HomeMy WebLinkAboutBLD92-0280 GARAGE - BLD Permit / Conditions - 6/15/1992 O C)
... . O oY\
rt Y
O
Q
co
O O
10 Q
OD Q
Cr
OD
J
i Z
v �
- i �
t MECHANICAL MOBILE HOME
Setback date by Ribbons
` by %� ..'' Gas Piping date b
'Jndation ais date by Set Up
ate by INSULATION date by
G/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
� dr;;e by date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
„F ,
C� BUILDING PERMIT APP (CATION ` 'Za
MASON COUNTY
DEPARTMENT of GENERAL 5 RVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,ME INGTON 98584 _
427-9670 DATE ISSUED
���� �,�� S�°�2 �1►�� �}T'T14GI PERMIT NO.
OWNER NAME MAILADDRESS CI YBSTATE ZIP PHONE
S ' �e.2 'Qc..�. P6 an.- (4 76.)-327-,z0s'y
DIRECTIONS
TO JOB SITE /ZIP. s 7_01'44.1 i
PARCEL LEGAL
NUMBER Y;)-vo 0bc.J"3 DESCR.
11
NAME MAIL ADDRESS CITY 6 STATE ZIP PHONE U LICENSEE NO.dAc L
CONTRACTOR /�. r?2-ir i- 7ne r?ot� u ma,o-rot Ullf 9iT'-x C,�jY}/C 1-iPJ !/Gr�tL Seri�•i l/ 170 G
USE OF
BUILDING
CLASS OF NEW X ADDITION ALTERATION REPAIR MOVE REMOVE
✓WORK
DESCRIBE
WORK S7-/1k t% All c
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERM: S ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WIT IN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR d PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE (Z IS CARPORT/GARAGE
GARAGE _r7G SgFt ATTACHED 0 DETACHED9
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 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 THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE XBY"J&X� - _ DATE �U-
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION r ^
YES NO YES NO
HEALTH M I` PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT " r'+
D.O.T. I BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP � PRE.INSPECTION
SHORELINE
WOODSTOVE
PJ �� �� poi. S PLUMBING
MECHANICAL
STATE BUILDING FEE
1PPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTALBY CASH CK MO