HomeMy WebLinkAboutBLD12855 Addition and Roof - BLD Permit / Conditions Zenk, William W. #12855
426-2305 8/11/82
Pirates Cove, Block 1, Lot 28
Right on Lombard Road, Pirates Cove.
Addition/Alteration Contractor:
New Roof Same
$24,595.00 Shoreline Exemption
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED O Q
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE . ZIP PHONE
17,
DIRECTIONS
TO JOB SITE
LEGAL + (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
le S/we—,2v 4C Ly
Class of work: ❑ NEW ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Descri e w rk- / ii
e
0 0� wNs46 N e W Rao cf2LIz-f i cs .Iv -
-CIO.x I Valuation of work: $ PLAN CHECK FEE / PERMIT F
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 FOR A 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 the
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 ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. Ib /J aZ
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. g/� M y',Z
which this permit is issued and that all work done will ROAD ACCESS
be in c nformance therewi MOTOR VEHICLE PERMIT
�+ /r PLICATIO C PTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owne ate. o z
PLV CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH