HomeMy WebLinkAboutBLD23542 Mobile Office and Lounge - BLD Application - 4/11/1989 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED /��
PERMITNOr��� 7�
NAME MAILADDRESS CITY&STATE ZIP NE
OWNER HOOD CANAL SCHOOL DISTRICT #404 N Ill Hwy 106 Shelton WA 98584 877-5463
DIRECTIONS Y Y 1/2 block east of Hwy 101 on Hwy 106
TO JOB SITE
PARCEL LEGAL
NUMBER 42102-34-60060 DESCR. So 2 SE SW E RW EX SO 250 of Sec 2 TS 21 Range 4
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING Office and lounge
WORK r ADDITION ALTERATION REPAIR MOVE REMOVE
CLASS OF NEW x
DESCRIBE
WORK P1ace,2temporary mobile office andlounge on site.
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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
TOTALSQ.FT. 1848 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
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 CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING,kPPROV OM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER t�W4TE 10 '� XBY DATE
FOR OFFICE USE ONLY 44,4
DEPARTMENT YES APPROVEDJO DEPARTMENT YEAPPROVED1O BUILDING VALUATION
HEALTH '%1 PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT tyn ee
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
PPLICATION ACCEPTED BY PLANS CHE94 BY APPROVED FOR ISSUANCE PERMIT VALIDATION
f/Q TOTAL
BY r CASH CK MO �o' �/ �/
M 7
PLAYGROUND
2
asY3 "� r
Boys Girls
Lockers Lockers
-
� Y CD _ 5 * Kitchenrf Cr
o
LY Imo_
14 S11
� � N
�\ I 50
OTd
fI
hJ
- +° �
3
o a
4-4 b
43
0 $4
a� w ,
�_ it �•, i
1 �1
r I.
i
!
L 8Y - — EVERGREEN n.:,3 S.E.W
SCALE
OAT E _ MOBILE �` Po' box 1043
: :: ✓:✓ , i t ' .- OF—— .COMPANY z-irn
Mf
10 x IU x 14
11 r 14 5►+Et F
19'
�— BARO A
� q�x q ►O r 9 10 r 9 ___'
DEMOYNTABIL;
a