HomeMy WebLinkAboutBLD21337 ReRoof - BLD Permit / Conditions - 12/21/1987 i
Shorelines: Plumbing:
Setback: Mechanics
Special Interior:
Conditions: FINAL•
Mobile ome:
Smoke Detector:
noting: Remarks:
Setback:
Foundation
Walls:
Framing: RFRMIT
Fireplace: L A
Wood Stove:
MON
DATE �_______. ._--------•----�....�.,
TYPE RE ROOF
Permit No. 21337 No. Floors Sq Ftg
Owner MORAN, Stephen A Tel 275-5218 Date 12=21-87
Address E 2731 Mason Lk Dr E view Zip
Contractor None
Address Zip
Legal Description Sam Theler Home & ar r
Direction to project si of Tr 6
22691 Hwy 3 Belfair rm Ouse, ellow window
rames
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
00a(o3
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUEDA9 o2/ c 7
PERMIT N05�ZO%3 3 /y
OWNER NAME MAILADDRESS CITY&STATE _ ZIP PHON
ys-
DIRECTIONS
TO JOB SITE
Ardfn
PARCEL LEGAL s'3GJD'
NUMBER 1� 33 az s-o 0 ov63 DESCR. S,/h, !� % �• ,� !j S 1[ �#� c.c j.? ,?L
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR G„�� MOVE REMOVE
WORK Po-
DESCRIBE
`_
WORK C �? `e- l D/^ /t✓G y` P +P Gr>J
cv n/� o/'- w DD ,f
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I C TIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE STRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE UIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
O AINING APPROVAL FROM THE BUILDING DEPARTMENT. +� APPROVAL FROM THE BUILDING DEPARTMENT.
WNE TE �'L%'`�� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO �
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE 1 O
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION _
BY CASH CK MO TOTAL aa, �D