HomeMy WebLinkAboutBLD92-0237 REROOF - BLD Permit / Conditions - 5/5/1992 N
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation 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 date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
BUILDING PERMIT APP -ICATION b p(Z- 6237 -
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WA HINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS _ C Y&STATE ZI PHONE
OWNER G � I — �� �, w
DIRECTIONS
TO JOB SITE
PARCEL �,qq- LEGAL _
NUMBER - ����. l..- ,t DE SCR. (;f ' I�L f I i �) �� �} ItLNC.` EGA
c+
CONTRACTOR
r_NAME __ MAIL ADDRESS CITY&STATE ZIP PHO LICENSE NO.
=--
USE pit)
BUILDING /
CLASS OF NEW ADDITION ALTERATION REP R MOVE REMOVE
WORK ✓
DESCRIBE WORK A / n _
PJYId(Jl1<2 Q L h/vt. ,� 5 � / P L r 12-e jA c
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE .11vUSgFt STORIES SHORELINE Cl CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BEC MES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WI HIN 180 GAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED O 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 FROMI HE BUILDING DEPARTMENT.
X OWNER DATE X BY _ DATE
FOR OFFICE USE N LY
DEPARTMENT YES
PPROVENo DEPARTMENT YESPPRO ENo BUILDING VALUATI N
v
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FIE
APPLICATION ACCEPTED BY PLANS CHECK SY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTALC�J/�
BY CASH CK MO d ``Jv