HomeMy WebLinkAboutCOM19836 Final Addition - COM Permit / Conditions - 8/21/1987 TypE ADDITION (Commercial Shop)
Permit No. 19836 No. Floors 1 Sq Ftg 450
Owner �,'1dt1SAY- Ifayard TL-1275-2-211 Date 2 9 87
Address R9245 Hi gbIgag 34 1 R fai r- WA Zip 98_
Contractor
Address zip
Legal DeaCrl onS m Theler H & G Tracts, TR 46
birection to
pro3 s1 CIE 22451 HiQway 3 - Old PTD.,,T„_
R1 r90
Plumbing. Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport_
Basement Loft Other
Shorelines: /L Plumbing:
Setback: Mechani :
Special Interior:
Conditions: FINAL: O �l .2/ -9
Mobile one:
awke Detector:
Remarks:
Footing:
setback:
Foundation Wig..
FramincJ:e W&�t7 rif
Fireplace:
Wood Stone:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
IJ
PERMIT NO.
MAILADDRESS CITY&STAT ZIP PHONE
OWNER NA , o S-Z"L�
DIRECTIONS
TO JOB SITE 2
4/d emu•�• �1c�q.
LEGAL SQ m 8 t#E X E,Q�S 7`iPS
DESCR' �� 3 .SD `� 0�d LICENSE NO. ZIP PHONE
NAPE MAIL ADDRESS CITY&STA
CONTRACTOR .,
USE OF ��rlV�t
BUILDING
CLASS OF NEW ADDITION 1 ALTERATION REPAIR �MOVEREMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. �0 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH.,AO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVA OM TH LDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OW N ER DATE -/-Z-(� Y7 X BY DATE
E FOR OFFICE USE ONLY
APPROVED DEPARTMENT APPROVED BUILDING VALUATION SDO
DEPARTMENT YES No res No
HEALTH
PUBLIC WORKS FEE
PLANNING FIRE
BUILDING PERMIT
BUILDING PLAN CHECK
D.O.T. �5
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
ON ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL
BY &ff—
CASH CK MO