HomeMy WebLinkAboutBLD21814 Final Addition - BLD Permit / Conditions - 5/31/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 /
427-9670 DATE ISSUED
PERMIT Nd - —
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Rom 370 wv qi8
DIRECTIONS
TO JOB SITE IH'I Wf yKtj3 kppkoX 11 M 1 lei A-L" N LPc&
j?xUjLDjN6j N11?44 D c'TW 12K I0 lTzq&M 01J EF S I D OF 4 3
PARCEL �/ y�1�./�► ,
„ 7 /G/�� LESS 17 .S5 ,
NUMBER/0 o[ 1 / DESCR �ACRC EL A O F S HZD2"i' PI.M # U r(oS
NAME MAILADDRESS CITY&STATE. LICENSE NO. PHONE
CONTRACTOR PC*J LINKS '5Cle6D LYNC* A6 S WA DOWu[c 2280 05� �ZG'9S
USE OF
BUILDING W kF'F mou SE
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK Aolo 2600 ti WAlr;Ff'IOIdSE TO e'R I S'rIAI S'TRE�C N 1SC MJQ
Z-"R1.11"r ?P-OD CfiOhl L-NUT ,' NDKJ GOlASU L O S GNl .
NO \MMC.Le5 WILL 8E- USt'U o2 eYbi2E2 IN USA
BEDROOMS DECKS CARPORT_ , NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 18 NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 18 SUSPENDED OR
TOTAL SO.FT.;4t FIREPLACE - DETACHED ABANDONED FOR A PERIOD OF180 DAYS AT ANY TIME AFTER WORK 18COMMENCED-
PERMANENT X SHORELINE
y
SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA LAW RCW 98 27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR TS: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 CON NCE THEREWITH.'NO CHANtiEB SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROV FROM THE BUILDING DEPARTMENT.
X O R DATE X BY DATE-3/:5 $S
FOR OFFICE USE ONLY
DEPA MENT APPROVED DEPARTMENT YES NOBUILDING VALUATION . � O.0
Y NO
HEALTH PUBLIC WORKS `I 00 FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP —2 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
JAPPKLI"CATnIONrEPTEDBY PLANS CHECK BY APPROVED FORISSUANCE PERMIT VALIDATION TOTAL
BY CASH CK MO
Shorelines:_ Plumbing:
Setbsa c: anical:
epacial Interior:
Mobile ncw:
Smcalae biet�ector:
RemarkB:
Sew:
walks
i
MM'bd Stove s
q
TYPE ADDITION
t DID. 2.1814 No. Floors Sq Ftg 26nn
jt SI GERSON, Ikon Tel 275-4421 Date 4-14-88
GreenJZQ
-way Ur'apevipw zip,Links
k
E 3 5-0 Lynch Rd Shelton f
On N 4.55' SZ,NE 1 A S 5) i
Direction to projem site Hwy 3 a o e ore Gi
q1yQ,L"cw blue building with metal ctwork n front on
1 3
plumung _MicrAnical, wer Wbod Stove
Fireplaces Deck.._� Garage sport f'
Easement Loft Other
ADDITION TO FRUIT PRODUCTION PLANT.
I