HomeMy WebLinkAboutBLD18367 Replace Glass - BLD Permit / Conditions - 2/28/1986 TYPE REPLACE GLASS
, Permit No. 18367 No. Floors Sq Ftg
( Owner KNIPSCHIELD, Dennis Tel 426-5975 Date 2=28=86
' Address E 1520 Shelton Springs Rd. SheltAip
Contractor Specialty Cont.
Address E` 1974 Agate Rd. Shelton Zip
Legal Description Tr 10 NW-1'/4, NW-1/4 12-20-4
Direction to project site
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Tar-age Carport
Basement loft Other
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final:
Mobile Hone:
Smoke Detector:
Remarks:
PgAMRT
DATE BY
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. ZeK -LLB'' /
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
iDe m',s, klZb
DIRECTIONS
TO JOB SITE
LEGAL / ^ �11 � ` � (❑ SEE ATTACHED SHEET)
DESCR. O`J V `J/'
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR tCl A 14 �
/o L c
USE OF
BUILDING i�,J C e/I-
Class of work: NEW ❑ ADDITION )(ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: �Ap
c LO Z.
Valuation of work: $ PLAN CHECK FEE PEPMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED 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
L. certify that I am a currently registered contractor in WORK IS COMMENCED.
AheState of Washington and I aware of the ordinance
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 ❑
A
SEASONAL ❑ FLOODPLAIN ❑�4 dcE.D. NO. S.E.P.A. ❑
Special Approvals IN OUT YES APPROVEDNO
0 �P� $.� Date a 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 BUILDING DEPT. 07
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPL ['�YTION ACCEPTED BY APPROVED FOR ISSUANCE
Owner Date. 50
r
L�CLH
CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
ASTOWN PRINTING