HomeMy WebLinkAboutBLD92-0228 Carport - BLD Permit / Conditions - 5/29/1992 MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O, Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
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date! ' by n /Z 4(- Gas Piping date b
Foun all date by Set Up
da i
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date / 7—E1 --by date by
PLUMBING date by OTHER
Attic
Groundwork date by
date b
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date I 1 /G 9 by �Y1 &A . date by
I
BUILDING PERMIT APPLICATION ='vg
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 r
427-9670 DATE ISSUED (�, (a
PERMIT NO. to
NAME MAIL ADDRESS CITY&STATE / 1ZIP PHONE
OWNER ,L lam(, s2 <7. c r-
DIRECTIONS l_
TO JOB SITE /�oU � rf � '��
///
PARCEL LEGAL NUMBER Waald- S 5- GGc,�'] DESCR. S Y� Gva0cQ
NAME MAILADDRESS CI &STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF f
BUILDING te-
(i
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT `>��% SgFt FIREPLACE I ARP ARAGE
GARAGE SgFt ATTACHED 6 DETACHED❑
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.
X OWN ER,�L DATE _ 9 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT L Q
D.O.T. BUILDING j J PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CH CK BY APPROV D FOR ISSUANCE PERMIT VALIDATION
1
BY r � CASH CK MID TOTAL 6J
T�
BUILDING PERMIT PLOT PLAN s A
>r
MASON COUNTY ;
DEPARTMENT of GENERALSERVICES
P.O. Box 186 SHELTOR WASHINGTON 98584
427-9670 _. '
DATE ISSUED
PERMIT N0.
NAME ,a E ZJPNE t
OWNER
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Indicate below: _ roperty lines and dimensions. -
Cr
asements and
�•,��,,�.�z - roads
eptiq drainfield and reserve area or sewer.
,0 ept,c tank and drainfietd"setback distances from four datlons. -
Location oFpropose 'cons io ort pr P rtY ? ' r y
O uiidirlq�,se,�tic.system setbackdistances f om �11 propertxi' p, easements. q
t ± ell and water Gn t `f t K. '"-' "- �.-
p
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Indicate No
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- --* altyn ater,lae srdrainage.
In Circle t ks, rivers, stream wetlands,
f �' /Attach copy of septic system"as built"or septic permit'approval. .''
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(ndicate topography profiie of property a`nd structure on reverse side -
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