HomeMy WebLinkAboutBLD28888 Pole Building - BLD Permit / Conditions - 2/3/1992 1
Shorelines: Plumbing'
Setback: Mechanical:
Special Interior:
Conditions: Final:LC. R-61e- Mr-4
_ Mobile Home:
_ Smoke Detector:
Remarks:
Footin9 oe M✓, 32,9Z,
Setback:
Foundation
Walls:
Framing:
Fired Ince:
AREA: #3 - ROB LUM TYPE: POLE BUILDING
Owner: ANSTEY, TIM Tel: 426-8255 Date: 02-03-92
Address: SE 3211 LYNCH RD, SHELTON
Permit #: 28888 Floors: 1 Sq Ft: 1440
Contractor:
Phone:
Legal Description: 32-22-3 SE 1/4 SE 1/4 SP 1149
Direction to job site: UNION TURN LEFT OFF MCCREA`7Y RD
JUST PAST DALBY RD CUTOFF UP HILL AT UNION HTS TO
T IN RD LEFT, 1ST RT AT GATE
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions: NONE
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED Y
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER i /) 5 y f SH�L7 t� �c�55
DIRECTIONS (C,("Y,5j
TO JOB SITE CA ,4c_ QS>sp rl 14pPU c
PARCEL
LEGALNUMBER �q7 U ESCR. ��p? k ,
CONTRACTOR NAME MAIL ADDRESS CITY&9TATE V I! ZIP PHONE LICENSE NO.
USE OF
BUILDING
CLASS OF
WORK r NEW ADDITION ALTERATION TREPAIR MOVE REMOVE
DESCRIBE
WORK O �'GfCf DI e Cf ! CY
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED Q DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN &0 WYL DATE ��4?jL� X BY _ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO &�
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �� 1 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE `� )
L
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL
BY �-`�?1-T� CASH CK MO ��