HomeMy WebLinkAboutPermit 0258 - South Central School District (VOID)BUILDING PERMIT
CIT'' )F TUKWILA BUILDING PL(. SIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N2 258
JOB ADDRESS
5939 South 149th
DATE
6/29/73
LEGAL
E9C
1 DR.
LOT NO.
SLR
&
6 & 7
TRACT
% (SEC ATTACHED SHEET)
Interurban A. G ition to eattle
OWNER MAIL ADDRESS ZIP PHONE
2 Southcentral School District #406 Seattle 98168 Ch. 4,2loo
CONTRACTOR MAIL ADDRESS PHONE LICENSE N0.
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDR .55 PHONE •ICENSE NO.
5
LENDER MAI ADDRESS BRA H
6 Ct_
USE OF BUILDING
7
8 Class of work: ❑ NEW • ADD: ION ❑ ALTERATION ❑ • —AIR /r MOVE • REMOVE
9 Describe work: III //
0")
10 Change of use from
Change of use to �y
11 Valuation of work: $
PLA CH E¢K E C
VVV
ERMIT FEE
SPECIAL CONDITIONS:
Type of
Const.
cc p n
ou
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stor es
Max.
Occ. Load
F r.e
16LH
ne
Fire Sprinklers
Required ❑Yes ❑No
APPLICATION ACCEPTED BY
PLANS CHECKED BY.
APPROVED FOR ISSUANCE BY
No. 01
Dwelling is
OFFSTREET PARKING
Covered j
SPACES:
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 I$ COM-
MENCED.
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 CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIGNATURE OF OWNER (IF OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
FINAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OCCUPANCY PERMIT REQUIRED