HomeMy WebLinkAboutBLD7157 Deck - BLD Permit / Conditions - 8/15/1980r James, Stan 7157
8-1 -80
Left on Hwy. past Harvey's green house with carport
521 W. H. Street -
West 120' - 1 acre E 1/2 SE NW SE 13-20-4
Deck
$2,225.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593
DATE ISSUED
PERMIT NO. G/
OWNER NAME MAIL A'DDRES$ ��. C�CelTy&STATE ZIP PHO�
DIRECTIONS J vV ILTI 1/ J / Tc-y !io 1v
TO JOB SITE -.C�`� O r� N p/i�� (T.4-4-Vrys Cl r-tsP"
LEGAL] / / Z (❑ SEE ATTACHED SHEET)
DESCR / I .S/WR S l Q
NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW R ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /, r � � , ,
I�P X-D- 'G C ]� s c W t`t'�. qx-�;
Valuation of work: $ / PLAN CHECK FEE PERMIT FEE��
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE []
ATTACHED I 1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED f_I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 I 1
SEASONAL I I FLOODPLAIN I,'
Firm E.D. NO. S.E.P.A. Ll
By Special Approvals IN OUT YES APPROVED NO
-ic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
/w�hich
hat I am exempt from the requirements of the FIRE MARSHAL
or registration law RCW 18.27, and am aware
Mason County ordinance requirements for BUILDING DEPT.
s permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MC#qR VEHICLE P RMIT
ATION A ED BY PLANS CHECK BY AP O D F SUANCE
ter Date. v BY
13y .-.. LA)cAj
4 CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH