HomeMy WebLinkAboutPermit 2168 - Wynn - FillA
BUILDING PERMIT
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISSUANCE EXPIRES
September 30, 1981 March 30, 1981
JOB ADDRESS
S. 152nd and 57th Ave. S., Tukwila, WA 98188
PERMIT
NUMBER
LEGAL LOT NO. BLOCK TRACT
DESCR. Brookville Barden Tracts Vol 10-P47 SEE ATTACHED SHEET
owNHa PHONE
Wynn. 243 -1200
ADDRESS ZIP
2007 S. 112th, Seattle, WA 98168
CONTRACTOR PHONE
Klokstad Construction Company 365 -6677
ADDRESS ZIP
20021 Ballinger Rd. N.E., Seattle, WA 98155
L�CEN °F O. SST NO.
2i3 '1- KL- 0K- SC- C204NF C- 600 369 -401
BUILDING USE
None
CLASS OF WORK
CI NEW ADDITION REMODEL REPAiR C(OTHER (Specify) Fi 500 yds
BLDG 1st FL. I 2r.d FL. I BASEMENT I GARAGE I DECK I MEZZANINE I OF STORES TOTAL S.F. I VALUATION
AREA
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AiND CORRECT FEE BUILDING L-41j0
THAT THE APP CABLE CITY OF TUKWILA REQUIREMeNTS WILL BE DISTRIB. PLAN RVW.
MET, AND TH T I AM AN AU HORIZED AGENT FOR THE PROJECT DEMOLITION
BOND
OTHER
OWNER AGENT SI ATURE
TOTAL 43.00
COMMENTS:
Remove vegetation before placing fill. Install drainage per field inspector.
TYPE CONST
I OCC. GROUP OCC. LOAD I FIRE ZONE I USE ZONE AUTO SPRINKLERS REO.
YES 0 NO
1 Dr iveway
approach and
slope
THESE INSPECTIONS ARE REQUIRED BY LAW
2. OK to 3. Roof 4. OK to 5. Wall-
Pour footing sheathing enclose board
and /or and nailing framing nailing
foundation OK OK
FOR INSPECTION CALL 433 -1849
BUILD r
OFFI AL, CITY OF TUKWILA
6. Structure
completo and/
or OK to
occupy
THIS PERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING
f •PERMIT
,ILDIIVG PERMIT NUMBER
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISSUANCE EXPIRES
September 30, 1981 March 30, 1981
08 ADDRESS
S. 152nd and 57th Ave. S., Tukwila, WA 98188
EGA LOT N0, BLOCK Brookville Bar den Tracts Vol 10.P47 G* SEE ATTACHED SHEET
OWNER rold Wynn. PH 243 -1200
DDRESS ZIP
2007 S. 112th, Seattle, WA 98168
CONTRACTOR PHONE
Klokstad Construction Company 365 -6677
ADDRESS ZIP
20021 Ballinger Rd. N.E., Seattle, WA 98155
S
LICE NO. KL- OK- SC- C204NF S NO.
L G 600 369 -401
BUILDING USE
None
CLASS OF WORK
❑NEW OADDITION ❑REMODEL ❑REPAIR QCOTHER (Specify) Fill 500 yds.
LDG. 1st FL. 2rd FL. BASEMENT GARAGE DECK MEZZANINE I OF STORES I TOTAL S.F. I VALUATION
AREA
I.
('CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT BUILDING 43JO
THAT THE APP CABLE CITY OF TUKWILA REQUIREMENTS WILL BE DIST FEE PLAN RVW, 1
MET, AND T T I AM AN AUTHORIZED AGENT FOR THE PROJECT DEMOLITION I
BOND
OTHER
OWNER AGENT SI ATURE
TOTAL 43.
COMMENTS:
Remove vegetation before placing fill. Install drainage per field inspector.
OCC. LOAD FIRE ZONE I USE ZONE J
THESE INSPECTIONS ARE REQUIRED BY LAW
FOR INSPE CALL 433 -1849
BUILDI� OFF�AL, IT Y OF TUKWILA
AUTO SPRINKLERS REQ.
i'
D YES O NO
6. Structure
4.-
1
comalete and/
93
or OK to
occupy
i
.rya
;r
BUILDING DEPARTMENT
CITY of TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
r 433.1849
APPLICATION FOR PERMIT
DATE "September 22, 1981 PERMIT NO. WHEN VALIDATED I EXPIRES
JOB ADDRESS S. 152nd and 57th Aye. S.
LEGAL LOT NO. 21 BLOCK TRACT Brookville GardenTTSEE ATTACHED SHEET
DESCR.
OWNER (PHONE
Harold Wynn 243- nn
ADDRESS 2007 S. 112th Seattle WA. (ZIP 98168
CONTRACTOR KLOKSTAD CONSTRUCTION COMPANY PHONE 365 6677
ADDRESS 20021 BALLINGER RD. N.E SEATTLE, WA. ZIP 98155
LICENSE NO W-01 KC•0K•SC I S ST NO I V-900-2 69-401
BUILDING USE None (TENANT None
III
CLASS OF: WORK
L NE4': ADDITION REMODEL REPAIR OTHER (Specify) Dump fill material
BLDG.
1st FL. I 2nd FL. 1 BASEMENT I GARAGE I DECK MEZZANINE I OF STORES I TOTAL S•F. VALUATION
AREA
I NAME OF APPLICANT (PLEASE PRINT( Harold Wynn
ADDRESS 2007 S. 112th Seattle,.WA. 98168 (PHONE 243 1200
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT AND THAT THE APPLICABLE CITY OF
TUKWILA REQUIREMENTS WILL BE MET,
10 SIGNA URE OF APPLICANT
o i/"� 111 -e '4y
A DON T WRITE B OTINE
I 'TYPE CONST. I OCC. GROUP OCC. LOAD FIRE ZONE USE ZONE AUTO SPRINKLERS REO.. I
I YES
PLA PLANS: SENT I RETURNED I APPROVED I FEE BUILDING
FIRE DEPT. DISTRIB. PLAN RVW. I
DEMOLITION 1
r'SEPA,, f I L91 �R I BOND I
OTHER
PBLIC WKS. I I
tJ 1
I I TOTAL I 4 1
I I RECEIPT NO. 1
COMMENTS APPROVED FOR ISSUANCE BY:
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