HomeMy WebLinkAboutBLD22175 Carport Space 20 - BLD Permit / Conditions - 6/17/1988 i
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. /
OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE
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DIRECTIONS
TO JOB SITE L e t 4 3 � �O/GL� W e 5 ,CS a,7
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PARCEL h LEGAL n/�__
NUMBER �f D-� DESCR. Oy'LL
NAME MAILADDRESS 'CITY SSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
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USE OF
BUILDING Cal-p (3 �
CLASS OF NEW ADDITION 7ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
i
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES _ 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. I�.�g� FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNE SAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG V FROM THF�BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
Ap E DATE X BY DATE
FOR OFFICE USE ONLY
DEP TMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATIONIF
YES NO YES NO 100&0.
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT P
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP -2 PRE-INSPECTION
SHORELINE
09 WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE a
STATE SURCHARGE '
APPLICATION ACCEPTED BY P ECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
C� TOTAL
Y CASH CK MO
Shorelines:
Plumbing:
Setback: Mechanical:
Interior:
Special FINAL:
Conditions: Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE CARPORT
Sq Ftg _216
Permit No. 22175 No. Floors 6_17-88
Owner DEMICK,
Hal Tel 275-6431 Date
Address E Hwy
A yn Zip
Contractor on
Address
Legal Description Town of Allyn Tr 91 92
V park
Direction to project site Sherwood Hills R. .
Mechanical Sewer Wood Stove
Plumbing Garage Carport 2i6^
Fireplace Deck
Basement Loft other