HomeMy WebLinkAboutBLD2014-00742 Cancelled Storage - BLD Permit / Conditions - 9/22/2014 " .:sue` c��- . •
MASON COUNTY PERMIT NO.aX?,7,,M_
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352
t8u Shelton,WA 98584 (360)482-5269 Elma ext.352.
BUILDING PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 0 f- NAME: 1k s2 A ��
MAILING ADDRES t MAILING ADD SS:,_�2 I 1%• di1/���� l,r� : RAJ.
CITY: ,:5 �JJ ri STATE: jAIA ZIP: CITY , p TATE'• U ,j ZIP:
PHONE: i� Z��DB CELL: PHO .16) - d _ CELL:
EMAIL: EMAIL :
L&I REG# 1, EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) ��S-%�i A�� / l °f►�FIRE DISTRICT v�
LEGAL DESCRIPTION(ABBREVIATED)
SITE ADDRESS---1-4
DIRECTIONS TQ SITE ADDRESS _? 1:- `
' 1 'I ► A - << l� j j Li O
IS PROPERTY WITEEN 200 FT:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WE SEASONAL RUNOFF❑ STREAM El
DOES PROPERTY HAVE SLOPE(S 300 FT OF THE PROIEC TER THAN 14% YES NO ❑
TYPE OF JOB: NEw ❑ DITION J� ALTERATION REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESID GE ETC.) P
IS USE: PRB LARY❑ EA AL❑ NUMBER OF BE R MS NUMBER OF BATHROOMS
DESCRIBE WORK �-
NN
9
SQL ARE F T
is FLOO sq. 2ND FLOOR sq`k 3RD FLOOR sq.fL BASEMENT sq.fL
D K sq.ft. VERED DE fL WORAGE sq.fL OTHER sq.fL
G GE sq.fL ATTACHE T CH .❑ CARPORT sq.fL ATTACHED❑ DETACHED ❑
MANUFACTURED HOME INF TI *4 COPIES OF THE FLOOR PLAN
MAKE MOD YEAR LENGTH
WIDTH BEDROOMS ATHS SERIAL NUMBER
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary
parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the
info ation provided is accurate and grants employees of Mason County access to the above described property and structure(s)for
rev)
w a i pection.This permit/application becomes null&void if work or authorized construction is not commenced within 180
day o ' nstruction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INS N. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS QLt`VkUDATE THE APPLICATION.
Till rN
T�SjgN'I ;t f Gcant Date
X J
0 �_/ OWNER/ REPRESENTATI /CONTRACT
Print Name - (CIRCLE TO INDIC
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 9-
PLANNING DEPARTMENT
FIRE MARSHAL
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MASON COUNTY WASHINGTON
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NOTES
MONUMENTATION:
i SET 5/5"REBAR AT SUBDIVISION 4
BOUNDARY CORNERS.0 Z '
SET 2"x2"HUBS WITH BRASS
TAG MARKED"L.S.11565'•AT ALL
LOT CORNERS.O SCALE 1.,5O, p:
ALL LOT TIES ARE AT RIGHT J UNE 1971 14 oir_l_6W1r ,N77
ANGLES UNLESS OTHERWISE lS 30
SHOWN.
W
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F 2 SHEETS
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