HomeMy WebLinkAboutBLD86-18715 WINDOWS - BLD Permit / Conditions - 6/2/1986 TYPE ALTERATION (windows)
Permit No. 18715 No. Floors Sq Ftg
Owner KLAW, Bernard Tel Date 6-2-86
Address E51 Park Lane, Shelton, WA Zip 98584
Contractor Speciality Contractors
Address E19Z4 Agate Road, Shelton, WA Zip 98584
Iegal Description par o0Lot 19
Direction to project site 2nd housen left incul-de-sal
opposite Firehall on Island Lake Drive
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: plumbing:
StbTck: Mechanic
cial Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detect
Remarks:
Footing
Setback:
Foundation
Walls:
Framing:
Fireplace: .�
Wood Stove:
DATE
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED / 0 `716
/
PERMIT NO. `�=
OWNER NAME MAILADDRESS C ITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE 466,141
0".,o
LEGAL / / {� 1
DESCR. /� iC-0 191,
CONTRACTOR
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
! 7
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ �'
DESCRIBE
WORK E rf � 14 �'S5 F l., !J S Gt ( S
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMI S 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
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS ATANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT 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 AN 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 WHI 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 FROM FHE BUILDING DEPARTMENT.
X OWNER DATE X BY � DATE 'V
FOR OFFICE USE ONLY
DEPARTMENT APPROVED APPROVEDDEPARTMENT YESPPROVEN
YES O BUILDING VALUATION, -.
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDAT'O$
BY CASH � !o� TOTAL