Loading...
HomeMy WebLinkAboutBLD26852 Final SFR - BLD Permit / Conditions - 1/28/1991 Shorelines: Plying: i -� p Setback: Mechanica : - a Special Interior: _ Conditions: FINAL: a w 9_l -)v— Mobile Smoke Detector: Remarks:� root ing: a Setback: FoLmdation walls:-tAllo Framing: s- o Fireplace: Food Stove: TYPE RESIDENCE Permit No. _2hRR9 Owner No. Floors 2 � Dag 1477 'E.W BERRY 377 0046 e 4-90 Address 4CitcaP Way Bremerton zip Contractor Tsnm Address zip Legal Description Rivarhill Wy 2 lot 21 Direction to project site _nI It of Rel fa i r on 01 dl Bel fAi r W.t' R nn Wou4irL I nn Naboni n Q an Qi /r-rhi l l I n tm ing XX Mechanical XX Sewer tove XX Fireplace Deck 12 Garage 491 Carport Basement Loft Other i BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED ��►/ PERMIT NO. (2�3AQ1�J OWNER NAME v �Yr y Gf�I MAIL ADDRESS CITY&STATE ZIP PHONE lee- C Z T -3,33 O 7oi. -Do DIRECTIONS TO JOB SITE ©✓J O r r.. uJ F' L 6A J IP,. t T a h Q► D' c r 4-t I I A L�+ C PARC L LEGAL G" xt Z NUMBER /,'Z,jZ/-j; 0002/ DESCR. r Z / NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR z1 al�k /�� .-e ✓dTa�„�!z =sa,.occ ..j /Z 77 —/6 6 S USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK z v ✓� BEDROOMS — DECKS YOR N CARPORT NOTICE TOTAL SQ.FT. DECK SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. O TOTALGARAGE FT. �e / CONDITIONING. NO.OF STORIES 2- BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA � BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT./�-�-7% TOTAL SO.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE V CS ATTACHED ✓ SEASONAL SHORELINE eo DETACHED OWN ERSA76DAVIT CONTRACTORS AFFIDAVIT YREQUIR HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF ON LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE NTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE Z c1 9 0 FOR OFFICE USE ONLY DEPARTMENT YESPPROVE NO DEPARTMENT YES NoBUILDING VALUATION S .� HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 2 8. Oa D.O.T. IBUILDING PLAN CHECK a SPECIAL CONDITIONS BUILDING GROUP fe 3 PRE-INSPECTION r\L 0 I 2 A Ot- 1 -V S 111 . ' SHORELINE Or41 j h'1 WOODSTOVE 5e PLUMBING x f MECHANICAL STATE BUILDING FEE 5 STATE SURCHARGE APPLICATION ACCEPTED BY PLANS 7CHBY TOTAL BY CASH CK MO APPROVED FOR ISSUANCE PERMIT VALIDATION 619,