1985, 12-27 Permit: 00009245 ResidenceS|GNATUREOF
OWNER URAGENT
MB ADDRESS:
12818 E ALKI
12/27/85
AV
BUILDING
$276,00
Bui3ding Code Fee
$1.50
Energy Studies
Surcharae
$15.00
Valuation; Corr 39480
# of Floors 01 # of Bedrooms 000
# of Rooms
000
PRIMARY STRUCTURE:
1 �029 SPRAGUE:
AV
171KANE
QA 7921e.,
t 40 Occo��ncy Load
Ra�e 35.50
SECONDARY STRUCTURLb�
Desc: N DWELLUB Cruop� R-3
Type� VN
Sq-Ft 940 Occopancy Load
Rate 6.50
w50190-1
I
LOT BLOCK
FINAL
R
13-0
Q!
[133
10,092
1,001075
01+001 RESIDENCE
USE OF PERM":
JOB ADD ESS:
APPLICATION
DATE
0010164
12/27/85
00009245
BUILDING
$276,00
Bui3ding Code Fee
$1.50
Energy Studies
Surcharae
$15.00
Valuation; Corr 39480
# of Floors 01 # of Bedrooms 000
# of Rooms
000
PRIMARY STRUCTURE:
Desc: N DWELL Cruop� R-3
Type� VN
t 40 Occo��ncy Load
Ra�e 35.50
SECONDARY STRUCTURLb�
Desc: N DWELLUB Cruop� R-3
Type� VN
Sq-Ft 940 Occopancy Load
Rate 6.50
STRUCTURAL
Boilding �ode Fee
Energy 5todies Surcharge
BUILDING
Valuation; Corr 39480
# of Floors 01 # of Bedrooms 000
# of Rooms
000
PRIMARY STRUCTURE:
Desc: N DWELL Cruop� R-3
Type� VN
t 40 Occo��ncy Load
Ra�e 35.50
SECONDARY STRUCTURLb�
Desc: N DWELLUB Cruop� R-3
Type� VN
Sq-Ft 940 Occopancy Load
Rate 6.50
7
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�
^^ . ~ '
TOTAL FEE
TOTAL FEE
TOTAL FEE
Permit Fee
$1.50
$15.00
$276.00
276.08
721. 8d�! *^V7� q� u
CL
SIGNATURE OF
OWNER OR AGENT
JOB ADDRE55:
OWNER:
ADDRESS:
CITY:
ST: ZIP:
APPLICANT:
CONTRACTOR:
i.f�i;♦
ADDRESS:
CITY:
5T: ZIP:
PH:
LICENSE*:
ARCH /ENGINEER:
ADDRESS:
CITY:
ST: ZIP:
PARCEL*:
CENSUS TR:
INSPECTOR:
PLAT *:
LOT 8[ BLOCK
FINAL
PLAT NAM E:
ZONE #:
ZONE
FSB
5-1
5 -2
i3
RSB
MOD
USE OF PERMIT:
JOB ADDRESS:
ii.
STRUCTURAL
1:saild:i.n hoja Fee
Energy ,tuel:i.f�i:> Surcharge
ge
BUILDING
Va luat:i.on i C'.urr 39480
APPLICATION
DATE
SEQ. 7k: TE: PROD YC:
FEES: PAID BY: CA CK CG NC
COUNTER APP: l PLANS EXAM: DATE:
* of Floors 01 # of Bedrooms 000 0 of Rooms 000
PRIMARY STRUCTURE:
Des c: N DWELL Gr o u�r i h�— 3 Tyge i tip!
Sis F:'1 :'40 01e:ua�aric:y L_otod 1 4aTe :35.50
.�f::C.t7NI)AR > T RI C, 't.11� ::.a
I) a s c: i N DW E::I.. L t. B G r: o u y i R-3 T y � e i V N
Sc-Ft 940 Occupancy Eood ate
6,50
-0 ,0
tj ,(6
10iAL FEE: w1,00
TOTAL FEE *15.00
TOTAL FEL $276,00
Permit Fee 276,00
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I SET BACKS
FIGS &FORMS
d,
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5 BOND BEAMS
6 _ ROOF DECK___.__
7 FRAMING
8 INSULATION
`
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9 SPECIA' NSP,
I10 ASSEMBLY _
G)
11
I -- _
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12 EXTERIOR EFt_
-�
- -�
113 DRYWALL
_
L 14 _ EXT. GRADING
15 FINAL
_
116 GRD. PLBG
17 __.. -WA d E R Pi PI N G
____�______
18 DW\t_ TEST
19 FIXTURES
20 SEWAGE
21 SEWER
C
22 `° .TER HEATER
23 ' .OGRESS
G) i
24 WATERS
25 ROOF DRAINS
I
26 FINAL .
38 VENTILATIO. SYS—
,
39 PLENUM & DUCT
40 GAS TEST
41 FURNACE
- -- -
42 DAMPERS
43 INLET/OUTLET
--
—
44 COMPBLISTION AIR
4� 5 COMPRESSOR>
46 APPLIANCE
47 FIRE DAMPED_
y
48 SMOKE DETECTOR
49 HOODS �___.__
50 PROGRESS-- �
51 FINAL
52 FINAL FINAL INSP.
_
53 FIRE PREVENT._ �__._______
_ _
O
0
54 OCCUPANCY /TEMP. i
0
55 REQUESTED
56 OCCUPANCY /1=_iNAL
57 OCCUPANCY/OTI-I ER
��
5_8 COMPLAINTr'IC$i�1E
59 PLAINT /BLDG,
_
0
60 _.JMPL.AINTR)THER
in
DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signature
Date
Approved
Cond.
Approval
Hold
Environmental Health Permit Number 60
14--/.1
W. 1101 College
Room 200
Planning /Zoning
N. 721 Jefferson
Perm Number
-i!/
�••�y/j�
�C
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ii',
Engineers
/
N. 811 Jefferson Aria n/ _
4 A - - /
iii ,ap.��
/ .
..�.
Utilities
N . 811 Jefferson
1
Plan Review /Fire Prevention
N. 811 Jefferson
Other (SEPA / Critical Material /etc.)
Fast Track /Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signature
Date
•
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