HomeMy WebLinkAboutBLD83-14818 CARPORT - BLD Permit / Conditions - 10/17/1983 #14818
OLSEN, Stan 10-17-83
12-20-4, Cherry Park, Lot 14
same
Contractor
Olson nst, 426-1076
Attached Carport
$2,340.00
BUILDING PERMIT APPLICATION
- - MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �0 ��`� •- "
DATE ISSUED
PERMIT NO. I
OWNER NAME /• MAIL ADDRESS CITY BSTATE ` r zip PHONE
24
DIRECTIONS '
TO JOB SITE -
(E SEE ATTACHED SHEET)
LEGAL
DESCR. q n f}�r t' �
NAME , MAIL A DRE$& I &STA E LICENSE NO. PHONE
CONTRACTOR �; .�C_ 2 2_.,./L"�..
USE OF
BUILDING Q )�
Class of work: ❑ NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
/ C, 1, _ t
Valuation of work: $ J �^I PLAN CHECK FEE PERMIT FEE —
SPECIAL ]
SPECIAL CONDITIONS: V
BEDROOMS- _ _— DECKS — CARPORT NOTICE
BATHROOMS___ ._ _ TOTAL SO. FT._-_ GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES---- BASEMENT ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SO. FT. __ FIREPLACE ! DETACHED L
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES
r SEASONAL ❑ FLOODPLAIN ❑
/�
Firm ✓dv _ __. _:: � E.D. NO. S.E.P.A. L
By Special Approvals IN OUT YES APPROVEDNO
r ZONING
Lic. No.7or
��— Date
PLANNING DEPT.
HEALTH DEPT.
WNERS AFFIDAVIT
PUBLIC WORKS
I xempt from the requirements of the FIRE MARSHAL
ction law RCW 18.27, and am aware
oounty ordinance requirements for BUILDING DEPT.
Mich this permit is issued and that all work done will ROAD ACCESS '
j"be in conformance therewith. MOTOR VEHICLE PERMIT
PLANS CHECK BY APPROVED FOR ISSUANCE
APPLICATION ACCEPTED BY
Owner - - ------ Date . BY.,.
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH