HomeMy WebLinkAboutBLD27163 Final Garage - BLD Permit / Conditions - 6/16/1992 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER 11"-G 6144ve 4-77lo 6ZO&IVI.0 > 1a
DIRECTIONS
TO JOB SITE
PARCEL LEGAL L"ems /fr f�-o ,fie; •C-Sy/1! B��/� J'
NUMBER
AME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE`
CONTRACTOR
USE OF
BUILDING 4d F
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK LJ✓G� ��dG�
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE M CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OW/NG
FIDAVIT CONTRACTORS AFFIDAVIT
I CT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
CERTIFY
LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE 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 NCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER ATE X BY DATE
FOR OFFICE USE ONLY
APPROVED DEPARTMENT YES APPROVEDBUILDING VALUATION 7
DEPARTMENT YES No
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT (p�, S D
D.O.T. BUILDING PLAN CHECK 5; �� a
SPECIAL CONDITIONS BUILDING GROUP ,/1/) ) PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE �"�
APPLICATION ACCEPTED BY PLANS BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL V�
IBY CASH CK MO
Shorelines: Plwobing:
Setback: Mechanics .-
Special Interior:
Conditions: FINAL:�,��S� 2,r a•��A
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback: A
Foundat• n
Walls:
Framing•
Fireplace:
Wood Stove:
TYPE GARAGE
Permit No. 27163 No. Floors 1 Sq Ftg 792
Owner CHAFE DEL— Tel-7=T185 Dated �
Address E 771 rapeview p lyn Zip
Contractor se -------
Address
Legal Description yn eac r o ip
Direction to project site WWI, j t„ h,
And Of rraT ovi Aim_
tm ing c anica ewer tove
Fireplace Deck =ar e arport
Basement soft Other
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