HomeMy WebLinkAboutBLD92-1015 STRG - BLD Permit / Conditions - 9/22/1992 CI
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Setback date by Ribbons
date /K)126 -12— by Gas Aping date b
Foundatior.Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by f'�j, 1,41 date by
PLUMB N date by
Attic OTHER �^ J Groundwork / date by
date by
D.W.V. WALLBOARg SAILING
date by date Ir by
Water Line FINAL INSPECTION
date by date 2 by date by
�' i f-�fI� t 1 7'D^y7^7TT77
I
Y BUILDING PEIWITAPPI.ICATION
MASON COUNTY
DEPARTMENT of GENERAL ERVICES
a d a o�a P.O. BOX 186 SHELTON, WASHINGTON 98584
no&4 427-9670 DATE ISSUED
C�CJC� PERMIT NO. M
NAME ! MAILADDRESS I Y&S ZIP PHONE
OWNER sec` -
DIRECTIONS
TO JOB S IT Qt_
PARCEL LEGAL '7'"
NUMBER DESCR. i'4C7 Gl /
NAME 0�8-Z7 MAILADDRESS CITYISTAT,E LICENSE NO. IP PHONE
CONTRACTOR �7 oz/ / J Z4t yz6-a�F�
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REP IR MOVE REMOVE
WORK
DESCRIBE
WORK E / "(E�� OOP &cNQrcy
0
7
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PER S ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT _ ATTACHED THIS PERMIT BE ES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SQ.FT. /�-7 COMMENCED WI IN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
,ZED FIREPLACE DETACHED ABANDONEDFOF PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERSAFFIDAVIT CONTRACTORS
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT f AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AN 0 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 WH CH PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE H EWI .NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM E B DING DEPAR
X OWNER DATE X BY DA E
FOR OFFICE USE N LY
APPROVED APPROILD
DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
r SHORELINE
ft 0 E WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FE
STATESURCHARGE
APP C TION ze
EPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATI
TOTAL ,. `
BY CASH CK MO