HomeMy WebLinkAboutBLD5830 Final Storage - BLD Permit / Conditions - 1/29/1981 #5830
Rhode, Bjorn 2-14-80
J,O, EOLLEE LAiiD CLAM Section 35 & 36
Deer Creek Mill Road
Farm and Storage use; Farm Building etc-%
Agricultural use
$27 000.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �^p
PERMIT NO.
OWNER NAME,-, MAIL ADDRESS CEFY.&STATE ZIP PHONE
lS.��,P �.wOU� fax S.N��Tan� l^✓,4 1st ��G �3�s
DIRECTIONS
TO JOB SITE C
LEGAL `j _ � a (❑ SEE ATTACHED SHEET)
DESCR I—livvd G -7
S -;K-
CONTRACTOR � _-
NAME MAIL ADDRESS C &'.?TE S LICENSE NO. a PHONE
Ii j`Y
USE OF
BUILDING
Class of work: NEW ❑ ADDITIOV ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE .- PERMIT FEE
C2
SPECIAL CONDITIONS:'
btJ `
BEDROOMS {DECKS CARPORT FL NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE ❑
ATTACHED [j SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ S0 OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE i 1 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
Conformance therewith. PERMANENT SHORELINES
SEASONALi FLOODPLAIN
Firm _
E.D. NO. S.E.P.A. "
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
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
b�enfor nc th with.
� MOTOR VEHICLE PERMIT
Owner ate_ �/ jr -
BY!j { APPLICATION ACCEPTED BY PLANS CHECK BY APPR FOR ISSUANCE
—
PLAN CHECK VALIDATION C M.O. CASH PERMIT VALIDATION CK. M.O. CASH