HomeMy WebLinkAboutBLD28830 Addition - BLD Permit / Conditions - 8/19/1991 3. 60Q5C)
(
Plumbing:
Shorelines: Mechanica
Setback: Interior:
Special FINAL:
Conditions: Mobile
Smoke Detector:
Remarks:
ooting:
Setback:
Foundation
Walls:
Fr aping:
Fireplace:
Wood Stove:
TYPE ADDITION
Permit No. 28830 No. Floors Sq Fag
Te1426=4�310 Date
Owner Arthur Tozier zip
Address PO Box 1301 She ton
Contractor Sam zip
Address
Legal Description 18 21 4 Tr 2 mi
Direction to projeca site 1 S okomish Va ey R
fran H 101 to left from Geo. Adams Salmon Hatcne
ewer tove
c anica rt ing �— arage _ ar Po ._
Fireplace
Dec
Basement ft �ea ADVISED TMAT MISSING RE-
SEWAGE RgMM RDS apULD AFFECT RE SALE N OR RE-FINANCING. LIVING ROOM
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 1 4
427-9670 DATE ISSUED
PERMIT NO. :k_k3�
OWNER
MAILADDRESS CITY&STATE ZIP PHONE
P.O O 0�jv
{' S 6�
DIRECTIONS 1
TOJOBSITE �, ( '3 ' 6
161 to L E+ (vcm Gen AdaaLL 21 -1 v PARCEL
NUMBER /3 V(5 DEGAL
ESCR. qA9
NAME MAILADDRESS CITY STATE ICE SE NO. ZIP PHONE
CONTRACTOR M e
USEOF
BUILDING p
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ ✓
DESCRIBE
WORK 02 1( L/V ! 8Zq
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OFSTORIES 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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF IBO DAYS AT ANY TIME AFTERWORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL �
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT L' ,.l /v7-1 Eg II Zg;r
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATEOF
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 THEREWIT O CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROV RO ILOING DEPARTMENT.
OWNER DATE XBY DATE
FOR OFFICE USE O LY 3/R'4&33
DEPARTMENT YESPPROVE NO DEPARTMENT YES APPROVEDNO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT .J
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
3 .RECORDS NOT LOCATED. OWNER ADVISED THAT SHORELINE
MISSING RECORDS COULD AFFECT RE-SALE OR WOODSTOVE
PLUMBING
NOT "HOLD" THIS PROJECT IN ENVIRONMENTAL HEALTH. MECHANICAL
G-e� Caroa. (cr�3 �"'� InS atvi C c1 4 p> STATE BUILDING FEE
bra C v'6V4,L v. STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS C ECK BY �] VE O U PERMIT IDATION V
BY C H CK MO TOTAL
CONDITIONS PAGE
1. Foundation venting must be no higher than one foot above grade.
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061
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