HomeMy WebLinkAboutBLD22337 Addition - BLD Permit / Conditions - 7/14/1988 Shorelines: �J Plumbing.
Setback: eo< u1/C Mechanical:
Special Interior:p/, y/,:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing: p1r Z,,//c
Setback:
Foundation
Walls: ae wK 7-14 0r
Fr aoning T � dj& 2:-466
Fireplace:
Wood Stove:
TYPE ADDITION
Permit No. 22337 No. Floors 1 Sq Ftg 384
Owner J & S Newman Tel Date 7-14-88
Address NE 1841 Mission Creek Road Belfai dip
Contractor Owner
Address Zip
Legal Description Mission Creek Lot 1 Block 4
Direction to project site
AcroGs from RP1fair State Park apary 7 mile at e:s ee'eeivis -
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Plum ing Mec apical Sewer oo tove
Fireplace Deck Garage Carport
Basement Loft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
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PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER J- SA—cu) --2
DIRECTIONS
TO JOB SITEI^vim
( -e oil r/ /PARCEL
GAL
N U M B E R:7S1 �J6v -1*i 'J DESCR. OA41 '
CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF WORK NEW �r� ADDITION i ALTERATION REPAIR MOVE REMOVE
r
DESCRIBE
WORK 7�GL� % /� // ��
BEDROOMS DECKS CARPORT c NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. y GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED L 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 L
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.
r
X WNE7� DATE L b' X BY _ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION 01
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT . =-
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS / BUILDING GROUP PRE-INSPECTION
•� L,� SHORELINE
c j/I^R WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE '3 C
/
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION;
BY CASH CK MO TOTAL /� ��