HomeMy WebLinkAboutBLD86-19336 ROOF - BLD Permit / Conditions - 9/22/1986 TYPE ROOF
Permit No. 19336 No. Floors Sq Ftg
Owner THIEL, Ken Tel Date 9-22-86
Address E 110 Cherry Lane Shelton Zip
Contractor
Address zip
Legal Description Cherry Park Lot 18
Direction to project site Cherry Park, across from
high school
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck arage import
Basement Loft Other
30 sq.
Shorelines: pplg bin :
Setback: Mechani�
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detect
Remarks:
Fo tinq
Se?bac :
�oyndation
a s:
Frami n
Firepl2ac .
Wood Stove: 29
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED /57 g -y 4111, Alf "IF-- PERMIT NO.
OWNER NA MAILADDRESS CI &STATE ZIP PHONE
DIRECTIONS I?
TO JOB SITELEGAL
DESCR. T,
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR /c /Zr-
-� q
USE OF C 'op �i'�.�/S GL�"�i . �t� �j�
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE �-
WORK �'`� 3
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEM ENT 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 AT ANYTIMEAFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM NTS 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 BE MADE WITHOUT FIRST OBTAINING
OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE B)LDING DEPARTMENT. /
AX OW R DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NO
NO DEPARTMENT YES No
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
STATESURCHARGE
APPLICATION ACCEPTED BY [PLANSCHECKBY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO �, 61)