HomeMy WebLinkAboutPermit 0230 - Medical Centers Company (VOID)BUILDING PERMIT
CITE , OF TUKWILA BUILDING F. :'MIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N° 230
JOB ADDRESS
DATE
LEGAL
1 OESCR.
LOT NO.
BLK
TRACT
(QSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Medical Centers Company 1012 Belmont E. Seattle Wa. 8021 323 -2 —'33
rXJ6XX XX Developer MAIL ADDRESS PHONE 3_2 33 LICENSE NO.
Medical Centers Company 1012 Belmont E. Seattle, Wa, 98021 C —on —OM 1 -010
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.,
4 Arne Yager & Agxoc.
ENGINEF.R MA L ADDRESS PHONE LICENSE HO.
5
LENDER M•IL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: • NEW • ADDITION
• ALTER , ION • REPAIR • MOVE • REMOVE
9 Describe work:
4
10 Change of use from
/ Ad Air
Change of use to
11 Valuation of work: $
PLAN CHECK FEE
PERMIT FEE
SPECIAL CONDITIONS:
I
pe of
ons •
Occupancy
Group
Division
f i
ota ) q. Ft.
o.
for
Max.
Occ. Load
Fire
Zone
Fire Sprinklers
Required • Yes ❑NO
USe
Zone
APPLICATION ACCEPTED BY
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY
o
w Unit
OFFSTREET PARKING SPACES:
Covered I 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 IS' 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.
pe, aIA. .rov
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE or OWNER (IF OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT IRATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK.
OCCUPANCY PERMIT REQUIRED
M.O. CASH