HomeMy WebLinkAboutBLD11580 Final Carport and Storage - BLD Inspections - 11/4/1981 aw
' BUILDING PERMIT APPLICATION
R
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER Njr� j Mom, MAIL ADDRES CITY&STATE
�.-. ZIP P ONE
DIRECTIONS
TO JOB SITELEGAL d
DESCR. (❑ SEE ATTACHED SHEET)
CONTRACTOR AME MAIL ADDRESS CITY&STATE !1 O LICENSE NO. PHONE
nTZ
USE OF _ 1
BUILDING G ��
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
[ [I [
3 "a4z -
Valuation of work: 0. PLAN CHECK FEE PERMIT FEE Jr—�
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT a3
BATHROOMS TOTAL SQ. FT.__ GARAGE ❑ NOTICE
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
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 certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the
ordinance requirements regulating the work for which FOR OFFICE USE ONLY
the permit is issued and all work done will be in
Tom'conformance therewith. PERMANENT ❑ SHORELINES ❑
Firmt�LTZW�I-FOPj �AJ�s� SEASONAL ❑ FLOODPLAIN ❑
— E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. Not' '— - [ to LZ) ARZONING
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
Owner Date APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
.
11
P CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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Bra4dt, Clem`- ,g #11580
10/14/81 .
Harstene Poinre, Lot 16 19,-;21-1
At Harstene Pointe, right after gate, 157 Barnacle.
Carport & Storage
Contractor;
Fitzwater & Fitzwater
$4,860.00
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