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Home My WebLink AboutBLD91-28132 SHED - BLD Permit / Conditions - 5/16/1991 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 G/ 427-9670 DATE ISSUEDPERMIT NO. NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER c1 C j .r L° 'i r" / l hcl -e// w c - DIRECTIONS TO JOB SITE 01v '/,, C q, "r OP 10 OA/' D. t1i1/ C,i- f7� PARCEL ¢ LEGAL NUMBER i"t1 DESCR. U ..�ITJ e, WNWY Sec c; Al q W w NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR 5 e USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK 1 X! 1 � ,C l.>✓° s l F, f �: I-of e q'v<r 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 ANYTIMEAFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS FFIDAVIT 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 REQUI 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 C 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 NER DATE 4:1 ? ! X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVEDJO DEPARTMENT YES DEPARTMENT BUILDING VALUATION - U HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING '27 PLAN CHECK 2- SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY 'jPLANSCHECK.BY APPROVED FOR ISSUANCE PERMIT VALIDATION � 171 TOTAL [� -71 BY/ _9 /-A'ipt SASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. I`4A-ME ---- AILADDRESS CITY&STATE ZIP _ PHONE OWNER W, 7 q (I r,,A� cc 7& DIRECTIONS TO JOB SITE Ali c PARCEL LEGAL I NUMBER p DESCR. Indicate below: 0 Property lines and dimensions. 0 Easements and roads. 0 Septic, drainfield and reserve area, or sewer. 0 Septic tank and drainfield setback distances from foundations. 0 Location of proposed construction on property. Of 0 Building& septic system setback distances from all property lines& easements. Indicate North 0 Well and water line. In Circle 0 Saltwater, lakes, rivers, streams, wetlands, drainage. 0 Attach copy of septic system"as built" or septic Permit approval. 0 Indicate topography profile of property and structure on reverse side. F ................ 4Z: U,iv lid 14,4 I T� 10, V. T I All J14 fto 1/5 ) -V -v E, I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER 7�. 7orir u ttor �. DIRECTIONS TO JOB SITE C�I/(f A/I C' v T f l61 c T �v o t PARCEL LEGAL NUMBER 7� wC Y p� DESCR. 5 & L - .SCE G' IC !erg' 1- w hn Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building& septic system setback distances from all property lines& easements. Indicate North O Well and water line. In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach copy of septic system as built or septic permit approval. O Indicate topography profile of property and structure on reverse side. v 'v j "t .401 ssfrc ! r� �✓ i I 1-0 C i i I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE vA 7G i 4Aij _ i Ir A� m_� . r.. i �� \� f C4 `� vI `� , . !! � �., --� i .� ,. � � I � � . .� ; . - - - - ,, ; . <,