HomeMy WebLinkAboutBLD10489 Carport and Storage - BLD Permit / Conditions - 6/8/1981 Pam, Ma�trl. r•
04-30-81
• r i
Stretch Island - turn right at crossroads - first
drivdway on left to top of hill
ract 2 of SEl/4 EE1/4 Ea. R/W
i
Carport b Storage
,I
$3,720.00
i
4
i � y�
�`
'O
°Q
'�
� � l`
i \
� r
'v'..
`,�,
k
LDING PERMIT APPLICATION
MASON COUNTY (�//)/�P.O. Box 186 Shelton, Washington 98584 816P`lt') �016
426-5593 f —3 0 Q'/
DATE ISSUED 7 t,� a/
PERMIT NO. / 0 / Tf
OWNER NAME MAIL A . SS CITY S STATE ZIP PHONE
/vim I
DIRECTIONS {�
TO JOB SITE X ,r, y
LEGAL ^7 ( SEE AC ED SHEfn
y DESCR.
CONTRACTOR
NAME Se/ AIL ADDRESS CITY 3 STAft LICENSIVNO. PHONE
USE OF
BUILDINGV
Class of work: XNEW ff ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: rr
Valuation of work: $ � r�^ � PLAN CHECK FEE � L PERMIT FEE��/�
SPECIAL CONDITIONS:
BEDROOMS 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 COMMENCEDWITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work forwhich
the permit is issued and all work done will be in
conformance therewith. PERMANEN SHORELINES ❑
SEASONAL❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that t am exempt from the requirements of the FIRE MARSHAL
contractor registration law RCW 18.27, and am aware BUILDING DEPT. 30
Of the, Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
PL TION ACOEFTED BY,I PLAN CHECK BY APPROVED FOR ISSUANCE
Owner Date �4�&vAh4&f.4 BY
\P AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH