HomeMy WebLinkAboutBLD87-19923 f.place - BLD Permit / Conditions - 3/5/1987 Shorelines: Pltunbing
Setback: Mechanical:
Special Interior:
Conditions: FINAL.
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Per
mit No. 19923 No. Floors Sq Ftg ---
Owner SAND,LRG Geraldine Tel 426-1403 Date 3-5-87
Address Zip
E 310 Woodland Dr Shelton
Contractor None Zip
Address Tr 39
Legal Description Woodland Manor
Direction to proje si e Off Spring Rd near High
School
ing is Sewer Wo Stove X
Fireplace Deck Garage Carport
Basement Loft Other
TYPE FIREPLALE/INSERT
CARD 2 of 2
Permit No. 19923 No. Floors Sq Ftg
Owner SANDBERG Geraldine Tel Date
Address Zip
Contractor
Address Zip
legal Description
Direction to project site
Plumbing Mechanic Seuer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
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Shorelines: Plumbing:
Setback: ?iechanical:
Special prior:
Conditions: L:
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Setback:
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Fireplace:
Wood Stove: 4&dt!�_
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHING ON 98584
426-5593 DATE ISSUED
rJ"o
PERMIT NO.
NAME //�� MAILADDRESS TY&STATE ZIP PHONE
OWNERr ��inE � neV i 3`o4. a •e, vg . e
DIRECTIONS
TO JOB SITE ) -
PARCEL LEGAL
NUMBER ? Ci }fic^3 DESCR. GiC�'���GI�� �' '/" �/- �
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTORUSE OF
>/
BUILDING /r� /Q-
CLASS OF WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERM TS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES _ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE 1 HEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
7 ` A
X E .ter ' ArATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO TOTAL
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