HomeMy WebLinkAboutBLD21787 Curtain Drain and Cover - BLD Permit / Conditions - 4/12/1988 Shorelines: Plumbing:
Setback: Nbchanical:
Special Interior:
Conditions: FINAL:
Nbbile ane:
Smoke Detector:
o ing
Remarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE CURTAIN DRAIN & COVER
Permit No. 21787 No. Floors Sq Ftg
Owner K.U.R. ASSO. INC. Tel 479-4977 Date 4-12-88
Address 140 So Marion Ave Bremerton Zlp
Contractor Jack Johnson
Address Zip
Legal Description NE,SE 29-23-1
Direction to proje si e Belfair
Plumbing Me ical Sever Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. 5—�/
OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE
K•�.2. �go�o.-r- t �`�O 5. . rla�n.t-.. 'J�JV-*- `gfL'F1E2tb*� \VA. eAl? �-- r)t451
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR. r��. �Jt� �j� \/� �'Z 2� SNQ Z�jIV lL. W
CONTRACTOR �JAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
b��spY G
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE `
WORK C]r��
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASO L
OWN RSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CE IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGI RATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ IREMENTS 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 ONF CE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB IN G APP OVAL FROM THE NO
DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
DATE 6,c I \CVQ X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES No YES No BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 57, c"0
D.O.T. BUILDING PLAN CHECK C7
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS CH K BY APPROVED FOR IS ANCE PERMIT VALIDATION
' TOTAL
> �a 7t � BY CASH CK MO