HomeMy WebLinkAboutBLD20052 Repair Roof - BLD Permit / Conditions - 4/2/1987 Shdrelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: ell -3/ //&s
Mobile Home:
Smoke Detector:
Remarks: '
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE REPAIR ROOF
Pemnit No. 20052 No. Floors Sq Ftg
Owner HOOD CANAL SCH.DIST.404 Tel Date 4-2-87
Address N 111 Hwy 106 Shelton Zip
Contractor SM Schmitt Roofing
Address 2725 Hwy 101 E Pt Angeles Zip
Legal Description S-1/2.SE.Sw 2-21-4
Direction to project site Same as above
Plumbing Mechanical Sewer Pbod Stove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 �J
426-5593 DATE ISSUED Z
PERMIT NO. �Q tS
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
PARCELLEGAL
NUMBER v ., DESCR. �
S. 2 j-c,;
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR s: ' _ , cr 9,r 3 �C L
USE OF U
BUILDING
CLASS OF
WORK ,- NEW ADDITION ALTERATION REPAIR [MOVE REMOVE
DESCRIBE
WORK v�ZQ/2 l"
t
!- c L
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERSAFFIDAVIT 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 APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
f
X OWN ,t DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTM NT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION
HEALTH 1-0 PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 6G
D.O.T. BUILDING C - PLAN CHECK CX?
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY AP�AeV D FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY tF�_ �? CASH CK MO J/