HomeMy WebLinkAboutBLD14995 Addition - BLD Permit / Conditions - 12/7/1983 MASON COUNTY FIRE DISTRICT #16 #14995
18-20-4, Tract 9, NE,NE
W 4650 Dayton-Airport Road, Dayton
Contractor
Roorda
Addition 24x32
$6,912.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:m,lC /-30 '2�
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
K,E F�zLc2ye di.µ f7
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
'4' PE MI p O. ��'s
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS f
TO JOB SITE
LEGAL. El SEE ATTACHED SHEET)
DESCR T 1 --�
CONTRACTOR NAME MAIL'ADDRESS CITY&STATk LICENSE NO. PHONE
USE OF
BUILDING
Class of work: ❑ NEW 94ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
u t� _17 A 0 i T
-7-Cc
Valuation of work: $ �t` O^� PLAN CHECK FEE PERMIT FE
�I
SPECIAL CONDITIONS:
BEDROOMS — I DECKS CARPORT (1 NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT C ATTACHED L OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE L[ DETACHED L;
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 ce tify that I am a currently registered contractor in WORK IS COMMENCED.
th State of Washington and I the
aware of the FOR OFFICE USE ONLY
or finance requirements regulating the work for which
t e permit is issued and all work done will be in
onformance therewith. PERMANENT i I SHORELINES
SEASONAL [ FLOODPLAIN
rm r--� E.D. NO. S.E.P.A. i
Special Approvals IN OUT YES APPROVED NO
Lic. No. � 24OC% aDate 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 conformance therewith. MOTOR VEHICLE PERMIT
/L� APPLICATION ACCEPTED BY g�PLAN /ECK BY APPROVED FOR ISSUANCE
Owne� Date,/
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
k! v/ 14. PP
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