HomeMy WebLinkAboutBLD29991 Pole Bldg - BLD Permit / Conditions - 2/25/1992 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PRONE
6—
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER -QO G/ D SCR.
G o v ,
NAME MAIL ADDRESS CITY 3 STATE LICENSE NU. ZIP PHONE
CONTRACTOR 6��A 0 M
USE OF r G� E/V�/MCLi4 0W,
BUILDING
CLASS OF NEW &/ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK IOLE l/IL -' F T
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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 ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I 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
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. p'
X OWNER DATE X BY / 1� DATE
FOR OFFICE USE ONLY J
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION J
YES NO YES NO
HEALTH FIVNT PUBLIC WORKS FEE
PLANNING FIRE BUILDING.PERMIT
D.O.T. BUILDING L, PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
JLq SHORELINE
h no 3 WOODSTOVE
JA
2 PLUMBING
MECHANICAL
STATE BUILDING FEE ig. 0
STATE SURCHARGE
APFUtATION ACCEPTED BY PLANS CHECK BY rAFPR103b"lUANCE [CASH
MITVALIDATION
TOTAL
Z^ — Y CK MO
1 \
i • C •
_ 9
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Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: tel:
Mobile Home:
i
Smoke Detector:
Remarks:
Footing: oy
,Setback: t
Youndation
;Walls:
Framing:
'Fireplace:
Woodstove:
AREA: #1 - FAWVER TYPE: POLE BUILDING
Owner: COOK, KEN Tel: 526-8149 Date: 02-25-92
Address: 2200 NE 88TH SEATTLE
permit #: 29991 Floors: 1 Sq Ft: 1152
Contractor: ALPHA STEEL
Phone: 825-7768
Legal Description: 5-22-1 TR 1
Direction to job site: 630 ALTA DRIVE, BELFAIR
Plumbing Mechanical Woodstove
Fireplace Dock GoraP
P14t U t