HomeMy WebLinkAboutBLD12570 Final Deck - BLD Permit / Conditions - 3/23/1984 P BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 1� l `
` P.E-MIT NO. 42 C/
OWNER NAME CMAIL ADDRESS C &STATE Zlp
l .� J PHONE
DIRECTIONS Kj
TO JOB SITE Q t f7
(❑ SEE ATTAC D SHEET)
TOR NAME MAIL ADDRESS (( CITY'&STATE LICENS NO. PHONE
ENO
Class of work: NEW YADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe-work.-
Valuation of work: $�� PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS `DECKS CARPORT ❑
BATHROOMS (TOTAL SQ. FT GARAGE ❑ NOTICE
NO. OF STORIES BASEMENT ❑ ATTACHED`❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SQ. FT: FIREPLACE ❑ DETACHED ❑
CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered Contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the ordinance requirements regulating the work for which FOR OFFICE USE ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
Firm
SEASONAL ❑ FLOODPLAIN ❑
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
contract or registration law RCW 18.27, and am aware FIRE SHAL
of the Mason County ordinance requirements for BUILDING DEP
which this permit 's issued and that all work done will ROAD ACCESS r
be ' onforman e t e ewith.
MOTOR VEHICLE PERMIT
Owner Date 9 ,1APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
PLAN CHECK VALIDA, ON CK,. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
nseR, Arne
S'te ��12570
tson's Resort #125702
Stetson's Resort Subd. Blk 1 Lot 5
Deck 10x28
$1,400.00
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