HomeMy WebLinkAboutBLD13018 Final Shop - BLD Permit / Conditions - 9/16/1983 i
Smith, Wfyve B. #13018
'426-5161 9/16/82,
Lake Limerick, Lot 142, Division 4
right at firehouse on Mason Lake Road, 1/2 mile on
Dartmoor Drive, E 520 Dartmoor Drive.
Shop building Contractor:
(Addition of 2nd Story) Owner
$6,120.00 Shoreline Exemption
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- - BUILDING,PERMIT APPLICATION
` - MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 _ �62,
426-5593
DATEISSUED
PERMIT NO.
CITY&STATE ZIP PHONE
NAME MAIL ADDRESS _ j
OWNER �A M E ia, JMi'r M � G'7 ll ovi-'D(- JttfiG t At ft C? Stl y� G S
DIRECTIONS
TO JOB SITE -'I �JirK /�iq k) �� ���Z � �� �� K ~w� (p SEE ATTACHED SHEET)
LEGAL t,
DESCR. l b--r ��� kC tih e�r�(c PHONE
NAME MAIL ADDRESS
CITY&STATE LICENSE NO.
CONTRACTOR �(Jt1N
USE OF ((��
BUILDING J t 0 1�t�C
Class of work: ❑ NEW DITION ❑ ALTERATION El REPAIR ❑ MOVE ❑ REMOVE
Describe work:
' '✓/J frt/
PLAN CHECK FEE PERMIT FEE
Valuation of work: $ /
4:
SPECIAL CONDITIONS:
BEDROOMS {DECKS
CARPORT ❑ NOTICE
BATHROOMS f TOTAL SQ. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
ATTACHED ❑ OR AIR CONDITIONING.
NO, OF STORIES BASEMENT ❑TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
IZED IS NOT COMMENCEDWORK IS
CONTRACTOR AFFIDAVIT SUSPENDED OR ABA DONEID THIN FOR8A0 PERIOD OF 180 DAYS AT ADAYS,OR IFINY ON TTIIME AFTER
WORK IS COMMENCED.
I certify that I am a currently registered contractor in FOR OFFICE USE ONLY
the State of Washington and I am aware of the
ordinance requirements regulating the work for which
the permit is issued and all work done will be in PERMANENT ❑ SHORELINES
Conformance therewith. SEASONAL ❑ FLOODPLAIN ❑
E.D. NO. S.E.P.A. ❑
Firm IN OUT YES APPROVED NO
Special Approvals
By ZONING
Lic. No. Date PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT 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. 6
of the Mason County ordinance requirements for ROAD ACCESS
which this permit is issued and that all work done will MOTOR VEHICLE PERMIT
be in conformance therewith.
LIGATION AC EP ED BY PLANS CHECK BY APPROVED FOR IS
BY
Owner D� Date.
P v P MIT VALIDATION CK. M.O. CASH
p CHECK VALIDATION CK. M.O. CASH