HomeMy WebLinkAboutBLD0284 Deck - BLD Permit / Conditions - 4/9/1985 BEERNINK, Lowell #0284
4-9-85
Treasure Island Lot 191
P. 0. Box 26 Grapeview 98528 275-2297
Contractor
Ron Ewing
Deck
$2,890.00
H Cif �y whdEhammmm wCAtn
O rt w 0 M O A r O w " O A O 'O A O'
w O O rt rt O n C O M 0 O rt O A rt O
t 7�' w'O A A A I-h o a A 9 p w rt n v' tt
x' A :C •• w p w r p w n p n w r
w o � o• CA^, w rt P3 oq rt 7c'OQ r 7r w
�1 ro n air •� noo e M o ci •• M•• A O O w
C ` O
rt
rt
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED L� _
PERMIT NO.
OWNER NAME ,MAIL ADDRESS CITY 8 STATE , ZIP PHONE
.0 owe-11 &cAA,1Ak PQ ,ffo A 4' V S- 2,79 .2277
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. � o t / 9/ T<9 Sujrc A .G
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW El-ADDITION ❑ ALTE PAIR ❑ MOVE ❑ REMOVE
Describe work:
L ce cX�
Valuation of work: $ g 9Q PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
t
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered Contractor in WORK IS COMMENCED.
the State of Washington and I am 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 ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN Ll
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date h-s� 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHfipK BY APPROVED FOR ISSUANCE
Owner Date, B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
/3 -T-() 6j
MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
LEGAL OE>6CRIPTION
Location o 'q/ t f e- %
Of NS NS
Building
E W side of feet E W from intersection of
Sect. Twp. Range
NO. PLUMBING FIXTURESA' SEE NO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS 8.Vo EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS EACH 60 TO 120 MBTU
BATH TUBS S EACH 120 TO 200 MBTU
EACH 200 TO 500 MBTU _
WATER HEATERS (� EACH OVER 500 MBTU
AUTO. WASHERS / S
SINKS SU
FLOOR DRAINS
DRINKING FOUNTAINS
f LAUNDRY TRAYS SV
Connect to City Sewer SERVICE CONNECTION
DISH WASHER
i
I DISPOSAL
i —
URINAL
Distribution System
By Special Permit
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
GAS AND WATER, SKETCH IN SEPTIC TANK & DRAIN
ERMIT Q PERMIT
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
FFP Z .�
) 7.Qo
FIELD INSPECTION
Date By Remarks
)N-ame Mailing address — Number, street, city, and State Zip code Tel. No.
kZIP
owner 3fj
W _
2 lLiX/Bf1z/1t��cl s . lL
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of.I111I8SOn COunty
signatur of applicant Address Application date
00 NOT-WRITE__ IN THIS SPACE — FOR OFFICE USE _
Approved by T$Por
mit fee Date permit issyed Permit number Receipt No.
r7Or �Y—