HomeMy WebLinkAboutBLD20213 Addition - BLD Permit / Conditions - 6/7/1969 Shorelines: Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FINAL:
Mobile Home
Smoke Detector:
Remarks:
Footing:
Setback:p K,
Foundation
Walls:
Framing:
Fireplace: NUS_ P. vol�" f,%HA,7��q-H
Wood Stove: / :=
TYPE ADDITION
Permit No. 20213 No. Floors 1 Sq Ftg 240
Owner TURNBOW, Bruce M. Tel 426-8114 Date 5-6-87
Address W 6741 Shelton Matlock Rd SheltorZip
Contractor Self
Address Zip
Legal Description Tr 2 SE,NW 7-20-
Direction to project site Same as above
Plurrblng Mechanical Sewi--r Pbod Stove
Fireplace Deck Garage Carport
Basement Loft Other
12x20 Addition to Kitchen
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 _ -
426-5593 DATE ISSUED ')
PERMIT NO.
OWNER
AM E '. MAIL ADDRESS ITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE S S 4lJv
PARCEL ,/ LEGAL
NUMBER DESCR.
NAME ��/ MAIL ADDRESS CITY S STATE LICENSE NO. ZIP PHONE
CONTRACTOR J
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE _ / L
WORK / T �//�/� fLl/T
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO. 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
TOTALSQ. FT. �� FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWN RS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CE IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQU REMENTS 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X 0 NER �✓` DATE G� l q# X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION c C
YES NO YES NO �7 2 O e'
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING 1 PLAN CHECKS , e
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE /
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CCHHECCK SY APPROVED FOR ISSUANCE PERMIT VALIDATION
(t,.L4+-s BY I CASH CK MO TOTAL
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