HomeMy WebLinkAboutBLD24052 Reroof - BLD Permit / Conditions - 7/12/1989 Shorelines: ' Plumbing:
Special'
Mechanica :Conditions: / Interior: ------
FINAL
Mobile ome:
Smoke Detector:
ooting: Remarks:
Setback:
Foundation
Walls:
Framing:
Fireplace: :
Wood Stove:
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TYPE RE ROOF
Permit No. 24052 No. Floors Sq Ftg
Owner GRAHAhI, Sian Tel 426-0691Date
Address E 20 Springwood Ct -12-89
Contractor Self Shelton Zip
Address
Legal Description Springwood Lot 1 1p
Direction to project site Above address
um ing Mechanical ewer Woo Stove
Fireplace Deck -`arage Z•a port
Basement soft —tether
25 sq. comp
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 `/ _
427-9670 DATE ISSUED 1 L��
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
w. E.,lo , Ucj_qtsg4q;26 -0691
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER (J®j�J DESCR. Woa G.O I
CONTRACTOR
NAME i MAIL ADDRESS CITY&STATE LICENSE NO, ZIP PHONE
1`
USE OF
BUILDING
WORKCLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
r
DESCRIBE
WORK A<� O �• d - S
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT 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 ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY TH T 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
REQUIREMEN 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 CONFOR NCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O NE DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO v�