HomeMy WebLinkAboutBLD16115 Addition - BLD Permit / Conditions - 9/13/1984 MC QUISTON, William #16115
9-13-84
Harstene Island Estates, Por Lot 15, Div. 2
E 471 Dana Drive
Shelton, Wash 98584 426-1253
South end of Island, Near Pool @ Harstine Island Estates.
Addition of Rec Room & Solarium, enlarge 2nd level
Contractor
Addition Burgdorf Const.
$20,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /3_
DATE ISSUED _. _
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
A -iz
DIRECTIONS
TO JOB SITE
LEGAL (': SEE ATTACHED SHEET)
DESCR. Is QA;V
N E MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR 429-S&
lAeA
USE OF
BUILDING E5r bo ve,E CA k I r-)
Class of work: C NEW >rADDITION ❑ ALTERATION ❑ REPAIR C MOVE ', REMOVE
Describe work:
e 7'5o'
Valuation of work: $ 2O Gt70 po PLAN CHECK FEE PERMIT FEE/
�S e o 6
sy
SPECIAL CONDITIONS: 9+-10 ,
BEDROOMS . _ DECKS _ CARPORT , NOTICE
BATHROOMS. TOTAL SO. FT.=D— GARAGE
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING. VENTILATING
BASEMENT NO. OF STORIES___ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE DETACHED ,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in
WORK IS COMMENCED.
1 the State of Washington and I 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
SEASONAL FLOODPLAIN
F
� � E.D. NO. _ . . S.E.P.A.
g YES Special Approvals N OUT APPROVED
y i i NO
Lic. No. W - 214 VD ate ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT H PT. C
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 UILDING DEP L Li
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
z
ON ACC PTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. �( /J B;Ii �o
/-\ ii
PLAN CHECK VALIDATION CK. M.O. CASH PER IT VALIDATION CK. M.O. CASH