HomeMy WebLinkAboutBLD0086 Enclosed Carport and Add Shed - BLD Permit / Conditions - 9/20/1985 BUILDING PERMIT APPLICA TIO
MASON COUNTY
V
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED / ,J�
PERMIT NO. ow
OWNER N ME MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE ITIf,N U/V Diw97y= .�� L) FF o� /SfC�:Yt/ A.
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NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR -chl-
USE OF T
BUILDINGR��� 1rA 4�
Class of work: )(NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
, ,-j ece 4z F.r/d y/AG col
Valuation of work: $ `U� PLAN CHECK FEE PERMIT FEE sd
6 .ry a
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT.Y_OD_� FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES
Firm SEASONAL ❑ FLOODPLAIN I]
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
lee . y that I am exempt from the requirements of the FIRE MARSHAL
co ract or registration law RCW 18.27, and am aware
o the Mason County ordinance requirements for BUILDING DEPT.
hich this permit is issued and that all work done will ROAD ACCESS
e in conform T
r Ith. .�OMOTOR VEHICLE PERMIT
�� APPLICATION ACCEPTED BY PLA CtC BY � APPROVED FOR ISSUANCE
r V - �' Date. /
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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TUKE, Larry J.
#0086
t 9-20-83
N 68' of the following property; Mason County, that
portion of the S 978.5' of Gov. Lot 1, 5-23N-1W,
lying W of Tiler Creek Branch Road around the N end
of Tiger Lake
Turn on Dewatto Road off Old Belfair Highway, 2 miles
Right on Mission-Tiler Road, 1I miles Left on Mt. Lake
Drive, 1st house on Left
Enclosed CArpCrt & Contractor
Add Shed
e
$3600,00
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