HomeMy WebLinkAboutBLD0239 Final Repair Fire Damage - BLD Permit / Conditions - 3/7/1985 MORRILL, Orilla #0239
Pirates Cove #2 Block 5, Lot 27 12-4-84
P. 0. Box 92
Grapeview 98546 426-6590
Lombard Rd: to Pirates Cove #2, to Treasure Lane to
Gem Court.
Contractor
Re
K & S General Cont.
Repair Fire Damage e P
$27,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED cy
PERMIT NO. 0 f
OWNER NAME AIL ADDRESS CITY&STATE ZIP PHONE
u Ise, t'so y- z' , 9 tiZ6
DIRECTIONS
TO JOB SITE P� � S L- GR C'T
LEGAL 1 �Q (❑ S_�j TTACHED SHEET)
DESCR. �/ r�7-�.5 `_006 e� �e7T �7 `y�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR � Q � S *��p
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ALTERATION XREPAIR ❑ MOV9 ❑ REMOVE
Describe work: pp
Valuation of work: $ PLAN CHECK FEE PERMIT FEES—d
2 OA0 v3 414,
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I cent' that I am a currently registered contractor in WORK IS COMMENCED.
the fate of Washington and I the
aware of the FOR OFFICE USE ONLY
or Inance requirements regulating the work for which
e permit is issued and all work done will be in
Onformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN El
Firm 55 � �V�'/lsfi cUM—d.�c'/`cacs
E.D. NO. S.E.P.A. El
B Special Approvals IN OUT YES APPROVED NO
Lic. No. �VM(.1 S/ A4 AR Date �_�'L!L_
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 BUILDING DEPT.
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
APPLICATION ACCEPTED BY PLANS HECK BY APPROVED FOR ISSUANCE
Owner Date. ltl B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH