HomeMy WebLinkAboutBLD13079 Cover for Target Range - BLD Permit / Conditions - 9/28/1982 State of Washington #13079
State iatrol 753-6854 9/28/82
SW 1/4, 2-20-4, NW 1/4, 11-20-4
Port of Shelton, W.S.P. Academy
Roof Cover for Target Range Contractor:
9'x85' Same
$3,825.00
Shorelines: T
Setback:__
Special Conditions:
Foo ing:
Setback:
Foundation Walls:_
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:&l
Stop Work:
Mobile Home:
Smoke Detector: _
Remarks:
I
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED' PERMIT NO. 130 7Y
OWNER AME MAIL ADDRESS CITY 8 STATE ZIP PHONE
r S K 7^P rth 0/ tc J 9�'�oy s3-G
DIRECTIONS /
TO JOB SITE �, 5 Ga c[�°
LEGAL / (❑ SEE ATTACHED SHEET)
D7ffiR. el, 7-of
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR S
USE OF r r
BUILDING 4 0 L�C� N fo h Tel P r
Class of work: NEW ❑ ADDITION ❑ ALTENkTION ❑ REPAIRJ ❑ MOVE ❑ REMOVE
Describe work: �
57 ve Poo f
Valuation of work: $ PLAN CHECK FEE A, / ^ PERMIT FEE ,
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT E) NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE ❑
ATTACHED L_ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L: OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT (ZED 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 I I FLOODPLAIN
Firm E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date
NNING DEPT. Z
OWNERS AFFIDAVIT
vveRi
I certify that I am exempt from the requirements of the L 62
� $ :?r
contract or registration law RCW 18.27, and am aware BUILDING DEPT. �Z $ �?
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be jji.conformance therewith. MOTOR VEHICLE PERMIT
O ner ��Date, LIGATION ACC y
BY PL NS ECK BY
APPROVED F R ISSUANCE
� / ��,cv.�'
M.O. CASH
PL N ECK VALIDATION CK. M.O. CASH PE IT VALIDATION C�)