HomeMy WebLinkAboutBLD4709 SFR - BLD Application - 5/17/1999 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME ' MAIL ADDRESS CITY&STATE ZIP PHONE
Be fair Cafe Inc. P.O. Box 546 Belf air, WA 98528 275-6226
DIRECTIONS
TO JOB SITEI See Attached Map
LEGAL (5tSEE ATTACHED SHEET)
DESCR. /3
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Armstrong Homes 3891 Wheaton Way Bremerton, WA AR MS TH B 307 QL 373-5061
USE OF
BUILDING Single Family Residence
Class of work: -a NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Construction of New Dwelling
Valuation of work: $ //gi S- PLAN CHECK FEE — PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS 12 TOTAL SQ. FT. GARAGE DC
ATTACHED] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORI IBASEMENTXJ OR AIR CONDITIONING.
ES
TOTAL SO. FT D FIREPLACEXI DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
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
conformance therewith. PERMANENT X SHORELINES ❑
SEASONAL [IFLOODPLAIN [IFirm Armst of Bremerton Inc.
E.D. NO. S.E.P.A. ❑
By D V Special Approvals IN OUT YES APPROVED NO
Lic. No.AR MS TH B 307 QL Date 5/4/79 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT
HEALTH DEPT.
PUBLIC WORKS
I 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
Owne Date_ 5/4�79 APPLICATION ACCEPTED BY PLA CK BY =ROVEDISI%JA_NCE
/ Collin Orr, Manager
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH