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BUILDING PERMIT
CIT( DF TUKWILA BUILDING P :MIT
TUKWILA, WASHINGTON
BUILDING
PERMIT No.
N? 503
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ADDRE .....yo O � e L A/75_
PHONE
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DATE7/ / O J /
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BUIL yr ('�C
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ADDRESS
ADDRESS
ARCHITECT
JOB
ADDRESS
STREET t (moo a Y / /e , -,v7 R, NUMBER jO / e - 1 %Z'
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C —�_
LEGAL
LOT SIZE
LOT AREA
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LOT
BLOCK
YARDS
DISTANCE TO
PROPERTY LINES
MAIN
BUILDING
SET BACK
SIDE YARD
REAR YARD
NEAREST
BUILDING
ACCESSORY
BUILDING
SET BACK
SIDE YARD
REAR YARD
NEAREST
BUILDING
CLASS OF WORK
SIZE
OF
BUILDING
MAIN
BUILDING
WIDTH DEPTH AREA
X X =
FT, FT. 8q. FT.
TWA E OF CONSTRUCTION
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ACCESSORY
BUILDING
WIDTH X = DEPTH AREA
FT. FT. SQ. FT.
SQ. FT.
EXISTING BUILDING AREA -
SQ. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED %
• = /0
SQ. FT. SQ. FT.
EXTERIOR
FINISH
{OCCUPANCY
4
TO BE USED
AS
HOW
HEATED
BASEMENT
SIZE SQ. FT.
ROOMS
TOTAL
BED
ROOMS
BATHS
LIVING
L •D
COMBO
DEN
KITCHEN
NOOK
K 0
NOOK
GARAGE ATT. C�
DET, o
VALUATION OF
ALL IMPROVEMENTS
HOUSES
GARAGES
HOUSE
y C
OTHERS _ O Gj p
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING
Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in writing on Permit Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspecto
struction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lossor. OWNER DT x
overning by
n
PERMIT FEES: (THIS SPACE eOBBUILDING DEPARTMENT USE ONLY)
HOUSE f� 4 f, GARAGE S GARAGE S BUILDING
0 0
RECEI
BOND NO TOTAL FEES ST- BY
HOUSE &
OTHER
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
Idin •. con -
p
MISC.
FEES S
DATE 7//
PERMIT PLACARD MUST BE POSTED ON THE WORK
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CITY OF TUKWILA
APPLICATION FOR BUILDING PERMIT
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Owner f7 SN(00 +A1? uGS OF LIL,iSI,t-. AddresS2):BIC Phone
Builder 1►kR6 - kT Oispins, ) uC., Address Doe -iF- STr T Phone T ¢ -042_0
1-1(- -
Architect Address Phone
Value of Construction $ g 00 O
The following information to be attached to this permit
1. Two (2) copies of legal description of property
2. Plot plan
3. Two (2) copies of building prints ✓
Additional information or comments AT LI CATto 1 t) I UST�'C 2.. ) LLUX )IiM p Sl C-ss .
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Signatdre of Applicant
8,06 4:44 `
Mailing Address of Applicant
Jcqz
Date �Of Application