HomeMy WebLinkAboutBLD0532 Final Storage - BLD Permit / Conditions - 6/11/1987 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED s
PERMIT NO. 0 5 3 2--
OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE
,i5 4R� .-lul?-A f 3314 �>e,8,0V A v& DR,!iMSIZ�dM Aid is
DIRECTIONS Ili TO JOB SITE � �/Cl
.SCy 1.� � /SI � II�I� d ��
�- /�U /� ��- �/� (lf `
PARCEL LEG L
NUMBER :zW3 D DESCR.
CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING U /41 -t y A 13,4 ,t)C
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK
_ui
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES j 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
TOTALSQ.FT. I 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
REQUIREMENT 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 CONFOR ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O R I DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y SPPROVEDJO DEPARTMENT YESPPROVEDJO BUILDING VALUATION
G3?
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 6
SPECIAL CONDITIONS BUILDING GROUP ��_ �Z PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE '
APPLICATION ACCEPTED BY P��ls C CK BY APPROVED FOR I$$UANCE PERMIT VALIDATION
f TOTAL BY CASH CK MO '
Shorelines: N%. Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:e�
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE STORAGE
Permit No. 0532 No. Floors Sq Ftg 192
Owner HURM, Earl Tel377-2107 Date 5-19-87
Address 3314 Robin Ave Bremerton Zip
Contractor None
Address Lip
Legal Description Haven Lake Lot 92
Direction to project site South side of Haven Lake
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck garage —Carport
Basement --Loft —Other
12x16