HomeMy WebLinkAboutBLD13791 Shop - BLD Permit / Conditions - 3/31/1983 Pascher, Frank #13791
426-9602 3/31/83
12-20-4, Tract 18 of NW 1/4, NW 1/4
E 1470 Shelton-Springs Road
Metal Shop Building Contractor:
1,200 Sq. Ft. Cook Const. Inc.
$10,200.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426.5593 8'3
DATE ISSUED
PERMIT NO. 1.3 -4-9
OWNER NAME MAIL ADDRESS CITY 6 STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL 4/
(:I SEE ATTACHED SHEET)
DESCR. f a1?-oZ Q _ l� W VLjj /V W y
CONTRACTOR
NAME MAIL ADDRESA / CITY d&TATE LICENSE NO, PHONE
USE OF c c,
BUILDING �- /
Class of work; )4 NEW ❑ ADDITION L7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work;
�rL
Valuation of work; $ n PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS.
BEDROOMS_ DECKS . _- CARPORT NOTICE
BATHROOMS_— TOTAL SO. FT.0 t _ GARAGE L)
ATTACHED ; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
N0, OF STORIES BASEMENT I ] OR AIR CONDITIONING,
TOTAL S0. FT. FIREPLACE 1_1 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
I certify that I am a currently registered contractor In WORK IS COMMENCED.
the State of Washington and lam 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 : FLOODPLAIN U
Firm E.D. NO.- - ------- S.E.P.A,
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be In conforms ce therewith MOTOR VEHICLE PERMIT
P UCATION �PjED QY PLAN HECK BY n APPROVED FOR ISSUANCE
Owner Dat (// 1/ BY !� '
, Q
PL GHECK VALIDATION CK. M.O. CASH P RMIT VALIDATION CK. M.O. CASH
PLOT PLAN
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ADDRESS /� ` /�JG �' '�L PERMIT NO, f o
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a o
0
LEGAL a
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DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
G1
I
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAMES) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELT0N PRINT INS
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