HomeMy WebLinkAboutBLD9933 Final Carport - BLD Permit / Conditions - 5/8/1984 Sutton, G. W.
275-3466 #9933
7/15/82
Part of NW 1/4, NW 1/4, 21-23-1
Old Belfair Hwy. to Newkirk, turn right to Riverhill
Drive, left 3 miles to easement, left 45'turn left, St. Rt. 3, Box 174, Belfair. to driveway,
Carport (Attached)
20'x20' Contractor;
Same
$2,000.00
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BUILDING PERMIT APPLICAT40N
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED /
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP _ PHONE
OWNER �' p� ST P-T 3 Ba°X 17'� '� ��'
DIRECTIONS l "" .TP 0"q-A / A to 3 d
TO JOB SITE �,fp A4"vn
(❑ SEE ATTACHED SHEET)
LEGAL �,/� y
DESCR. f,{)y ry/ /—�,3—/ PHONE
AME MAIL A DRESS CITY&STATE LICENSE NO.
CONTRACTOR
USE OF
BUILDING �/}R>POIeT
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
l3y kD
Valuation of work: $ G PLAN CHECK FEE PERMIT FED„
QZ5 . ��
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in PERMANENT El SHORELINES El
conformance therewith.
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
Special Approvals IN OUT YES APPROVED NO
By
ZONING
Lic. No.
Date
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT PUBLIC WORKS
1 certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
7 A LIGATION AClid C P DAY PLAN HECK BY APPROVE FOR ISSUANCE
jw Date. O �p ��
PHECKVALIDATION CK. M.O. CASH
P RMIT VALIDATION CK. M.O. CASH