HomeMy WebLinkAboutBLD19536 Alterations - BLD Permit / Conditions - 10/31/1986 TYPE ALTERATIONS
permit No. 19536 No, Floors Sq Ftg
Owner WASH. STATE PATROL Tel Date 10-31-86
Address W 631 Dayton Airport Rd Shelton Zip
Contractor slash Ventures
Address reWprton Zip
Legal Description N-1/2 SW 2-20-4
Direction to projeEE site Ahove addrPgs
BuildintA Administration
Plu-nbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: Plunbing:
Setback: Mechanical: _
Special Interior:
Conditions: FINAL:
MobileHome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls: ---PL-MMIT
Framing:
Fireplace: NULL & VOID BY
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED���
�) Yv ( E IT NO.
NAME MAILADDRESS CITY&SAE ZIP PHONE
OWNER LA.) A )U b T 'L'-I
DIRECTIONS )
TO JOB SITE (.r`rC7 �= ?'L 17. C C -61
LEGAL , I
DESCR. /V 1 v
' `j Y q li. •Z- -;L U -
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR LJ 4-91.1 0(Tal"J ,v�_ t,L(L f_,5 `Ca LJA! H ►0-'-)s-'V-PP
USE OF
BUILDING C• �
CLASS OF NEW ADDITION ALTERATION EPAIR MOVE REMOVE I
WORK r
WORKDESCRIBEw1� ll-
3o)_) o s {+ b Alle- H e IS Tilk
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIES _ 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
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE ILDING DEPARTMENT. �?
X NER DATE XBY �- DATE
FOR OFFICE USE ON LYE'
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH ✓ PUBLICWORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING // PLAN CHECK le" 9.2-
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE ,
APPLICATION ACCEPTED BY PLAN CHK�9Y Q APPROVQED�F R UANCE PERMIT VALIDATION TOTAL p
� /•C�� '`� BY �7 C CASH CK MO ��• O��