HomeMy WebLinkAboutBLD20436 Final Storage - BLD Permit / Conditions - 7/10/1987 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NNAM �51
i STATE E
OWNER tb&t
MAILADORESS
eDIRECTIONS
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TOJ B SITE `3 b d f /lt lq 7�A 7►rr�+
A /YJi/ e w4► J Ti: A S lo. -
PARCEL LEGAL
NUMBER f � /� DESCR I7 S� ,
MAILA 3STATE LICENSE NO. ZIP PHONE
NAME
CONTRACTOR �^ ,•
USE OF A, A64- Cofti""C Akf*,14 - 4 Ode r�CP
BUILDING
CLASS OF NEW ADDITION _Y ALTERATION REPAIR MOVE REMOVE
'WORK r j D RIB E A�x .� c �+rd Ok 0. h �.�f`f7•
WO
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE / CONDITIONING.
NO.OF STORIES — BASEMENT ATTACHED y THIS PERMIT BECOMES NULL AND'VQID IF WORK OR CONSTRUCTION AUTHORIZED IB NOT
COMMENCED WITHIN 180 DAYS,'OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT.3Z2_ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT I SHORELINE
SEASONAL.
OWNERS AFFID VIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I M EXEMPT FROM THE REQUIREMENTS OF:THE CONTRACTORS 1 CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REQWTRATIQN RCW 15,V,AMP AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE lBBOUNN:MOM REGULATING THE
REOUIREMU TB . WHICH THIS PELT IS 188UED AND THAT ALL WORK DONE WILL BE WORK FOR WHmm THE PERMIT IS D AND ALL"WORK DONE WILL BE IN
IN CON THEREWITH. NO CHANA $HALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES"SHALL BE MADE WTTHCUT FIRST OBTAINING
A VAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT-
OBTAINING /. iQ'
X OW ER DATE X BY16 DATE
li - FC1"0 OFFICE USE ONLY
APPROVED DEPARTMENT A D BUILDING VALUATION 9 7 S.
DEPARTMENT YES NO rEs No
HEALTH
PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 3
g
BUILDING PLAN CHECK
D.O.T. R s�
SPECIAL CONDITIONS BUILDING GROUP AA _ '2- PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE ,
STATESURCHARGE n
APPLICATION ACCEPTED BY PLANS BY APPROVED FOR ANCE POWITVALIDATION TOTAL
gy CASH CK MO
' Shorelines: ,1,4 Plumbing:
, Setback: Mechanical:
Special Interior:
Conditions: FINAL:O ,�
Nobile�`ROOM P
Smoke Detector:
Remarks:
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Nod Stove:
{ TYPE STORAGE
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