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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 /1 ADDRESS /� ` /�JG �' '�L PERMIT NO, f o i v n > a o 0 LEGAL a n 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 L i