HomeMy WebLinkAboutBLD2017-00865 Final Window to Door - BLD Permit / Conditions - 12/29/2017 0 CONCRETE MECHANICAL MANUFACTURED HOME
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MASON COUNTY COMMUNITY SERVICES permit No: ��dI ����.�
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 RECEIVED
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
" 4' Belfair.,(360)275-4467•Phone Elma:(360)482-5269
1854
BUILDING PERMIT APPLICATION SEP 0 6 2017
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA'IWYV Alder Stggt
NAME: r.�'i-- r--" I¢ ` NAME:
MAILING DDRES : 15760 MAILING ADDRESS:
CITY: STATE: ZIP: �$oL1f CITY: STATE: ZIP:
PHON #I: "�(�f� � �f' PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG# EXP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
j PARCEL NUMBER(12 Digit Number) _ '� '� 3 o P S _ Tao 3y ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS jL, 15 Sh&21,,100 d pd� �1;r1 CITY
li DIRECTIONS TO SITE ADDRESS �—
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM ❑
TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)
IS USE: PRIMARY❑ SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES art[s1 of Bldg) ❑ NO ❑
DESCRIBE WORK
SQUARE FOOTAGE: (propose+existing)
1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft.
DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq. ft.
GARAGE sq. ft. Attached❑ Detached n -q
CARPORT _ n ft
004-f
UILDING
RECEIVED
s S Y 2 4 2017
w � 9' �'Z-� 615 W.Alder Street
s e �F
K- to s
CHANGES
AL
fr "
'THESE PLANS � UST BE SUBMITc14ANGES FOR APPROV
ECEIVED;.
-�- � PRIOR TO PERFORMING WORK
FOR
JUL 2 5 2017 INSPECTION
15 W.alder Street . MUST MEET ALL CURRENT
;. . WASHINGMN STATE CODES
rN
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