HomeMy WebLinkAboutBLD90-25720 METAL BLDG - BLD Application - 5/17/1990 BUILDING PERMIT APPOCATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHING ON 98584 _ /y
427-9670 DATE ISSUED �-/��J�v
PERMIT NO.
OWNER NAME / MAILADDRESS ) ITYa STATE ZIP w PHONE
V r_- /. ,.,� - �•! 'fi ,f- ='hz� L: ; i.,:n,.
DIRECTIONS r
TO JOB SITE ,r G 1 �Z;4< �►.,,, r— A i
PARCEL LEGAL �r
NUMBER -�IrI. �- 7/[ .��/��?i-�p' DESCR. � ✓�.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR (-,��•<'rI ��ah� 1 � f',k ,
USE is 9i <�'
BUILDING
CLASS OF WORK ✓ NEW ADDITION ALTERATION REPikIR MOVE REMOVE
DESCRIBE 'y `({. {�
WORK /Y� �-' �a-i6'�)H �<�v.c < rJ ,� / X
BEDROOMS DECKS YOR N CARPORT NOTICE
TOTAL SQ.FT.
DECK GARAGE SEPARATE PERM TS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. TOTAL SQ.FT. 11ri CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BEC MES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED_ —_
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY-THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE I HEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE X BY C DATE .S —
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION r.
YES NO YES NO
f
HEALTH 1-- PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING ��� PLAN CHECK
� -_� -
SPECIAL CONDITIONS BUILDING GROUP Y° PRE-INSPECTION
SHORELINE
<s '' F caE' , . � E T WOODSTOVE
- j PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE �PERMITVALICDATION
TOTALVc �6
BY r —� ASH K MO
�I 4
_ y
� k
R,
i
X
G
10
0
G v p tl
z fs -
a j - -
_ rr�
0 3
rn
kA
its r,
-441
� H
'h
_ r
fj
E b
sir, X AVMRo
r ,
O --- _...____..._.._-.__-----�- --- ----�
�,c,c
i ; -
� .
1
I
W Z` 1 ,� _______ �
�1 I C �.----_____. �
�� I ti �_..._._.�_._ _.
C I ' _ ---
a � - - - �
R, � ? � _ A ____
� , � _ _ - -
x, . _ __ _----- _-----.- . - - ---- ------
' \ _ --- ti
� I � --
� � � � - - - -
C �,,
�e ! � � ; ---- - - 3
c � m
I� --- r ��- ,�
i � T� �
� � � __ r
�--- --
j --• — - — __---- I >
T � (1
� I
�� � I � I � �. � �,
� ---
- ----- ; �
---
� � �i,
�� . _ �.o
rn � �� --
-U
� � �y
N � (� � k `I � '�
� �� � 4 �� �. � � ,�
a � ` �\ � r � a � R Rl
�' t, �' 0 O
1 �.1 �C ` � � p �
n
�� � � � � � �
C �l
� � �, �
a � �
� c �! a
� ��'
c � � � � �'
,�, � �
G
�� 0 ,
v
e � �,
� � a
a �
�®
I' l h �\
- � r
n
— � b
xiL
� I
�I
i
I
n
Z P
C
a
.,
y
R,
RFC
W
1°
r-
I
I a
I
• Z
• I
I _ I
I
l
a \
IN
yx4 --- o
CA k3
e
Jam'/looms ��oolr�rd� y1�v��d 1Ho�N
i j�3�16r :79Vr/n i t 7/0 Q jS n
I '
I I i
I I �
U
ri I
aA
Z
I I
. I I
c- E
1 CONCRF t 5 t A !3
a
n
tit
I I
IJ
1 yvv_iS .(�1311 J b3}Jf� ;F9VYOIS' 7/0 09;/7 I
I I I
h r�
�c o
In
ro
Aa
1t �,
I i
I I I I
I � I
I I
c c► n
c I
� � M
3 �, C
a �
1 7•
N
ON„
N b
0
o
u �t �
c �
0
Z c
� r
xao \\ /i/
N
i
titz"
wr
mIZ4 z
r r
(01
17
rV-
7.
C
0 ��
R
m
� o \c
x
�;
a,4
� r
� � I
4
f S rn !• :i'
A
r,747
n
'T.
�,I C )