HomeMy WebLinkAboutBLD9311 Install - COM Permit / Conditions - 11/19/1990 q O 33v
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Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
MobileHome:
Smoke Detector:
Remarks:
noting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE STORAGE
Permit No. 27131 No. Floors 1 Sq Ftg 240
Owner SPENCER LAKE GROCERY Tel Date 11-19-90
Address E 142 Lakeway Dr Shelton Zip
Contractor Evans/Waite Const.
Address Zip
Legal Description Tr 3 GL 1 32-21-
Direction to project site
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck gage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. `
NAME MAIL ADDRESS CITY 6 STATE ZIP PHONE
OWNER ,*v )iav
DIRECTIONS
TO JOB SITE 2,?C c
PARCEL LEGAL /1 1
NUMBER 1-12 (k 0)o 3c) DESCR. T 01 0 v Ir LOT-
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. ZIP PHONE
CONTRACTOR v'qN� '. - V7 P C N
USE OF
BUILDING 5r
CLASS OF NEW ADDITION `i ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK . ! O > �L- a?4 e 14II 7— Q 1>�
BEDROOMS DECKS YORN CARPORT NOTICE
TOTAL SQ.FT.
DECK SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. OTRAGSO.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. TOTAL SQ.FT, CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AF IDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATI LAW RCW 18.27. AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM TS 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL MADE WITHOUT FIRST OBTAINING
OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDIINNGG DEPARTMENT. '' I ,a
X OW R DATE X BY��( � //.�" `// DATE ! ,
FOR OFFICE USE ONLY
DEPARTMENT YES
SPPROVENo DEPARTMENT YES NO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT � �
D.O.T. BUILDING PLAN CHECK r;
SPECIAL CONDITIONS BUILDING GROUP B Z S'7 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
* Is MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION O
TOTAL I
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PICKERING ROAD
Dower iines
6' from vertical plane of
power lines
Phones
/6' * 1000 LP •
f �
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asphalt area
30'
l
gasoline pumps
F
2 0'
r
SPENCER LAKE
GROCERY
E. 1081 PICKEPING R
SHELTON, WA
1190290
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