HomeMy WebLinkAbout21701 - BLD Inspections - 4/29/1988 Shorelines: Plumbing: ,
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks:
Fboting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE LADDER
Permit No. 21701 No. Floors Sq Ftg
Owner GRAPEVIEW FIRE DIST.#3 Tel Date 3-23-88
Address Grapeyiew Zip
contractor Ace Welding
Address E 9421 Hwy 3 GraReview Zip
Legal Description Tr 4-A G.L.1 8-21-1
Direction to project site
Plumbing Me is Sewer Wbod Stove
Fireplace Deck Garage Carport
Basement Loft Other
Now-
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUE&3—`4 3`595�r
PERMIT NO.(:=NP/ 7Q
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
-7
. ".,NUMBER 2jF) �, DESCR
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
Ce lv t r-g .z vi
USE OF
BUILDING c ,.
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK y _
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE REMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X X BY DATE
FOR FFICE USE ONLY
DE RTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION d 0
YES NO YES NO ��
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT /9, 4' e
D.O.T. BUILDING PLAN CHECK S 6
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION I
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY JAPPROVED FOR ISSUANCE T_VALIDATION
r� yr�� BY 61 CAS CK MO TOTAL