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®UIL ltNIG PERMIT
CITI(')F TUKWILA BUILDING PE: AIT
TUEWIL!!D WASHINGTON
BUILDING
PERMIT No,
N? 541
OYY id ,-�f l 7 i. /. ff 8 /e`
ADDRESS
PHONE
DATE, �' �/�
(/J
B ILDER
F <Y vi k e N�iir�.�rr.c AL �,v IvE,7s
ADDRESS
y n n' �y ��
G.J 70, /► sill �(� a /� 17'.J / ,
SO. FT.
EXISTING BUILDING AREA -
SO. FT.
ARCHITECT
ARCHITECT. N 1/77M Paf L, A
ADDRESS
(% v 111? 1WItsp �
EXTERIOR
FINISH
JOB
ADDRESS
STREET `- U, , IYj c �» w T ".CI NUMBERMR py/ L g 96
G] C/J T/ V/a !� t `Yt i/ !
USE ZONE
P ft .
`/
LEGAL 1J', . / 1 `- 3 —
LOT SIZE
LOT AREA
4 . r
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
�/ 7 _
� FT. X •/ � FT, � � b-- 4, 90, FT.
TYPE OF CONSTRUCTION
/ _- -
ACCESSORY
WIDTH X DEPTH AREA
FT. ' ` FT. = SO. FT.
SO. FT.
EXISTING BUILDING AREA -
SO. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED py
BO. FT, S0. FT,
7.--e6 _ _ /�
EXTERIOR
FINISH
OCCUPANCY j^��
/`
A8 0E USED �� �l a��' / v /J ,
i�J/ i
HOW �
SIZE
HEATED 812E 80. FT,
ROOMS
TOTAL
I BED
ROOMS
BATHS
LIVING
L-D
COMBO
DEN.
KITCHEN
NOOK
K D
NOOK
GARAGE ATT. ❑
DET. []
VALUATION OF
ALL IMPROVEMENTS
HOUSES
GARAGES
HOUSE • ATT. GARAGE s
a
OTHER S / g- Cr 4 D `-
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 Inspector governing building con-
struction.
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor.
PERMIT FEES: (THIS SPACER BUILDING DEPARTMENT USE ONLY)
6dc
HOUSE
HOUSE & OTHER
GARAGE $ -GARAGE BUILDIN
BOND NO TOTAL FEES i Y' e:40-° BY
RECEIV
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
Owner
CITY OF TUKWILA
APPLICATION FOR BUILDING PERMIT
Cf /�����
w �S ,!-� /)/ . -`rf'.
Builder ss cc «ies
Architect -Tel/ 14 040,1 „ei�
as
Value of Construction $ /cif;
Address
/6? �Jrlld,, //r ;c :;'-s'.1
Phone
Address J1/e ri Phone J,4' ,404z
Address J/4 &ri/.ord.G” r/ Phone 1;i2 ) -fr>44
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 comma is
' <5.-Iti
S gnature of Applicant
Mailing Address of Applicant �.
f ece,4•9-te. / 4/
of Application