HomeMy WebLinkAboutBLD20289 Final ReRoof - BLD Permit / Conditions - 6/4/1987 Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:,0
MobileHome;
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE -,RE ROOF
Pbrmit No. 20289 No. Floors Sq Ftg
Owner LE PERE, Donald R. Te1275-3629 Date 5-22-87
Address P 0 Box 906 Allyn Zip
Contractor Verns Roofing
Address Pt Orchard ip
Legal Description N 1 2 Tr 22 Sam Theler Home & Gar.Tr.
Direction to project site NE 22921 Hwy 3
Dental office across from Belfair Elementary School
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck -garage arport
Basement —loft —Other
10 squares of shakes
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER a
n Pill-ADDRESS CITY BSTATE ZIP PHONE
CA
DIRECTIONS
TO JOB SITE
PARCEL LEGAL � � s
NUMBER 2 2 -UF OOSf DESCR. a CAP C*
CONTRACTOR NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK 2E7 ��,� 2 �ClE --- cuiok-s le z
BEDROOMS ECKS CARPORT NOTICE
BATHROOMS TOTAL SO.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
CONDITIONING.
NO.OF STORI _ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 18 NOT
TOTAL SO. FIREPLACE DETACHED ABANDONED FORIT A PIN
RIODOF180DAYSATANYTIMEAOFTERWORKISICOMMENCED.DOT
PERMAN T SHORELINE
SEAS044L
OWN RSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CE IFY THAT I AM EXEMPT FROM THE REQUIRE ENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE N LAW AWARE OFT E MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
Q REMEN FOR HICH TH PER T IS ISSUED A THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN NFORMA E THEREW N CHA ALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB IN ING APPI F E DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X � 2Z1 �
X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES No YES No BUILDING VALUATION
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
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY 7BY
ED FOR ISSUANCE PERMIT VALIDATION
CASH CK MO TOTAL