HomeMy WebLinkAboutPermit 0277 - Tukwila Foster Presbyterian ChurchBUILDING PERMIT
CIi( OF TU KWI LA BUILDING F .,ZMIT
14475 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces on /y.
BUILDING
PERMIT NO.
N2 277
JOB Abb°�R�ESS ,,� /
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DATE
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LEAL R,
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LOT NO.
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( cE AT ACHED SHEET)
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�� MAIL ADD E Z P PHONE�j_E... 6r„
CONTRA C TOR ""' , MAIL A•D'ESS IPH ONE ♦ r LICENSE NO.
• ��TELOR
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DESIGNER ONE
4 J
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5.r
LENDER MAIL ADDRESS BRANCH
6,✓
USC OF BUILDING
8 Class of work: ❑ NEW ❑ ADDITION • ALTERATION D REPAIR • MOVE REf~f MOVE
9 Describe work: .-- a.v rti L fl I — M yr. t+, c �
10 Change of use from
Change of use to
11 Valuation of work: $ ./---
PLAN CHECK FEE
PERMIT FEE 5`
SPECIAL CONDITIONS:
Type of . /V r
Const.
Occupancy
Group J
Division
I
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max. ..../../
Occ. Load
`
Fire
ZOno
Use
Zone �—
Fire Sprinklers �/
Required • Yes L�JNo
)IcATIONACCEPTEDBY.
PLANS CHECKED BY
rg,ROVED
FOR ISSUANCE
B
No of
Dwelling Units
OFFSTREET PARKING
Covored
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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I$ 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.
A
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (specify)
FOUNDATION
FRAMING
SIGNATUR •I OWNER (1r OWN ILOER)
F I - .�I
FINAL
5I r ATURE OR AUTHORISED AGE T (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O.
OCCUPANCY PERMIT REQUIRED