HomeMy WebLinkAboutBLD27999 ReRoof - BLD Permit / Conditions - 4/30/1991 3 G o -
l ea
Shorelines: Plumbing:
Setback: Mechanics :
Special Interior:
Conditions: FINAL:
MobileHome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE RE-ROOF
Permit No. 27999 No. Floors Sq Ftg 17
Owner MEEK, HARLEN Tel 427-8842 Date4-30-91
Address E 570 Dartmoor Dr, Shelton Zip
Contractor Self
Address Zip
Legal Description Lake Limerick lots 141 & 142
Direction to project site E 570 Dartmoor Dr.
P Lm ing Mechanical Sewer Wood Stove
Fireplace Deck -air—age -carport
Basement soft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
DATE ISSUED
427-9670
PERMIT NO.
NA E MAIL ADDRESS
CITY 8 STATE ZIP PHONE
i �Ftiz
—
OWNER
DIRECTIONS
TO JOB SITE
PARCEL LEGAL / eke 1,
R. s Sc-c 7' �'�
NUMBER DESC LICENSE NO. ZIP PHONE
NAME MAIL ADDRESS CITY&STATE
CONTRACTOR
USE OF
BUILDING if REMOVE
CLASS OF NEW ADDITION ALTERATION REPAIR r-- MOVE
WORK ✓
DESCRIBE /WORK COwC
/ e a v t
DECKS e s CARPORT Ala NOTICE
BEDROOMS— SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS -2— _
TOTALSQ.FT.-4�° GARAGE a CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
D FIREPLACE S -ve- DETACHED �� ABANDONED FORAPERIODOF180DAYSATANYTIMEAFTERWORKISCOMMENCED.
TOTAL SQ.FT. /�- �L
PERMANENT ✓ SHORELINE CA.e_e-k
SEASONAL
CONTRACTORS AFFIDAVIT
OWNERS AFFIDAVIT
I CERTIFY
GISTRAT ON LAW RCW 8.27TAND FROM
AM AWARE REQUIREMENTS
OF THE MASON COUNTYOORDINANCE WASH NGTON AND NTRACTORSI AM AWARE OF THE ORDINANCE EQUI EMENTI CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
S REGULATING THE
RE
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 I
IN CONFORMANCE THEREWITH. NO CHANGES SHALL APPROVAL FROM HE BUILDING CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
LL BE MADE WITHOUT FIRST
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
i X BY DATE
X OWNER ATE U
FOR OFFICE USE ONLY
APPROVED BUILDING VALUATION
APPROVED DEPARTMENT YES NO
DEPARTMENT Yes NQ FEE
HEALTH PUBLIC WORKS d
FIRE BUILDING PERMIT
PLANNING ` PLAN CHECK
BUILDING
D.O.T. PRE-INSPECTION
BUILDING GROUP ��
SPECIAL CONDITIONS SHORELINE
WOODSTOVE
r PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE l
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL p��•�V
CASH CK MO