HomeMy WebLinkAboutBLD0658 Final Bulkhead - BLD Permit / Conditions - 6/7/1988 Shorelines:
Setback: Plumbing:
Special `�'��' r lC-chanical
Conditions: I�ntyTee r-ior:
Smoke Detector:
0o ing: Remarks
Setback:
Foundation
Walls:
Framirx�;
Fireplace:
Wood Stove:
TYPE
Perfnit �b• 0658
Owner . Floors Sq Ftg
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Address e1275-_Date 58
Contractor Zip
Address
Legal Description 1P
Direction to proje U 1� e 27 -
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1121
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Basement Garage Carport
Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED -5-/3�y/
PERMIT NO. 06-S
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER sdN P�� S55
DIRECTIONS
TO JOB SITE Tq LJ 4A lk rd COUA/ f Q t
�0. p Q
LEGAL
NUMBER .37PARCEL 2Z7 ,22 600 D SCR. TRACT T O tof 7-
CONTRACTOR ��—
NAW, MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
�
USE OF
BUILDING
CLASS OF EW FADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE 1
WORK V OG 0 rJ i
1, 2 ' `
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES _ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT X SHORELINE
SEASON L
V
RS AFFIDAVIT CONTRACTORS AFFIDAVIT
Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. �j APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER 1UATE 1 �- X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION l'IJ
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING � ,` PLAN CHECK S
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
-ummewwa Q
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY
CASH CK MO
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