. . ,.1 4 . , . :. . . • . • •. 0.7. •• ... . - . ,..; .;. • . •t•.A 1 •. : • : , f • : • %• .. . ' .• . .. .1 • . • . ' .e ; I",1 : ..gi' .t . .„u -• .,i:,.,: '• t ` . , ,F . 7."'• r• - . . ' 0 ‘4 4 4les • • _ .. — . . r:. - ' . • ,e • -; , . - , ,• ■ - •,. •1• ,. -":...• , . . ' '; . ... ,- . 0.: .... • . - .7. 0 ■ ' , • .,. .•.• .0 .4-•: . . ■.' ' ., f.: „ . ., . :"' 2 4 4 I7 • ” , - . .2i . 5- • . . : •• " , .-1.'4.. . i.'-.:.• .1.-.;W4 4. 1 1.. . - ' . S: • .. . i i. r . l,s " : •.. '..'.ns.•.. 0••1I. .e•—'.' '4 . •1 ; l • , • „ , . .1 • •••;•• r .4° • • . • • .....7'.0Y%-■•-4 ; ;AO . s• • '\`.. \• • ‘, : . ,•. :."..,.•‘..,.....,. . ,. \ %, \ ...% ;\< .4 , 4N „.p. %,.• ,. , j - e , ,, 1 , •c..•- . C .: ., r .j. • ,• 1\, % -. • , , . % c . . . .\ .• \ • \ , ;4 \ • .\ \. :: \*: • • " %•* . „.•, . ; .•;. ‘ .. • X• ".• : .•. - \„• " % ., •' , • •% ; , tI • • . .Q I . r •‘ • ; l' O'' 1 V f • ,. • '• • 6. " •' ' t: . Z . ... . 0 • • i . V 1' t . 1 I "• - .7 •. • . i - z a .2 ■ J 1 l : 1 . .0 4 . 1 .. • • . . . . . . • . ! .. ■ . . . . e : • • i'• , '• • I_i•- • . :f'” , fk ', *'C' . . . • ; . • ., . ; • . :. .; : ;.• 7 . •• • 1 l i.•: .. -.4-.t.., , ' .i.. 3 •. %; .., . ,4; ' •.•,.. . •.P 1.,t ..t 1 , . , .i......: ' • '•. -.:••.. • 74 J . : •e.;P fr 4L • • ; ;••• • ; a"r•••41••?1:: y Id \ N's.;•;•, N". •••V: 4:,•\ ••• \ • ‘• % • •••• • • ••••;.... • \ • • ‘4‘t ••■ \\•. • N... • \\*%%•.'\\* <.'•- .•\ , •... • •••••••i. • •••,.. •••••••.„., ••••••••■•• • . •F „CX- 00.7.• • ; • • ; . • • • :1 • • • • • T •r• . „ " • \ \ •4- ----4--- 1 • • • • . % . • • • ••• : • • 1 • l • : • I . ! . • 1 • . , . . • ' .. .. . • . . . . • ,I. . ••• „r, • 1 • • : • ” .• I .— ••••••4,11. • •• i • • • •■ .8 0 • 0 Os a ..."• ... $ t 1 t I . I ;'..., • I •_, .;,. ' . . . . 4 - ...• .. .. • . • . : . . ....... • .....: t , . . . • • • • . . : .. .. •. .. -............ ... •••:. . • . • • • .• •• • • ..; • ••••.11•••■•• • • . . . t . . i / .. •• . I ' '1r . ,„ : . .. : . , . . ,.. • . ii.Otiik,i44.1t:$ 4);41,i.±:titiv-kiliii4i.i.1•.•1,11144.40..zi.i...i..f i. 1,1ii;.i•i.,:it,e.',.„1..(4.f.,ilgilit.'I'17•7•1.*,!'atilli'14•Rti:::::Z•S Sao 3,1Q P9 aie even)._ 96- ` 098V / l . [_L7J 4,1 rtra 4.0 •11. ..4r, , . Z ■ *rilli IL ... •4•41 :Tim . in v--- 4 g • :': ,...:,.. F.4..0! • f;?! i`,.., . ' • a.. ViA i a rre. 1 I*. ' • • !.:! ,..,) .. ir ta r•• U .6.• ."` ..r ''•-■ "1-4. .■".;:, ., .., 0 b a • . : 3. ' ''. ' 1:- ,.:!:, , >., 0. :,,••••—r="': ree A `,.....? ""--- .1 C 1.4 ■•■ It ors . i'.: .. -. ■ V:)..(' ':::' * MP lit , • 07. 117 : •i\ • r . '.2. '' \ . 10 i r.... g at • 028-40-1 :940P 293-9g # 10111N00 CITY OF TUKWILA i Building Division. 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT APPLICATION (Please Print) Control # $e‘!"-OCA Valuation Plan Check Fee Receipt # (.0q-cYD Le5 cc) Describe work to be done )JDt4 �"rp 1O�RJ L 1'Oc L- l2% ( (ISTIN`lC� �O U� Site Address ‘51;10C) 115CeN ?. navy Suite # Tenant /Ma-40c.,MOPNI(viCTO42. Assessors Account # Valuation of Construction(921)4D W -iry w/ N4- Building Use SvF' a.-r ae- rtr --'S Type of Construction \/r4 Occ. Group 13-2... Grading: Fill Pia cubic yards Cut r..) /c- cubic yards Property Owner MI'TG14 1 Address 220 N\b6t- u,a gG -1/17, , Applicant 10\ LL- N •04(Nc, Address tfo(JU .v.wY Ar•c•h•i-tect /Engg4 -veer Lew Address Phone # b2-- 2-(ob(o Zip `7`b1R,l Phone # 5775 (off Zip ciNc56 Phone # Zip 9 /N'L Contractor 1,20t e,ELrcGiGJ7 Ye-:1 License # Phone # Address Zip I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Appl i cant /Author i z "Agent .,(t i gnature) . /Y44) Date / —Cv (print name) C _2042.TIS Liu/ Contact Person (please Print) (L;2'-rl 5 LeFlr / Phone # 1 -O 25"cJ (8/85) RECEIVD CITY OF TUKWIILA, !: 1985 BLMOIMa De r/ ,