HomeMy WebLinkAboutBLD91-27846 REROOF - BLD Permit / Conditions - 4/10/1991 TYPIL �.
Permit No. 27846 No. Floors Sq Ftg
Owner SQ TETMMIl RAY Tel 426-3652 Date 4-10-91
Address ton-S Rd, Shelton Z i
Contractor for
Address P.O. Box 1, Shelton Zi
Legal Descriptio ]2-20-4 tr 8
Direct"ion to project site NUE GIVFN
tm in-----------------
g ec anica ewer Woo t ve
Fireplace Deck Garage Carport
Baser rnt .oft Other
Shorelines: Plumbing:
Anechanica
Setback: Interior:
Special FINAL: ."
Conditions: Mobile ome:
Smoke Detector:
Remarks
ooting:
Setback:
Foundation
Walls:
Fr aning
-------------
Fireplace:
Wood Stove:
BU1,4131ING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL ERVICES
P.O. BOX 186 SHELTON, WASHIN TON 98584
427-9670 DATE ISSUED �l
PERMIT NO. C e?GL 6
OWNER
NAME MAILADDRESS &STATE 21P PHONE
i I - `j
is Ate'
DIRECTIONS
TO JOB SITE
PARCEL LEGAL . (`
NUMBER RP �{�U( a1 DESCR. _ B .QT 0(d 0 /a
NAME MAIL ADDRESS CITY&STATE LIC NBE NO.- IP PHONE
CONTRACTORRC
— SI \ tl Rc`'�
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REF IR MOVE REMOVE
WORK
DESCRIBE ,
WORK [Z - _ L ' 1 Y�
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PER II S ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BE OMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WI IN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONEDFOR PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERSAFFIDAVIT CONTRACT013SAFFIDAVIT
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 WH CH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE HEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM HE BUILDING DEPARTMENT.
XOWNER DATE XBY - DATE 'y 9 �f
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENT ENO BUILDING VALUATION
$�6
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT ZI
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATI
BY CASH CK MO TOTAL 7 D O