HomeMy WebLinkAboutBLD16493 ReRoof - BLD Permit / Conditions - 2/8/1985 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
T1' DATE ISSUED
PERMIT NO.
04 Za�i"O/x
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PH
Fred La • E 49SA Mason Labe nr 1. 6rap Illa - gg
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
AME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR p '0t-
USE OF
BUILDING �a E d CD
Class of work: ❑ NEW ❑ ADDITION ID ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Con t snt
t. Pre-manufactured truss
2 1,
3. 151b. vapor barrier & c-omp. roof*g/
Valuation of work: $ PLAN CHIECK FEE PERMIT FEE
4950.00 sv.
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. - GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 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 O F F I C E USE ONLY
ordinanc equirements regulating the work for which
the per it is issued and all work done will be in
confo ance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. o. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. t;LIS 4
PUBLIC WORKS
1 certify that 1 am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT. 3 l�
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
b i conformance t ith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN HECK BY APPROVED FOR ISSUANCE
n BY
Owne Date. L�,ifJ
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LA CROIX, Fred #16493
2-8-85
Mading Sunny Shore Add. 5, Tracts 48 & 49
E 4954 Mason Lake Dr. W
Grapeview 98546 426-7687
North end of Mason Lake Contractor
Roger Denny
Change Roof
$4,950.00
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