HomeMy WebLinkAboutBLD29780 Storage Tank Removal - BLD Permit / Conditions - 12/31/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final:
Mobile Home:
Smoke Detector:
Remarks:
Footing: l we&new triok>-AerriAW of
Setback: farjLoL i-7-41 z)FgaoAK1.
Foundation a Note,�Placement-bed aF♦anL
Walls:
Framing: 3. rE3r
Fireplace:
Woodstove:
AREA: #3 - ROB LUM TYPE: STORAGE TANK REMOV V.
Owner: WASH. ST. PATROL Tel: UNK Date: 12-31-91
Address: WASH STATE PATROL ACADEMY
Permit #: 29780 Floors: 0 Sq Ft: 0
Contractor: HAROLD'S PETROLEUM
Phone: UNK\CCOIHAROLSP210D7
Legal Description: 2-20-4 TR 3 SP 1850
Direction to job site:WASHINGTON STATE PATROL ACADEMY
HWY 3 TO DAYTON-AIRPORT ROAD APPROX 1.4 MI
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 G
427-9670 DATE ISSU
PERMIT NO.Len
NAME 11 r MAILADDRESS CITY STATE ZIP PHONE
OWNER d�'lN � �� L
DIRECTIONS
TO JOB SITEPARCEL
NUMBER rG�[/v` r1s qo/ GAL
DESCR.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR ( Sl %l. 'I JIL40s
USE OF �y
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE WORK AK( z bv p .c
Z--
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
q ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED 0 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 CO FOR ANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPRO AL G'ROM THE BUILD G MENT,X OWNER DATE X B I DATE i`' 3,
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVEDJO DEPARTMENT YESPPROVED10 BUILDING VALUATION
HEALTH PUBLIC WORKS F
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
L✓ �L S � �� L �� a� eft SHORELINE
101, py WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CHECK BY kypzla�
D SUANCE PERMIT VALIDATION
CASH CK MO TOTAL