HomeMy WebLinkAboutBLD88-21500 - BLD Permit / Conditions - 2/5/1988 Plumbing:
Shorelines: Mechanical :
InteriaEEIT
Setback: '
Special F INAL:
Conditions: Mobile D ome:
Smoke
Remarks:
Footing: -------
Setback,
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE RE ROOF
Sq F t g _----
21500 N0. Floors 426 5793 Date 2�8 Permit NO . Alex SheltonZl p ------
Owner SMITH`
Address E 151 Woodland Dr
ead Zlp
Charles Gig --
Contractor Tr 7 Ex, 7-A
Address Copalis Beach Past hig
ti0n woodland Manor men
Legal Descrip lst develop
Direction to protect site
school Wood Stove
Mechanical _— $ewer ra port
plumbing _— Deck Garage —
Fireplace __—Loft Other
Basement o f shakes
26 squares
a
r
f
BUILDING PERMIT APPLI FATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY BST TE • ZIP PHONE
)IRECTIONS
-O JOB SITE �cct-� ,v�
'ARCEL _ LEGAL
d U M B E R � 1/, S / C� 'GCI DESCR.
NAME MAILADDRESS CITYBSTATE CENSE NO. ZIP PHONE
'JONTRACTOR c
f -2 t , _.e Gdc oc, 5 GC L
)SE OF
WILDING 1` Nr� e�
:,LASS OF NORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
�-
)ESCRIBE
NORK
IEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
ATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
IO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NL LL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 18 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
OTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR APERIO OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
ERMANENT SHORELINE
EASONAL
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
REGISTRA ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM WARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENTS 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWI H.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUR DING DEPARTMENT.
X O NER PATE - `r' X BY DATE
FOR OFFICE USE ONLY
)EPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
'LANNING FIRE BUILDING PERMIT
I.O.T. BUILDING PLAN CHECK
iPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
'P1 ICATIdN ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
-- ' TOTAL
BY CASH CK MO