HomeMy WebLinkAboutPermit 572 - Syverson Residence - Addition�III.DING PERMIT
C
CITI . )F TUKWILA BUILDING PLAIT
AIT
TUKWILA, WASHINGTON
BUILDING
PERMIT No.
572
OW ✓ _' I
c
ADDRESS -�L !
1 v / 1/7
PHONE
OATF..y+/ 71 l
)LL DEAi
ADDRESS !
ARCHITECT /
ADDRESS
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED %
SQ. FT. • se, FT. — /0
EXTERIOR
FINISH
JOB
ADDRESS
STREET id 1 7 1'tL ,_,�_ NUMBER �- / /. 7
/ -+
U)E .,ZONE
• •��
LEGAL 1A/ , ∎ -..2`. L-' -- a .y -- 1-
LOT SIZE 7`.} /� ���3
LOT AREA
TOTAL
LOT
BLOCK
Y ' RDS
DISTANCE TO
PROPERTY LINES
MAIN
BUILDING
SET BACK
,
SIOE 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
=
FT. X FT. = SQ. FT.
TYPE OF CONSTRUCTION
j' -• JO a /. 171—
k
P �j r
% 1J � I-
/
Y
BUILDING
WIDTH �( DEPTH AREA
FT. " FT. = SQ. FT.
SQ. FT.
SO, BUILDING AREA ''
SQ. FT.
LOT COVERAGE
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED %
SQ. FT. • se, FT. — /0
EXTERIOR
FINISH
OCCUPANCY
TO BE USED
AS
HOW
HEATED
BASEMENT
SIZE SQ. FT.
ROOMS
TOTAL
I BED
ROOMS
BATHS
LIVING
L•D
COMBO
DEN
KITCHEN
NOOK
K D
NOOK
ATT. ❑
GARAGE ATT. ❑
VALUATION OF
ALL IMPROVEMENTS
HOUSE S
GARAGE $
HOUSE • ATT. GARAGE S
e,0
OTHER $ 4 ✓—~
/ Q ���
FOUNDATION OK
FRAMING OK
I FI
I NAL 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, OWNER
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSES e'} nARAGE $
BOND NO
X
HOUSE &
- riARAGE S
OTHER
BUILDI
s
�{{�� V111;40 +
TOTAL FEES $ ep 0 T PY yr
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER. OR WIRING INSTALLATION.
GS
PERMIT PLACARD MUST BE POSTED ON THE WORK
Owner
(-4
CITY OF TUKWILA
APPLICATION FOR BUILDING PERMIT
Builder
Architect
Address 3‘/7-1.6‘/Y7 Phone 1 4 Y.- 47// 7c2
Address Phone
Address Phone
Value of Construction $ 7� 6, a '127 et■reA-4..e...-Q
The following information to be attached to this permit
I. Two (2) copies of legal description of property
2. Plot plan
3. Two (2) copies of building prints
Additional information or comments
)
-4/
Signature1 f Applicant
S/7 2,1-7
Mailing Address of Applicant
- Y•
Date of Application