Loading...
HomeMy WebLinkAboutBLD12150 Storage - BLD Application - 3/16/1982r State of Washington State Patrol #12150 (753-6854) 3/16/82 N 1/2 of SW 1/4 of 2-20-4. Washington State Patrol Storage/Training Building Contractor; 12'x24' & 12'xl6' Addition Same $3,500.00 �o • 3a _ (�oalt� Shorelines: Setback: Special Conditions: --'i Footing: Setback: _ Foundation Walls: Framing- Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: _ Interior: Final: Stop Work: Mobile Home_ Remarks: PERMIT - 1-EXPIRATION DATE .....f BY� BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED ` _f F 121 PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE 1V%j6,S1-4,A,?brZ)Qy , Y B7 p9 DIRECTIONS TO JOB SITE ✓a��n.c LJ � rL L LEGAL C -1 n/ (❑ SEE ATTACHED SHEET) DESCR. N /�- © � /�{ C r yJi Ci c� T 0!Y NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR ply-1 l _6 L_ USE OF BUILDING T►�►'}�nJ •. b - 0 a a C,(:�T ���L, /��0�^-�i Class of work: ¢ANEW ❑ ADDITION AALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE 5� SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT I NOTICE BATHROOMS ITOTAL SO. FT. GARAGE ATTACHED � SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE : DETACHED . 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 ❑ SEASONAL FLOODPLAIN O Firm E.D. NO. __ _ S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT ' OA, Date.� /� APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner ) BY, 3 CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C. . M.O. CASH