HomeMy WebLinkAboutBLD16423 Final Fire Damage Repair - BLD Permit / Conditions - 3/14/1986 d
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Shorelines: " " .
Setback: -- _
Special Conditions:
Footing:
Setback:
Foundation Wa11s:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof: -
Exterior:
Interior:
Final:
Stop Work: /'�
Mobile Hone
SmokerDetector:
Remarks:
����,�►� BUILDING PERMIT APPLICATION
p r MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
Ids rf/ 426-5593
DATE ISSUED ��j
PERMIT NO. 11_4::/ �X
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Donald Holloway 1930 Walker Pk Road Shelton WA 98584 426-5069
DIRECTIONS
TO JOB SITE 1930 Walker Pk. Road Shelton WA 98584
LEGAL (❑SEE ATTACHED SHEET)
DESCR. _
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NAME MAIL ADDR CITY&STATE LICENSE NO. PHONE
CONTRACTOR Dray Enterprises, Inc. 60 So. Charlotte Bremerton WA 98312 DRAYE**171 373-1441
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION 10 REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Repair on fire damage
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Valuation of wor 10,000. PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITI
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
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that I am a currentty registered contractor in WORK IS COMMENCED.
e of Washington and I am aware of the FOR OFFICE USE ONLY
e requirements regulating the work for which
it is issued and all work done will be in
nce therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Fnter rises c.
E.D. NO. S.E.P.A. ❑
g A. Dra Special Approvals IN OUT YES APPROVEDNO
LE**17UT Date Dec. 28, 1984 ZONING
PLANNING DEPT. i
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 conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUA
Owner - - Date.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT V DA N CK. M.O. CAI"