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HomeMy WebLinkAboutBLD27453 Addition and Porches - BLD Permit / Conditions - 2/5/1991 Shorelines: flnmi : Setback: Mechanica Special Interior: Conditions: FINAL: Mobile : Stroke Detector: _ Rmarks: 00 ing: Setback: Fotndat ion — Malls: — Traning: fireplace: Mbod Stove: TYPE ADDITION-&'PO_RCHES llrsmit No. 274533 No. Floored 1�,_„_ S1 Ftte 4 350/90 ( per UN _ _...._._--- 'Aidtess E 16991 Hwy 3 A lyn 14A Zip Quaractor self P Aftess Legal DWr pt on 30-22-1 NE SE1 , Direction to project site 1 mt South of Allyn on Hour 3 Plizibi an ca wet Wood Stove , Fireplace Deck 'C stage import ' Basement —Tuft —other •I BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 I�i / 427-9670 ) DATE ISSUED 41 PERMIT NO. ME MAIL ADD SS CITY 6 STATE ZIP PHONE OWNER w Gw�/y46 �� /V LtJ S-g TIRECTIONS O JOB SITE /� r'�. S• Q k L��J Q /tJ IT/ 3 PARCEL NUMBER ' 10.36-7TD ESCR. G , ��t JG � ��C. 30 /W zLA.- CONTRACTOR AM MAILADDRESS CITY A STATE LICENSE NO. ZIP PHONE USE OF ,/ oo BU D NG � id ew-, CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK I �( StOg"? A<W-1 -hon I'l-nih ;z 30 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 IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. ' FIREPLACE DETAC ED ABANDONED FORA PERIODOF180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMAN NT SHORELINE SEASO AL J RS AFFIDAVIT CONTRACTORS AFFIDAVIT FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT I AM A.CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF ATION LAW RCW 14.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE MENTS 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING NG APPROVAL FROM THE BUILDING DEPARTMENT. p / APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER PATE 6 / XBY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE i PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS I BUILDING GROUP PRE-INSPECTION I c", L (,N SHORELINE W ; az WOODSTOVE , PLUMBING 'MECHANICAL ` © STATE BUILDING FEE Q STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED OR 1 ANCE PERMIT VALIDATION FAI&bzz 1TOTAL BY [flASH CK MO I ADDRESS CITT STATE ZIP PHONE TO JOB SITE DIRECTIONS PARCEL NUMBER 1r r f / f • s • • • •• _• • - ILL • • • • • • • • a ;• • • a • • : • • • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■11�■■�;!!4y ► gill l'D■■■E@ MINE■■ ■■■■■■■ = ►�®ns r �� � ■urea■ Limp MEMO ■■MINIM■■ ■/■ '/■■■■■■■■■"i'�fl■■■■MI ■■■■■■�■■/r■■■■■■®�■Ni�®a�ii■■MIS , -. ADDITIONS/PORCH #27453 BLDG#5