HomeMy WebLinkAboutBLD27580 DOCK - BLD Permit / Conditions - 2/27/1991 Shorelines: Plunbing:
Setback: Mechanica
TT
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector: _
Remarks:
oozing:
Setback:
Foundation PE
Walls: NULL VUIU BTTY pIRATION
Framing:
Fireplace: y --
na
Wood Stove:
TYPE DOCK
Permit No.
27580 No. Floors Sq Ftg 240
Owner HOLMES, COLII�l Tel 89 Date —
Address es ' of nes, VT—
Zip
Contractor ys is
Address zip
Legal Description a e Cushman div 1 of 51
Direction to project site Turn to dam follow Standstill Dr
So 1st L past dam parking lot to end of road
p um ing Mechanical-
ec anica Sewer Wood Stove
Fireplace Deck GaranpulT Carport
Basement �T�oft IfUlm f V518—Bar EXPIRATION
DATE .36. q4 BY - Oki,-
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 L
427-9670 DATE ISSUED
PERMIT NO
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNERrYve�(Ir={ tC�a y� -.� _.��•'
DIRECTIONS
TO JOB SITE
J Ci
PARCEL LEGAL �r
NUMBER DESCR. '-(-- �—j` � j/f L f'� fc C J /sc m ( 4 s1;
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING ✓C"�
CLASS OF N9W' ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
�� ,�•.^-�_ , /
IBE
WORK LA t`l ti—,
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES — BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWN ERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR MENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CO FORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X XBY 1`� DATE
OWNER DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT YES NOBUILDING VALUATION
YES NO
HEALTH PUBLIC WORKS FEE
FIRE BU'LDING PERMIT
PLANNING
D.O.T.
BUILDING cCU}( PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
I it WOODSTOVE
PLUMBING
MECHANICAL y
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
Br( CASH CK MO