HomeMy WebLinkAboutBLD0668 Addition - BLD Permit / Conditions - 5/24/1988 SO 0 1
.4
Shorelines: AIA Plumbing:
Setback:
Special Mechanical:
Conditions: Interior:
FINAL:
Mob i 1 e Home
Smoke Detector:
FootLn8: oiK Remarks:
Setback: 7,F
Foundation
Walls:
Framing:�, �
Fireplace:
Wood Stove:
TYPE ADDITION
Permit No. 0668 No. Floors
Owner HARRIS Tel 275r4501
Robert C 1 Sq Ftg �»
Address NE Date 5-24-88
22551 Hwy 3 Belfair
Contractor Self Zip
Address
Legal Description Zip
Saul Theler H & T*-Ili T 44 N 7�7 m,- 44
Direction to project site At Bob's General Store & Video
Plumbing Mechanical Sewer
— WOO'
Fireplace Deck Stove
Garage Carport
Basement —'
Loft Other
ADD OFFICE, STORAGE ROOM
8I■�
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593
DATE ISSUED 5_
OWNER NAME PERMIT NO. D G
�f1/?ripT n ����'�MAIL ADDgESS
DIRECTIONS V il�~AA `C. k ;7a5 S/ Aw V 31�&Srgnre / /� .0 nn 43 EJ F-Ai 0. IP c�a ONE
TO JOB SITE T 7 �D B S ��/U�`70�°iQ{,� S TC��P� �ZTS
? ter DEO
PARCEL /� �3a � dd IO Ck �'3 p
NUMBER EGAL �J Ek-el
CONTRACTOR NAME DESCR. T/e A et,
44 N
��� � MAIL ADDRESS ��
CITY&STATE vV�v
USE OF , LICENSE NO. ZIP
BUILDING V (� PHONE
CLASS OF F l"D 6RDCdip�' Alse0AAY
WORK ✓ NEW ADDITION t /
DESCRIBE n // ALTERATION REPAIR MOVE WORK 1"�� QFI�, S7t7� M REMOVE
��� �Poorr �4N p 1�t,�P� �Y �Urp�p 6010-S Asi0 6k(DcFje1'S 'e
AFXT1 U<�; Aj tFr--0Ep A
BEDROOMS DECKS
CARPORT_ NOTICE
BATHROOMS_L TOTAL SQ.FT.
GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
NO.OF STORIES ---- CONDITIONING.
BASEMENT._ ATTACHED
TOTAL SO FT.�I 2 FIREPLACE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
DETACHED COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPEND IS NOT
ED ORE,
PERMANENT_j/_ SHORELINE ABANDONED FOR ApER10DOF18ppgYSATANY TIME AFTER WORK ISCOMMENCED.
SEASONAL
OWNERS FFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF.THE CONTRACTORS CONTRACTORS AFFIDAVIT
I CERTIFY N LAW M EMP AND AM AWARE OF THE MASON COUNTY ORDINANCE
I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF t
REQUIRE NT3 FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
IN CON F RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
WORK FOR WHICH THE PERMIT IS ISSUED AND ALL C
BTAINI APPROVAL FROM THE BUILDING DEPARTMENT. CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
APPROVAL FROM THE BUILDING DEPARTMENT. WORK DONE WILL BE IN
X O R DATE 4-D 6 -P-p
X BY
DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED
YES NO DEPARTMENT APPROVED
HEALTH PUBLIC WORKS YES NO BUILDING VALUATION
PLANNING
FIRE FEE
D.O.T. BUILDING PERMIT
BUILDING s D
SPECIAL CONDITIONS PLAN CHECK
BUILDING GROUP
Up Z PRE-INSPECTION
I
HORELINE
OODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE '
IPLICATION EPTEp BY PLANS CHECK BY STATE SURC O
APPROVED FOR ISSUANCE PERMIT VALIDATION HARGE
CASH CK MO TOTAL
2
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2 a
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2
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