HomeMy WebLinkAboutBLD2267 Deck - BLD Permit / Conditions - 7/21/1981 MASON COUNTY
P.O. Box 186 Shelton, Washington 98W
426-5593
DATE ISSUED
PERMIT NO. � 7
OWNER NAME MAIL ADDRESS CITY i STATE ZIP PHONE
c14 D J��lnl� /73o V11,41 �i2 PRreK RaA;�t> S LTo tf/A-�lg 4Zlo-Sz/S
DIRECTIONS O� ^�
TO JOB SITE ✓4��l l ST l�it� /7/I14ICT f -IL g•�• 3r e'wenc p--
LEGAL C �S (❑SEE ATTACHED SHEET)
DESCR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Q� �
USE OF
BUILDING �L�G
Class of work: ❑ NEW ADDIT ON ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
1300 .s(P w�7;4�- )eAlL InlG.
Clcrt�i�c- 1v46z:r1�i-
Valuation of work: t Jr0 PLAN CHECK FEE r PERMIT FEE tlO. I-O
SPECIAL CONDITIONS: 7�
BEDROOMS DECKS ICARPORT❑ NOT I C E
BATHROOMS TOTAL SO'. FT S00 GARAGE❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE❑ DETACHED❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR'AFFIDAVIT IS NOT COMMENCED WITHIN 12D DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 12D DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I FOR OFFICE USE ONLY
ordinance.requirements rb the
aware of the gulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT❑ SHORELINES ❑
SEASONAL❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑ PPROVED
By Special Approvals IN OUT YES A NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or,registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conform nce therewith. MOTOR VEHICLE PERMIT
G —7� APPLICATION ACCEPTED BY PLANS CHECK BY ED FOR 86UANCE
Owner � Date.� r
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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Jenaer;''Richard 8. #2167
7-10-79
Alder Creek Tracts, Tract 11
Turn Last on Fairmut froze S.A. 3
4th driveway on left after sewer plant
Deck .
Setback Variance permitted to 4 feet
$69500.00