HomeMy WebLinkAboutBLD23697 Final Pole Bldg - BLD Permit / Conditions - 4/21/1989 Shorelines: Plunbing:
Setback: Me:chanica :
Special Interior:
Conditions: FINAL: C_.4-G 9
Mobile cme:
Smoke Detector:
Remarks:
Footing: ges-t Zy.�? -A S/260, �
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
Typg POLE BLDG.
Permit No. 23697 No. Floors Sq Ftg 1120
Owner MORAN, Steve Te1275-5218 Date 5-11-89
Address E 2131 Mason Lk Ur—EGra eview Zip
Contractor erma t
Address 16521 Hwy 99 L nnwood Zip
Legal Descript on am Theler H & G Trs. Tr A & B of S360'
to projec
t ct site ofTr. 26
ATTACHED
um ingMechanical SewerStove
Fireplace Deck arage carport
Basement ---Izft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
( DEPARTMENT of GENERAL SERVICES
V" P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
Q���k.�J"• m7 &/;%) PERMIT NO. Z 3<,0 9
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
521Ujigui 49q W001004
DIRECTIONS .2
TO JOB SITE
PARCEL NUMBER ��-��2' � D SCL L/ Hi S3lo0
��F/'!� TfS , B
NAME MAILADDRE CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR Q � � LU KN 4Oc4 1905 USE OF
BUILD NG C �S / /jig e T !/ -� 1 /
CLASS OF NEW �( ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
",
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES -L- 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
TOTALSQ.FT. /LQ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA ON LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM TH UIL G DEPARTMENT.
X OW ER DATE X BY DATE 21 r
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION vL7
YES NO YES NO 5�(�
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT S
SC'.
D.O.T. BUILDING PLAN CHECK c�
a45-
SP CIAL CONDITIONS BUILDINGGROUP � , J PRE-INSPECTION
k
SHORELINE
WOODSTOVE
`(,, PLUMBING
{i2 ttsg:� FVew,17.-ggMECHANICAL
STATE BUILDING FEE
w
STATE SURCHARGE
APPLICA N ACCEPTED BY PLANS C KABY APPROVED FOR I AN PERMIT VALIDATION
I✓��% BY� CASH CK MID TOTAL ��'7• QV