HomeMy WebLinkAboutBLD11015 Farm Storage Shed - BLD Permit / Conditions - 7/15/1981 f I
CHAPMAN, Asa Zerne #11015
E. 220 Anderson Rd. N, Shelton 07-15-81
Harstene Island - North - Haskell Hill Rd. - Anderson
Rd.
Tract 10 of Govt Lot 4, 26-21-2
Farm Storage Shed Contractor - Self
$10,880.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
OlAh
RMIT
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER ly Zerno- - '' r ' r4� 36cG$6/Z
DIRECTIONS 1 _ ,I 1
TO JOB SITE .r51 evle. ,js�,a,4 - Ala r7A y Ns6l/ difi,..d 7 AN�Fk 50y��a
LEGAL -/� L ) ,/ (❑ SEE ATTACHE SHEET)
DESCR. /.ae�' 0 [+1 � oUy, 1.C�7 5'ec'flb TGm 2 / — � 2 �l: 1./.
[BUILDING
ONTRACTOR NAME - MAIL ADDRESS CITY&STATE LICENSE NO I PHONE
C'(A' p �
SE OF 1
S40'_Age— S42
Class of work: I$ NEW M ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE
Describe work: Pxw1
j _' x 9C 24crA,'e S�iet{ w �f�neC
, u
Valuation of work: $ 1 i PLAN CHECK FEE - P RMIT FEE
SPECIAL CONDITIONS:
BEDROOMS_ ' DECKS. CARPORT ['. NOTICE
BATHROOMS _ TOTAL SQ. FT_ GARAGE :]
' ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO, OF STORIES / BASEMENT [i OR AIR CONDITIONING.
TOTAL SQ. FT._W1rU 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 FOR A PERIOD OF 180 DAYS AT ANYTIME 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 e
SEASONAL FLOODPLAIN C
Firm E.D. NO. S.E.P.A. C
By Special Approvals IN OUT YES APPROVED NO
Lie. No. Date ZONING
PLANNING DEPT. pZ�
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 per it is issued and that all work done will ROAD ACCESS
be in confor nce therewith. MOTOR VEHICLE PERMIT
CATION ACC TED Y PLANS CHECK BY APPROVED FOR ISSUANCE
Ow er Date p� BY
`PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION K, M.O. CASH